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Health & Wellness - Sun Safety Tips

One of the things I enjoy most about summer is that it gets us outdoors to enjoy various activities. Whether it’s for work or fun, this time of year is a good time to keep in mind that skin safety is very important for you and your family. Skin cancer is the most common form of cancer in the United States*.

Here are some quick tips to keep in mind during the summer and year round.
• Always wear sunscreen with a minimum SPF of 15.  Broad spectrum sunscreens are best as they absorb a higher percentage of UVA and UVB sun rays.
• Apply sunscreen generously to all exposed areas at least 20-30 minutes before going outside.  This allows the sunscreen to bind to your skin so it won’t immediately “sweat” off. 

* Source: Center for Disease Control and Prevention: http://www.cdc.gov/cancer/skin/

For detailed tips, click “Read More”

Meet Tom Canty

Tom will be hosting this column to share unbiased health insurance industry news.  Tom is the Vice President & General Manager for Labor, Government and Special Accounts at Empire BlueCross BlueShield.  As labor, state and local government segment veteran, Tom is no stranger to organizations like yours. We took a few minutes to ask Tom some questions...

Q.  Tell us a little about your current role?
A.  I’ve been leading Empire’s Labor, Government and Special Accounts division for nearly 10 years.  Supported by an experienced team, I provide medical and ancillary insurance products for NY’s unions, municipalities, government and hospital groups.

Q.  And what were you doing prior to joining Empire?
A.  My past roles include being the Executive Director of the New York State Workers Compensation Board and an Administrative Law Judge with the New York State Employment Relations Board. Before serving in State Government, I practiced with the law firm of Colloran, O’Hara and Mills, where my focus was representing unions.

Q.  Anything in closing?
A.  This segment is very near and dear to me and I look forward to contributing to Labor Press.

What Do I Do Now?! - Workers' Comp and Other Mysteries

QUESTION: IT WAS MY OWN FAULT I GOT HURT AT WORK.  AM I STILL COVERED BY WORKERS’ COMP?

ANSWER: IN ALMOST ALL CASES WORKERS’ COMP COVERAGE IS NOT BASED ON WHOSE FAULT IT IS.


Joe was working as a lifeguard out on Long Beach.  The day was perfect, the waves were calm, and there were no sharks in sight.  Some pretty girls walked by Joe’s lifeguard stand, giggling and throwing flirtatious glances up at Joe.  Trying to act nonchalant, yet impress them with his important job, Joe started twirling his whistle. Only he twirled it a little bit too hard.  The whistle smacked him right in the face and Joe broke his own nose.  Badly.  

On top of the ER visit, the stitches, the ice pack, the great painkillers and the utter humiliation of looking like a chump in front of a bunch of girls, Joe was really worried that because it was his own fault his nose was broken he wouldn’t be covered by Workers’ Comp.  What should he do?!

YES WE CAN! - Health Care For Every American

neal and friends

By: Neal Tepel

After a year debate and stalling, a deeply divided Congress has passed landmark health care legislation known as H.R. 3590, the Patient Protection and Affordable Care Act on March 23, 2010. Every American will now be provided with health care coverage including the 32 million uninsured Americans.  This ground-breaking legislation will finally tackle the many abuses by the insurance industry.  With the country is a deep recession, HR 3590 also addresses a growing budget shortfall. According to the Congressional Budget Office this legislation would reduce the deficit by $143 billion over 10 years. The $938 billion cost would be offset by penalties, new taxes and fees.
 
This bill addresses the disparity in heath services between poor Americans and the rich, between those receiving the finest health services on the planet and those uninsured. The new law will allow for the expansion of the community health centers in local neighborhoods. This will have a substantial savings to hospitals since many in underprivileged neighborhoods use emergency rooms for their primary care. The increase of screening and prevention programs created by funding under this legislation will save thousand from sickness or death.  

ANNOUNCING NEW WEEKLY COLUMN What Do I Do Now?! - Workers' Comp and Other Mysteries

QUESTION: I PREVIOUSLY HURT MY BACK AT WORK.  JUST RECENTLY I HURT IT AGAIN.  DO I NEED TO FILE A NEW WORKER’S COMP CLAIM?

ANSWER: ALWAYS FILE A NEW CLAIM!!

 

Under the New York State Workers' Compensation Law, an injured worker has two years to file a claim from the date of accident.  Even if a worker injured the same body part, it is essential that a new case be filled. 

 

On April 14, 2000, Joe Worker hurt his back on the job.  The injury caused him to lose two months of work because of a back sprain.  He then went back to work and stayed on the job without difficulties until July 22, 2003.  On that day, he had a new accident that also caused a back injury.  An MRI showed that he now had a herniated disc that required surgery.  But Joe did not want to have the surgery because he could not get time off from work.  

