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Message
From
the
President
- March 2003 |
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Myra Carmon,
EdD, CPNP, RN |
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mcarmon@gsu.edu |
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Cover the Uninsured Week March 10 – 16
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The Plight of the Uninsured Continues to Escalate |
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The number of uninsured
continues to grow in the U.S. and Georgia. According to the U.S. Census
Bureau, there are approximately 41 million Americans who were uninsured
in 2001. Of these 41 million, approximately 8.5 million were children.
In addition, there are a significant number of individuals who have gaps
in insurance. In 2001-2002, according to the Census Bureau’s data from
the Surveys of Income and Program Participation (SIPP), 74.7 million
people under the age of 65 (nearly one out of 3) were without health
insurance for all or part of the year . Of these 74.7 million uninsured
individuals, almost two-thirds were uninsured for six months or more.
According to survey results
from the Governor’s Office of the Consumer’s Insurance Advocate in 2002,
13% of the Georgia residents under the age of 65 are currently
uninsured- approximately 1 million people. In the past year, 18% of
Georgia residents, or about 1.35 million people under 65 experienced
gaps in coverage of one month or more.
Contrary to
popular perception, most people without health insurance were connected
to the workforce. Past research has shown that 80% of individuals
without health insurance are part of families where at least one member
works full or part-time. Nearly four in five individuals who went
without health insurance during 2001-2002 were connected to the
workforce.
With more than 41 million
American uninsured with growing as the economy weakens, the problem of
the uninsured is one of America’s biggest health challenges. Too many
families are without affordable insurance coverage and therefore live
sicker and die younger as a result. Being uninsured is not only a
problem for the unemployed, eight out of ten uninsured Americans are in
working families.
Due to these statistics and
thus concern about the growing number of uninsured, the Robert Wood
Johnson Foundation, The California Endowment, and the W. K. Kellogg
Foundation and organizations including the American Nurses Association,
the Chamber of Commerce, AFL-CIO, American Medical Association and many
others sponsored “Cover the Uninsured Week” throughout many cities in
the US. Atlanta was one of the cities chosen to participate for these
activities. The purpose of these activities was to bring professional,
health, community organizations as well as business together to discuss
the issue and to educate and create awareness of the issue. All in hopes
of bringing this issue of the uninsured to the forefront of our national
agenda.
To see more editorials and report of activities go
to
www.CovertheUninsuredWeek.org.
The partners in Atlanta
included: Georgia Nurses Association, Morehouse School of Medicine,
Georgia State University School of Nursing, Medical Association of
Georgia, St. Joseph’s Hospital of Atlanta, Georgia Rural Summit, Georgia
AFL-CIO, Right from the Start Medicaid, The Edison Group, Georgia
Association of Primary Care, United Way of Atlanta, Rollins School of
Public Health, Georgia Hospital Association, American College of
Physicians, SEIU Local 1985, Atlanta Labor Council, Atlanta Regional
Forum, Healthcare Leadership Council, Department of Community Health,
Women’s Policy Group, Health Students Taking Action Together, US Chamber
of Commerce SE Regional Office, Georgians for a Commonsense Health Plan,
Healthy Mothers Health Babies of Georgia, and State Planning Grant for
the Uninsured.
The week for Cover the
Uninsured was March 10 – 16. The Town Hall Meeting on March 10 occurred
in two parts. The Town Hall kick off with legislators on March 10 took
place on the Washington Street Steps of the Capitol. I moderated the
activities, introduced the purpose of “Cover the Uninsured Week,
introductions of legislators, partners, signing of proclamation and
closing remarks. The legislators included Lt. Governor Mark Taylor,
Congressman Johnny Isakson, Congresswoman Denise Majette, and
Congressman Phil Grengrey. All partners were introduced and legislators,
partners and public were asked to sign the Proclamation for”Cover the
Uninsured Week.”
The second part of the Town
Hall Meeting was a panel discussion with six panelists. It was held at
the Fellowship Hall of Central Presbyterian Church. I moderated this
panel representing GNA. The members of the panel were: Jean O’Conner who
is the Director of GA’s Health Insurance Planning grant; Bruce
Chandler, VP of St. Joseph’s Health System; Dena Stansbury, Executive
Director of Healthy Mothers, Healthy Babies of Georgia; Rita Valenti
representing GNA; Richard Fullerton, MD, a private physician; and Jon
Anderson, Director of Right from the Start Medicaid Outreach Project.
These speakers gave statistics, stressed the increase usage of services
offered by the hotline from Healthy Mothers, Healthy Babies, related
approaches being implemented to assist with getting Medicaid
applications completed, problems with services from physician especially
OB physicians were stated and Rita Valenti elegantly revealed the cost
of insurance and gave an overview of approaches to insurance coverage
that would provide coverage for all Georgians at no additional cost.
