In
this issue:
New
Study: Unlike Rest of America, Michigan’s Health Not Improving
Michigan Hospital Costs Below National Average
Anti-Consumer Health, Auto Insurance Bills Stall in Lansing
Nursing Schools Turn Away More Than 32,000 Applicants
Health-E View: What’s in a Headline?
New
Study: American’s Health Continues to Improve — But
Not in Michigan
A
new study finds that health status is improving in most of the
nation, but not in Michigan and a handful of other
states.
The
health of the American people has improved 18.4 percent since
1990, based on 18 measures analyzed in a new report by
the United Health Foundation, the American Public Health Association
(APHA) and the Partnership for Prevention. The 16th annual
report was released at the APHA’s annual meeting in
Philadelphia.
Improvements
nationally include a 40 percent decrease in the incidence of
infectious disease, 34 percent
decrease
in infant
mortality,
30 percent decline in smoking, and 18 percent decline in
the death rate for cardiovascular disease.
Minnesota
ranks as the nation’s healthiest state, while Mississippi
is last. Michigan ranks 29th, unchanged from
2004. Michigan’s
poor showing is largely due to the state’s high
obesity rate, high rate of cardiovascular disease, high
rate of
smoking (though
Michigan improved in this area), and high infant mortality
rate. The study also notes a sharp increase in the percentage
of Michigan
children in poverty — 19.3 percent in 2005 compared
to 14.6 percent in 2004.
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Michigan
Hospitals Keep Costs Below National Average
 |
The
hard work by hospitals to keep costs down represents
$1.2
billion less
costs for
FY 2004 and represents significant
savings for Michigan’s employers and other health care
payers. |
For
the second consecutive year, Michigan hospital costs are 6.3
percent lower than the
national average,
according
to a
study recently
released by the American Hospital Association (AHA).
This
means Michigan citizens paid $1.2
billion less in hospital costs in fiscal year (FY) 2004 than
if
Michigan’s hospital
costs had mirrored the national average, the AHA
study found.
“This
study affirms that Michigan hospitals have acted as responsible
stewards of our limited financial resources. Our efficiencies
directly assist Michigan employers in their continued efforts to control health
care costs and
contribute to a more attractive environment for new business
in the state,” said
Michigan Health & Hospital Association President Spencer
Johnson.
The
new study examined both inpatient and outpatient volumes and
hospital business operations for FY 2004.
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Bills
to Gut Consumer Protections in Health and
Auto Insurance Laws
Stall in Lansing
A
package of bills that could stick thousands of Michigan residents,
hospitals and physicians
with
millions of
dollars in unpaid
medical bills has stalled in the state
legislature.
The
Michigan Health & Hospital Association (MHA),
the state insurance commissioner, Blue Cross Blue Shield of
Michigan, the
Michigan Education Special Services Association,
the Michigan State Medical Society and other groups worked
to stop Senate Bills (SBs)
895-898 during the final week of the
legislature’s
2005 session.
Of
particular concern is SB 896, which would create a new type of
health insurance
pool
to cover Michigan
school
employees. The
MHA objects to provisions in the bill
that
would exempt
school employers from all requirements
of Michigan’s insurance
code, including reserve requirements
and regulatory oversight. Those
provisions would potentially place
patients, hospitals and physicians
at risk if the
new plans become insolvent. Supporters
of the
bills have vowed to restart debate
in early 2006. The
MHA’s advocacy
efforts also successfully stopped
House Bill 4742, which would provide a managed
care option for auto no-fault protection
benefits. Passage of the bill would
result
in reduced
health care benefits for people injured
in auto accidents and payment reductions
for hospitals and physicians.
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Nursing
Schools Turn Away More Than 32,000 Applicants
Despite
a worsening shortage of nurses across Michigan and the nation,
nursing colleges
and universities
in 2005 turned
away 32,617
qualified applicants due to capacity
constraints, found a new study
by the American Association
of Colleges
of Nursing
(AACN).
Although
enrollment in entry-level baccalaureate nursing programs
increased 13 percent
in 2005, the federal
government projects
a shortfall of 800,000 registered
nurses (RNs) by the year 2020, the study said.
"Despite
the successful efforts of schools nationwide to expand student
capacity, our nation’s nursing schools
are falling far short of meeting the current
and projected demand for RNs," said
AACN President Jean Bartels.
Pamela
Thompson, CEO of the American Organization of Nurse
Executives, said, “This data from
AACN is troubling for all of us. We desperately
need to increase the number of students
graduating
from baccalaureate programs,
but the constraints on schools to accomplish
this seem to be increasing. The shortage
of faculty
and limits to capacity
could cripple our ability to graduate
enough
nurses to meet our future
needs. We must continue to search for
multiple solutions to this growing problem.”
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What’s
in a Headline?
 |
Spencer
Johnson, president Michigan Health & Hospital Association |
By
Spencer Johnson
Phil
Power has seen a lot in his years of hanging around and observing
Michigan politics. Power was elected statewide to serve on the
University of Michigan Board of Regents. He was an appointee
of Govs. James Blanchard, a Democrat, and John Engler, a Republican.
He was also a successful employer for many years, publishing
a network of 70 weekly newspapers in communities across Michigan.
Power
continues to pen a weekly column that examines statewide politics
and issues, pulling no punches and often landing a few blows
to elected officials and proposals that he considers harebrained
or just plain wrong. His Dec. 11 column was particularly tough,
running under the headline, “Governor and legislature practicing
economic idiocy.”
His
column challenged the steady drumbeat of business tax cut proposals
that continue to roll out of Lansing, regardless of mounting
evidence suggesting that Michigan can no longer afford to continue
disinvesting in education, health care and other vital programs
and services.
By
studying per capita income changes, taxes paid per capita, and
taxes paid by Michigan citizens as a percentage of personal income,
Power thoughtfully answered the questions: Is Michigan still
a high-tax state? Has cutting taxes since 1993 boosted Michigan’s
economic performance?
He
concluded that Michigan today “is not a high-tax state,” and
in fact, is now “slightly below the national average.” In
1993, the state’s tax burden was above the national average,
he said.
He
also noted that, since 1993, when the unbroken wave of tax cuts
began rolling in from Lansing, “per capita personal income
has dropped by 2.3 percent, while employment declined by 7.6
percent.” In fact, Power noted that states recognized for
having the “lowest per capita tax burden — Tennessee,
Alabama, South Dakota, Oregon and South Carolina — are
all below the national average in per capita income growth since
1993.”
Finally,
Power observed: “Insightful
readers will realize at once that cutting taxes bleeds money
from exactly these essential components for a successful economy
in a globalized 21st century. Or, put another
way, we could save money in the short run if we didn’t
insist on clean drinking water.”
Or
if we didn’t insist on affordable and accessible health
care for all Michigan residents, safe roads and bridges, adequate
police and fire services, and high-quality public schools and
universities.
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