 

Unfortunately, he did not know he should file a new claim. Because he had hurt his back in 2000, he figured that this recent injury was related to the old case.  On October 5, 2005, Joe’s back was killing him and he finally agreed he needed surgery. However, when Joe contacted the New York City Law Department he was advised that because they had no record of an accident from 2003 his surgery was being denied.  When Joe contacted the carrier on the earlier case, he was told that surgery had been denied because it was not related to the 2000 date of accident.  Joe then contacted his private carrier who denied liability because this recent injury was the result of a work-related accident.  Joe was stuck. 

Brazilian Workers Charge Shell with "Environmental Crimes"

Brazilian Workers(November 12, New York City) -- Brazilian chemical workers addressing a New York audience of students, academics, and union members said that the Shell Oil Company, one of the world's largest, had willfully ignored life-threatening exposures to its workers who handled hazardous chemicals in South America.

Antonio de Marco Rasteiro, a former worker for SHELL/BASF in Brazil and the Coordinator of the Association of Workers Exposed to Chemical Substances there, was accompanied by Brazilian union attorney Vinicius Cascone, and Gloria Nozella de Lima, Director of Health for the Unified Chemical Workers Union for the region of Campinas.

With Cascone as translator, de Marco Rasteiro told his audience at the Center for Worker Education about the consequences of Shell's decision, in 1977, to continue to use chemicals at its Brazilian pesticide plant that had been banned in the U.S. in 1975. They included organochlorines Aldrin, Bidrin, Dieldrin, and Endrin. These chemicals, among others, he said, adversely affected the health of 844 workers at the plant, resulting in the deaths of 50 and numerous cases of life-threatening illnesses.  De Marco Rasteiro himself has been diagnosed with hypertension, hearing loss, and prostate and lung cancers.

In a video that accompanied the lecture, another former SHELL worker, Mauro Bandeira, told how a man he worked with at the facility was told he was doing “great,” by a doctor.  He died ten days later of stomach cancer.  When asked at the lecture who this doctor was, de Marco Rasteiro told the audience, ”He was hired by Shell.”

Attorney Cascone said that organizing efforts are underway to bring together associations that represent victims of environmental crimes. David Kotelchuck, a NYCOSH board member who attended the lecture, said workers in the United States faced similar challenges in the 1950’s and 60’s, before the creation of OSHA.  “[The Brazilian workers] are now trying to get to the level that workers here have achieved,” he said.

The former employees are currently fighting to make Shell take responsibility for the damage to their health.  The process of obtaining treatment through the public health option in Brazil is, according to all three speakers, so slow that lives can be lost during the wait.  It also does not cover all of their medical expenses, forcing them to pay out of their own pockets for expensive medicines.

Despite the debilitating state of his health, de Marco Rasteiro says he will not stop fighting. “We want our health,” he said. “Justice must be done.”

Civil Service Snafu Puts ACS Kids at Risk

NEW YORK, NY (LABORPRESS) -- The point man for environmental “remediation” at the Administration for Childrens Services (ACS) has been relieved of his job duties, in the middle of ongoing projects involving asbestos, lead, and mold hazards to children in dozens of ACS day care centers. Jonathan Silverstein, an Associate Project Manager, received notice on September 14 that, because of a directive from the Department of Citywide Administrative Services (DCAS) he could no longer continue serving provisionally in his title and must instead be “bumped” down to the only city title in which he has permanent tenure status, Eligibility Specialist. The bump will reduce Silverstein’s salary from $72,000 to $35,000, reassign him to an intake center for social services, and take him off the environmental beat. But ACS has no one to replace him. No one in their environmental section has the certifications needed to do the job. Silverstein is certified as a lead-based paint inspector, risk assessor, and asbestos inspector.

Silverstein’s job is one of the most sensitive in ACS. When any child is found to have been lead poisoned, it’s his duty to investigate the day care facility and initiate repairs to “remediate” the hazard. ACS oversees approximately 600 daycare centers serving thousands of children. Silverstein oversees the clean-up of asbestos, lead, and mold in daycare centers when hazardous levels are found, pursuant to Local Law 1 of 2004. He certifies that centers, once “remediation” is performed, are ready to be re-occupied. He’s also involved in construction projects as City daycare center, including one where he is overseeing asbestos removal on a $300,000 roof replacement. His boss, Anil Bhanote, has no one to continue to do this work. Silverstein raised the issue of his being relieved of sensitive duties with ACS Deputy Commissioner Hayden Blades, who told him that ACS “may have to go out and hire a consultant.”
 
Local 375, DC 37, AFSCME, the union representing Silverstein, has raised the issue with Jean Brewer, an official at the City’s Office of Labor Relations, but there has been no action on the City’s part to date. Michelle Keller, Local 375 Vice President, asked Brewer what the City would do to protect the children in the day care centers where asbestos, lead, and mold hazards exist. Brewer promised an answer within 24 hours. A week later, Local 375 is still waiting. Keller called the City’s lack of response “disrespectful and irresponsible.” Local 375 President Claude Fort left a message for Brewer and is now considering legal action to protect the public ans secure union jobs.