Many other significant points were made. The question and answer period
was very active and informative. The panel activity began at 10:15 and
continued until 11:45.
Tuesday was on-campus day.
There was a panel presentation and discussion on Morehouse campus. The
panelist included: Dr. Alice Demi, Director of the School of Nursing
Georgia State University; Daniel Blumenthal, MD from Morehouse Medical
School; Nigel Harris, MD, DM, Dean and VP for Academic Affairs at
Morehouse School of Medicine.; Bradley Herring, PhD, assistant professor
in the department of Health Policy and Management at the Rollin School
of Public Health at Emory University and Louis Sullivan, MD the
founding Dean and first president of Morehouse School of Medicine.
Again a great discussion about issues pertaining to the uninsured. GNA
was represented at this event.
The activity for Wednesday
was health fair day. The health fair was held at West-End Mall. There
were over 30 booths. Nursing was represented by booths from GNA and
Georgia State University. Thanks to Mary Mallison, RN and Carla
Keplinger RN for providing coverage for this booth from 11-7 on this
date. Brochures on” Everyone deserves a nurse” were given out and blood
pressures were taken. Student nurses assisted with the activities. Also
Barbara Browning, JoAnn Bacon and Eva Horne assisted with both GNA and
GSU tables. There was a lot of activity at the tables with many
individuals sharing stories of being uninsured.
Thursday was an event to
bring business and labor together for a discussion. There were many
interfaith activities scheduled from Friday morning (3/14) until 3/16.
Again this was a very exciting week with much collaboration among
agencies and organization
There are reasons why
insurance matters. They include: 1) the uninsured are less likely to
have a usual source of care outside the emergency room; 2) the uninsured
often go without screenings and preventive care; 3) the uninsured often
delay of forgo needed medical care; 4) the uninsured are often subject
to avoidable hospital stays; 5) uninsured Americans are sicker and die
earlier than those who have insurance; and 6) medical care is more
costly for the uninsured than for insured Americans. The uninsured are
often charged more for health services than people with insurance. Major
insurers, including Medicare and Medicaid, negotiate big discounts with
hospitals and other providers that are not available to the uninsured.
Other factors noted in the
2001 U.S. Census Bureau statistic is that the uninsured children miss
more days of school and uninsured workers miss more days from work.
There were three primary reasons people employed in December 2002 have
gone without insurance. They were: 1) all jobs did not offer health
insurance benefits; 2) even if employers offer coverage, the employee
cannot afford to pay their share of the premium; and 3) temporary job
loss due to layoffs, job elimination, or worker choice.
It is wonderful to have a
neutral foundation such as Robert Wood Johnson and other foundations and
national organizations bring legislators, professional organizations,
labor, business and churches together to discuss the problems that exist
with the over 41 million uninsured in the US. This week was successful
in creating awareness of the uninsured problem in the US and Georgia.
Throughout the week there were 67 Town Hall Meetings, 71 On-Campus
Activities, 262 Health Fairs, 39 Business and Labor Forums and 57
Interfaith Events.
This is great to create
awareness but many are asking about solutions. There were solutions
discussed during these activities but the purpose of the “Cover the
Uninsured Week” was awareness and education. There is a group “The
Governors Healthcare Coverage Project” who collected the statistics in
Georgia and now is looking for possible solutions to the problem of the
uninsured. I represent GNA on the group.
The plight of the uninsured
is vast. It took 41 million Americans “to get business and labor” on the
same side of an issue. Most of the uninsured are working but cannot
afford insurance. In the future, the number of individuals is likely to
increase unless we can continue this interest and focus on healthcare
coverage that is affordable and assessable to all citizens.

Messages from GNA
Presidents: |
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Exercise
a New Habit |
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The
Future of Nursing |
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Greetings! |
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Transition |
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Georgia
Nurses- Who is taking the lead in Health Care?,
February 2007. |
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The healthcare team,
Summer 2006. |
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The
newest of our profession, Spring 2006. |
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The
importance of one voice. |
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Where
do we go from here? - Fall, 2005 |
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Call
to Convention and Annual Meeting - Summer, 2005 |
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Where
will GNA be in 2007 - May, 2005 |
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Do
You Know Your Numbers? - January, 2005 |
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President
Message - October 2004 |
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Physician-Nurse
Relationships:Past, Present, and Future |
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New
Structure for ANA |
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Reminiscing for the year
2002 and looking ahead to 2003 |
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Proud to be a Nurse: Even
in Today's Crisis |
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Giving
a Voice to School Nursing in Georgia |
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The
more things change... |
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It's
all about the Workplace |
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Welcome
to the re-launch |
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