Paul working for you.

Wednesday, January 31, 2018

SOTU

"Oh Yeah, 100 Percent" - Trump Tells Republican He'll Release The Memo

To Your Health !

An ER visit, a $12,000 bill — and a health insurer that wouldn’t pay

A new insurance policy expects patients to diagnose themselves.

By

 

Brittany Cloyd was doubled over in pain when she arrived at Frankfort Regional Medical Center’s emergency room on July 21, 2017. 

“They got me a wheelchair and wheeled me back to a room immediately,” said Cloyd, 27, who lives in Kentucky. 

Cloyd came in after a night of worsening fever and a increasing pain on the right side of her stomach. She called her mother, a former nurse, who thought it sounded like appendicitis and told Cloyd to go to the hospital immediately.

The doctors in the emergency room did multiple tests including a CT scan and ultrasound. They determined that Cloyd had ovarian cysts, not appendicitis. They gave her pain medications that helped her feel better, and an order to follow up with a gynecologist.

A few weeks later, Cloyd received something else: a $12,596 hospital bill her insurance denied — leaving her on the hook for all of it. 


“We have a mortgage, we have bills, we have student loans,” says Cloyd, who works for the Kentucky government and has a 7-year-old daughter. “There is absolutely no way I could pay a $12,000 bill. I don’t even have $1,000 sitting around.”

Cloyd has her health insurance coverage through her husband’s job. His company uses Anthem, one of the country’s largest health insurance plans. In recent years, Anthem has begun denying coverage for emergency room visits that it deems “inappropriate” because they aren’t, in the insurance plan’s view, true emergencies. 

The problem: These denials are made after patients visit the ER, sometimes based on the diagnosis after seeing a doctor, not on the symptoms that sent them, like in Cloyd’s case.
The policy has so far rolled out in four states: Georgia, Indiana, Missouri, and Kentucky.
“We cannot approve benefits for your recent visit to the emergency room (ER) for pelvic pain,” the letter that Cloyd received from Anthem stated, which she shared with Vox. “Emergency room services can be approved ... when a health problem is recent and severe enough that it needs immediate care.”

The Anthem letter goes on to list “stroke, heart attack, and severe bleeding” as examples of medical conditions for which ER use would be acceptable.

Anthem’s new policy mirrors similar recent developments in state Medicaid programs, which increasingly ask enrollees to pay a higher price for emergency room trips that the state determines to be non-urgent.

Indiana implemented this type of policy in 2015, and the Trump administration recently approved a request from Kentucky to do the same. Beginning in July, Kentucky will charge Medicaid enrollees $20 for their first “inappropriate” emergency room visit, $50 for their second, and $75 for their third. 

All of these policies suggest a new and controversial strategy for reining in health care costs: asking patients to play a larger role in assessing their own medical condition — or pay a steep price. 

Vox looked into Anthem’s practice of denying emergency room visits as part of a year-long project on emergency room billing. The series has previously explored rising emergency room prices. It relies on a database of readers’ own emergency room bills. If you have one to share, you can submit it here.



Anthem initially agreed to an interview on its new policy and Cloyd’s case, but a spokesperson canceled the day before it was scheduled to take place. Instead, the insurer provided a statement and declined to answer more specific follow-up questions.

“Anthem’s goal is to ensure access to high-quality, affordable health care, and one of the ways to help achieve that goal is to encourage consumers to receive care in the most appropriate setting,” the insurer said in its statement.

Emergency room doctors and patients argue that these new policies can often deprive patients of needed care and deter them from using emergency services in the future. They worry that other insurance plans may follow the lead of Anthem, a giant in the industry with more than 40 million members. 

Members of Congress and state regulators are pressing Anthem for additional information about how the policy works and which type of visits no longer receive coverage.

Tuesday, January 30, 2018

Police Station Update: An Historical Perspective

Police Station Update

Project on HOLD ! 

Looks like combining the police station project with the elementary school project was a bad idea. In my opinion, tying these two projects together increased the costs for the Police Station...because the elementary school project wanted to divert the costs for drainage issues for both projects onto the Police Station project...as well as increased bid prices.[Julie Farrell]

Historical Perspective:
August 31, 2016
Historical Look Of Templeton Center
What is the criteria for determining "the historical character" of Templeton Center?
In a Gardner News article (8/30/16) regarding the construction of the police station in Templeton Center, Chief Bennett stated:
"Bennett said the exterior design will closely resemble an Old New England church or school building. He said he chose this design intentionally so it would fit within the historical look of other nearby buildings situated around Templeton common"

The State Of The Union Is... The Inevitable Conclusion Of Years Of Ignorance, Greed, & Neglect

The State Of The Union Is... The Inevitable Conclusion Of Years Of Ignorance, Greed, & Neglect

#ReleasetheMemo

EXCLUSIVE: FBI Used Agents As Pawns To Insulate Hillary, Aides & Clinton Foundation From Prosecutions