DCAS is charged with reducing the number of provisional employees in City service – people who have not been hired off of a civil service list as the result of an exam – but Silverstein’s demotion raises issues of whether compliance with civil service rules is trumping issues of health and safety, Fort said. “We are champions of civil service law,” he said, “but this case raises questions of obligation to public health which must be addressed. Mr. Silverstein has taken and passed the Associate Project Manager exam – the City should keep him in title and allow him to continue serving until the exam is graded and a new list promulgated.”

Single Payer Sanity

AFL-CIO Convention Endorses Single Payer Healthcare

By Neal Tepel

The AFL-CIO, the nation’s largest labor federation representing 11.5 million workers in 57 international and national unions, has endorsed a single payer health care system as the best way to guarantee healthcare to everyone. The unanimous vote in favor of Convention Resolution 34, The Social Insurance Model for Health Care Reform, came immediately after President Obama had addressed the Convention on September 15, 2009.

The resolution states: “The experience of Medicare shows the most cost effective and equitable way to provide quality healthcare is through a single-payer system.” It continues: “We reiterate our longstanding call for congressional leaders to unite behind such a plan.”

Resolution 34 singles out HR 676 as one of a number of single-payer bills introduced in Congress and states: “The single-payer approach is one the AFL-CIO supports and that merits dedicated congressional support and enactment.” The Resolution concludes by stating: “Whatever the outcome of the current debate over health care reform in the 111th Congress, the task of establishing health care as a human right, not a privilege, will still lay before us.”

Rich Trumka, in his speech to the delegates immediately after being elected President of the AFL-CIO the following day reiterated his support for single payer healthcare telling the delegates: “Now, I know that a lot of us would prefer a single payer plan. I sure would.”

More than 575 labor organizations, including 136 Central Labor Councils, 22 international and national unions, and 39 state AFL-CIO’s have endorsed HR 676, single payer legislation which has 87 sponsors in the House of Representatives.

The healthcare debate in the United States has devolved into crazy talk about death panels, the rise of socialism (or fascism), and government rationing of care.

Lost amid the caricature of a policy debate is the reality that the current U.S. healthcare system is crazy.

The richest country in the world spends far more than other wealthy nations on healthcare (at least 50 percent more than every country except Luxemburg) but sports middling health indicators. It permits 45 million people to live without health insurance, denying them access to preventative and routine care, and resulting in the death of 18,000 people a year. It tolerates private health insurance companies making life-and-death rationing decisions for millions of people with only minimal accountability. It lets private health insurers refuse to take sick people as customers and engage in endless manipulations to discard its customers if they do become sick. It features a system in which medical bills and illness contribute to almost two out of three personal bankruptcies — even though three quarters of these bankrupt people had insurance when they became sick.

There is a cure all for these ills. It is a Medicare-for-All, single-payer system, in which everyone is guaranteed access to healthcare as a matter of right, and the government pays medical bills (thus operating as the “single payer”).

Instead of advocating for this approach — which President Obama supported as a state senator, and which he still says would be superior if the system was being designed from scratch — the Obama administration has sought to reach an accommodation with the insurance industry, hospitals and Big Pharma.

In a series of backroom negotiations, the administration has indeed obtained agreements from these industries to support its plan — or, more precisely, to support the idea of reform. The insurers, hospitals and drug companies have made those agreements not because they were imposed, but because they understand that the outlines of the administration’s proposal will leave them more profitable.

Business Week ran a cover story titled, “The Health Insurers Have Already Won.” Concludes Business Week: “The carriers have succeeded in redefining the terms of the reform debate to such a degree that no matter what specifics emerge in the voluminous bill Congress may send to President Obama this fall, the insurance industry will emerge more profitable.”

The New York Times reports on a Tennessee Hospital Association study that finds hospital income will increase under the Obama approach more by more than $16 billion beyond the cost savings that hospitals promised the administration. The Times points out, as well, that most of those savings were likely to occur in any case. And the deal with Big Pharma commits the administration to sacrifice key cost cutting moves — such as negotiations over the price Medicare pays for drugs. In exchange, Big Pharma promised savings of $80 billion over 10 years — a trivial amount that itself will prove illusory and is massively offset by the increased sales Pharma will register under the administration’s proposal.

It is possible to expand coverage without a Medicare-for-All system, and the administration’s proposals seem likely to achieve that objective (albeit in part through the distasteful step of mandating that people buy coverage).

But the problem of poor quality coverage can never be addressed adequately with private insurance, because the insurance companies’ incentives are to deny care. And there is no prospect at all of addressing spiraling healthcare costs while private insurers remain in control. They waste too much money on marketing, elaborate bureaucracies with a mission in part of denying care, profit taking and outrageous executive compensation. Their bureaucracies also impose enormous external costs on care providers, and on patients who must struggle to obtain care at the moment they are most vulnerable.            

These problems do not plague Medicare, which extends coverage to everyone over 65, with free choice of doctor and minimal administrative burden.

-- From the Multinational Monitor

 

 

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