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April 9, 2014

Jonathan Tobin: Why Did Kerry Lie About Israeli Blame?

Samuel G. Freedman: A resolution 70 years later for a father's unsettling legacy of ashes from Dachau

Jessica Ivins: A resolution 70 years later for a father's unsettling legacy of ashes from Dachau

Kim Giles: Asking for help is not weakness

Kathy Kristof and Barbara Hoch Marcus: 7 Great Growth Israeli Stocks

Matthew Mientka: How Beans, Peas, And Chickpeas Cleanse Bad Cholesterol and Lowers Risk of Heart Disease

Sabrina Bachai: 5 At-Home Treatments For Headaches

The Kosher Gourmet by Daniel Neman Have yourself a matzo ball: The secrets bubby never told you and recipes she could have never imagined

April 8, 2014

Lori Nawyn: At Your Wit's End and Back: Finding Peace

Susan B. Garland and Rachel L. Sheedy: Strategies Married Couples Can Use to Boost Benefits

David Muhlbaum: Smart Tax Deductions Non-Itemizers Can Claim

Jill Weisenberger, M.S., R.D.N., C.D.E : Before You Lose Your Mental Edge

Dana Dovey: Coffee Drinkers Rejoice! Your Cup Of Joe Can Prevent Death From Liver Disease

Chris Weller: Electric 'Thinking Cap' Puts Your Brain Power Into High Gear

The Kosher Gourmet by Marlene Parrish A gift of hazelnuts keeps giving --- for a variety of nutty recipes: Entree, side, soup, dessert

April 4, 2014

Rabbi David Gutterman: The Word for Nothing Means Everything

Charles Krauthammer: Kerry's folly, Chapter 3

Amy Peterson: A life of love: How to build lasting relationships with your children

John Ericson: Older Women: Save Your Heart, Prevent Stroke Don't Drink Diet

John Ericson: Why 50 million Americans will still have spring allergies after taking meds

Cameron Huddleston: Best and Worst Buys of April 2014

Stacy Rapacon: Great Mutual Funds for Young Investors

Sarah Boesveld: Teacher keeps promise to mail thousands of former students letters written by their past selves

The Kosher Gourmet by Sharon Thompson Anyone can make a salad, you say. But can they make a great salad? (SECRETS, TESTED TECHNIQUES + 4 RECIPES, INCLUDING DRESSINGS)

April 2, 2014

Paul Greenberg: Death and joy in the spring

Dan Barry: Should South Carolina Jews be forced to maintain this chimney built by Germans serving the Nazis?

Mayra Bitsko: Save me! An alien took over my child's personality

Frank Clayton: Get happy: 20 scientifically proven happiness activities

Susan Scutti: It's Genetic! Obesity and the 'Carb Breakdown' Gene

Lecia Bushak: Why Hand Sanitizer May Actually Harm Your Health

Stacy Rapacon: Great Funds You Can Own for $500 or Less

Cameron Huddleston: 7 Ways to Save on Home Decor

The Kosher Gourmet by Steve Petusevsky Exploring ingredients as edible-stuffed containers (TWO RECIPES + TIPS & TECHINQUES)

Jewish World Review December 10, 2013/ 7 Teves, 5774

Obamacare Prescription: Fair Share of Less Care

By Debra J. Saunders

Debra J. Saunders



http://www.JewishWorldReview.com | Lately, I've been hearing from readers who are among the million Californians who had private health care plans, received cancellation notices and now have to buy new coverage. Some figured that if they signed up with their old providers -- Blue Shield or Anthem -- they'd have access to the same doctors and hospitals. Not quite. In Marin, San Francisco and Alameda counties, new plans in Covered California exchanges don't include doctors and hospitals in other counties.

Remember the initials EPO; they stand for exclusive provider organization. PPO (preferred provider organization) plans contain costs by charging lesser rates for doctors and hospitals inside their networks. EPOs, however, pay nothing outside their exclusive networks unless there is an emergency or special approval.

A Marin woman told me she believed that President Barack Obama lied when he told voters that if they liked their plan and doctors, they could keep them. But after talking to Blue Shield representatives who wrongly told her she could see her old doctors, she said: "I would put Blue Shield right up there with Obama."

I should note that consumers in all 19 California health pricing regions have an option to buy into a PPO, but that doesn't necessarily give them the choices they had before. A Santa Cruz breast cancer survivor tells me she thinks she can see her cancer doctors through a Blue Shield EPO, but a specialist who is treating her for treatment-related bone loss is outside the network. That means she has to pay the full doctor bill.

Again, she had to do her homework to learn the dirty details. When she looked on the Covered California website, a pop-up window described the EPO as if it were a PPO.



I remember going to an event in 2009 at which then-House Speaker Nancy Pelosi argued in favor of the Affordable Care Act because it would close gaps in coverage that left a breast cancer survivor $100,000 in debt because her bare-bones plan didn't cover the drugs she needed.

Alas, the Obamacare cure might help Pelosi's patient, but it leaves other women with pre-existing conditions out in the cold.

Doctors aren't happy, either.

Dr. Richard Thorp is a Northern California internist, a primary care physician and the president of the California Medical Association. The CMA wants every Californian to have health care, yet he initially opted out of Covered California because the exchange demanded too deep a discount. Later, when exchange providers couldn't enroll sufficient doctors in his region, they upped their reimbursement rates so that Thorp now is with the plan. But doctors who were not so lucky have to make "a difficult business decision and a difficult patient-care decision," he said. Those doctors who can afford to see more patients for less money may have to opt for shorter visits. Blue Shield is restricting access to half its doctors.

When Obama and congressional Democrats set out to expand health care, they promised that the 85 percent of Americans who already had coverage wouldn't get shortchanged. They lied. Now everyone can get his fair share of less care.

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© 2013, Creators Syndicate

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