Trump Administration Says It Has "No Plans" To Build "Nationalized" 5G Network

Trump Administration Says It Has "No Plans" To Build "Nationalized" 5G Network

Monday, January 29, 2018

Meetings the Week of January 29, 2018

Meetings the Week of January 29, 2018

Monday  1/29/18

Agricultural                    JK Crossroads                 6:30 pm
BOS                                PCS Town Hall*            6:30 pm

Tuesday  1/30/18
Cap. Planning                  PCS Town Hall*                 6:00 pm

Wednesday 1/31/18
Adv. Com                       PCS Town Hall*                6:00 pm
Recreation                  NRHS Library                7:00 pm

Thursday 2/1/18
Cable                            PCS Town Hall*                  6:00 pm
                         

* Pauly Cosentino Sr. Town Hall

Golf: Westminster CC has new, familiar owners after purchase earlier this month


Golf: Westminster CC has new, familiar owners after purchase earlier this month


When Bill Gustus and Donnie Lyons met with Westminster Country Club’s members a few days before purchasing the club this month, they received a warm welcome because some of the members knew of their improvements to Settlers Crossing after they bought that Lunenburg golf course five years ago.

“One of the Westminster members lives four doors down,” Gustus said, “from Settlers Crossing and goes by it every day. He’s excited about it. He said, ‘If you do up at Westminster what you did in Lunenburg, I’m telling you we’re going to have a good time.’”

Within the next week, about a dozen memberships were sold.

Gustus, his wife Laura Caron-Gustus, and Lyons purchased the 18-hole Westminster CC, including its function hall and restaurant, from Don Leblanc and his sister-in-law Sharon Leblanc on Jan. 11 for what Lyons said was $1.8 million. The threesome bought the nine-hole Maplewood Golf Course in Lunenburg for $1.4 million in November 2012, and renamed it Settlers Crossing Golf Course.


“It was a very similar situation to what we ran into at Settlers,” Gustus said. “Revenue had been declining over the last few years, but the fixes seemed pretty easy to us and the price was right as a result of what is happening in the golf industry over the last 10 years or so.”

Sunday, January 28, 2018

Orlando shooter’s company G4S (“jobs too dirty for CIA”) just took over Super Bowl security

Orlando shooter’s company G4S (“jobs too dirty for CIA”) just took over Super Bowl security

 (Watch this week’s False Flag Weekly News above; click HERE for links to stories we covered, and HERE to support the show)
By Kevin Barrett, Veterans Today Editor
Is G4S, formerly known as Wackenhut (“we do stuff even the CIA won’t touch”) the right company to provide Super Bowl security?

We may find out soon enough. The Minneapolis Star Tribune has reported that U.S. Bank Stadium has suddenly fired its security provider just one year into a three year contract — and replaced it with G4S, which “will provide the 24/7/365 security of the building” according to Patrick Talty, the general manager of SMG, the firm that owns the stadium. US Bank Stadium is the site of the next Super Bowl, scheduled for February 4, 2018.
Ironically, the security outfit that was suddenly dismissed, Chicago-based Monterrey Security, was blamed for hiring dubious characters as security personnel.  But the new provider, G4S, is the firm that groomed Orlando false flag patsy Omar Mateen!  G4S has a long history of “deep state” activity, as discussed in  my edited book Orlando False Flag.
Who’s really behind “radical Islamic terrorism”? Click HERE to find out!
Sudden changes of security a few months before a big event are not a good sign. The long-term takeover of World Trade Center security by the forces behind 9/11 culminated just two months before the event, when Larry Silverstein, the owner of WTC-7, purchased the asbestos-ridden Twin Towers and the rest of the complex on a 100 year lease and gained total control over Trade Center security. Silverstein, a close friend of Israeli PM Netanyahu, presided over the murderous demolition of the entire WTC complex, narrowly escaping with his life when, he claims, his wife reminded him not to take his usual breakfast at the top of Tower One due to a dental appointment.

Silverstein later confessed on national television to demolishing or “pulling” Building 7. Yet he was able to walk off with a 4.5 billion dollar cash settlement (after doubling the insurance and re-doubling his payout with an absurd double-indemnity claim) including three quarters of a billion dollars for the “terrorists'” destruction of WTC-7, the very building that Silverstein had confessed to “pulling” himself.

Hiring G4S for the Super Bowl is a little bit like handing WTC security to Larry Silverstein.
Here is some information about G4S. All items are taken from Orlando False Flag: The Clash of Histories.

Seven months into a job as a prison guard in 2007, Mateen was fired for threatening to bring a gun to class. He settled on a career as a low-level security guard for G4S Security Solutions, a global security firm that em- ployed him for nine years. Though Mateen’s applications to two police departments were rejected, he was able to pass a G4S background check and receive several guard assignments. (The world’s third largest private employer, G4S has accumulated a staggering record of human rights abuses, including accusations of child torture.)

G4S has named a psychiatrist who had conducted a psychological evaluation to certify Mateen’s fitness for a job with the agency. But the psychiatrist claims she never saw Mateen and that she was not even living in Florida at the time the test is claimed to have been conducted. Why is G4S lying?…

Saturday, January 27, 2018

USAF Begins Massive GPS Blackouts In The Western US During Largest Ever Air War Drill

USAF Begins Massive GPS Blackouts In The Western US During Largest Ever Air War Drill

Immigrants Vs. Aliens: The Global Invasion-Giveaway Continues

Immigrants Vs. Aliens: The Global Invasion-Giveaway Continues



Germany: Return Of The Stasi Police State?

Germany: Return Of The Stasi Police State?




The War on Men





Friday, January 26, 2018

Water Fluoride Ban Backers Ask Court to Use More Data in EPA Case


Water Fluoride Ban Backers Ask Court to Use More Data in EPA Case

 

Source: BNA News | Bloomberg Environment & Energy Report | January 24th, 2018 | By Pat Rizzuto
 
A federal district court will consider arguments Jan. 26 to decide how much evidence to review as it decides whether the EPA should ban fluoride in drinking water.

Health advocates—who argue that adding fluoride to drinking water can harm the brain—say the nation’s primary chemicals law allows them to provide the court new information that the Environmental Protection Agency didn’t have or consider when it rejected their request to ban the use of the mineral in water.

The EPA interprets that same law as limiting the judge’s review to the “administrative record,” meaning the information the agency had when it decided on Feb. 17, 2017, to deny the petitioners’ request to remove fluoride, which is added to water to prevent tooth decay.

The judge’s decision is important to companies that make and use chemicals even if they don’t have a stake in how fluoride is regulated, Eric Gotting, a partner at Keller & Heckman LLP, told Bloomberg Environment Jan. 23.

Basis of Citizen Petitions

The district court decision might influence the amount of information other courts would review as they take up challenges to decisions the EPA would make on citizen petitions asking the agency to collect data for, or regulate, a chemical, he said.

That’s important because environmental and health advocates are expected to file more citizen petitions now that the Toxic Substances Control Act amendments of 2016 increased the options available to the EPA to obtain information about or regulate chemicals, he said.

The TSCA provision that allows citizen petitions to challenge the agency’s failure to act or its denial of a petition in court gives groups “a second bite” at the rulemaking apple, Gotting said during a recent webinar Keller and Heckman hosted. The Jan. 26 hearing may set out how much information the court will review in that “second bite.”

Courts Decide Unreasonable Risk

Michael Connett—an attorney representing Food and Water Watch, which led a coalition of health organizations and individuals concerned about fluoride—described the legal clash the judge will consider Jan. 26.

Coming to America?

 

 

Sweden Hell: Armed Migrant Teens Roaming With Kalashnikovs; Military May Be Deployed




Tea House Restaurant ... ... Monday Jan 29, 2018


Thursday, January 25, 2018

Things Are Getting Worse, Not Better: Round Ups, Checkpoints, & National ID Cards

Things Are Getting Worse, Not Better: Round Ups, Checkpoints, & National ID Cards

Templeton Senior Center Presents...


Friday, January 26, 2018
6 pm
To reserve a seat 
please call 978-894-2780

School choice has big impact on budgets

School choice has big impact on budgets
By Gerry Tuoti / GateHouse News Service
Posted Jan 21, 2018 at 5:24 PM
Updated Jan 21, 2018 at 5:24 PM

Each year, millions of dollars in state funding flows from school system to school system, following students whose parents send them to a neighboring community.

In Massachusetts, a 1991 initiative known as inter-district school choice gives parents the option of enrolling their children in a public school district in a community other than their hometown. While the law lets each school district decide whether to accept out-of-district students, no district can deny its students the right to leave.

“School choice money can be a major factor in determining both the revenue you gain and the revenue you lose for many school districts,” said Glenn Koocher, executive director of the Massachusetts Association of School Committees. “Depending on where you are, districts may really depend on that money to sustain the services they’re able to provide to students ... School choice has made districts a little more competitive with each other.”

Since state funding follows the students, school choice has had the unintended consequence of widening the gap between affluent suburban districts and cash-strapped urban and rural school systems, according to some critics. When a student leaves one public school system for another, state funding goes from the sending district to the receiving district in the form of school choice tuition. To soften the blow for sending districts, the state caps school choice tuition payments at $5,000 per student.

For districts that gain and lose large numbers of school choice students, the aggregate financial impact can be large.

Opposite experiences among neighbors

In the small town of Avon, more than a quarter of all students enrolled in the public school system come from other communities on school choice. According to the Department of Elementary and Secondary Education, school choice students brought more than $958,000 into Avon last fiscal year.

“The choice revenue is close to a million dollars, or about 11 percent of our budget,” Avon Superintendent Paul Zinni said. “When you’re talking about 11 percent added into your budget, that’s significant.”