Austerity kills

It is always worth making the effort to recognize that an unnecessary but not pointless austerity politics creates adverse and, sometimes, existential problems for those individuals without the means or power to solve their personal problems. These individuals can only suffer what they cannot avoid. Scot Rosenzweig of Allentown, PA confronted Pennsylvania Governor Corbett with this issue, forcing him to defend his support for his Healthy Pennsylvania project, derided by its critics as CorbettCare. Corbett notoriously refused to accept the greater Medicaid monies authorized by the Affordable Care Act. Corbett eventually proposed a plan that would limit the scope and efficacy of the health care provided by the state of Pennsylvania to its poorest citizens. Currently, thanks to Corbett’s ideologically motivated scheming, Pennsylvania has neither an expanded Medicaid program nor even the lesser CorbettCare. At least one death can be attributed to this lack:

Her death did not faze Corbett, however.

Need a job? Lack a soul?

Accretive Health has a position for you. The New York Times reports:

Hospital patients waiting in the emergency room or convalescing after surgery could find themselves confronted by an unexpected visitor: a debt collector at bedside.

Mary A. Tolan, Accretive Health CEO

One of the nation’s largest medical debt-collection companies is under fire in Minnesota for having placed its employees in emergency rooms and other departments at two hospitals and demanding that patients pay before receiving treatment, according to documents released Tuesday by the Minnesota attorney general. The documents say the company also used patient health records to wrangle for more money on overdue bills.

The company, Accretive Health, has contracts not only with the two hospitals cited in Minnesota but also with some of the largest hospital systems in the country, including Henry Ford Health System in Michigan and Intermountain Healthcare in Utah. Since January, it has faced a civil lawsuit filed by Attorney General Lori Swanson of Minnesota alleging that it violated state and federal debt-collection laws and patient privacy protections.

Shocking — that is, I find it shocking that Accretive’s morally dubious practices violate debt collection laws and privacy protections. These violations are contrary to the spirit of the times! I am sure that ALEC, with its deep and strong concern for protecting the rights of health care consumers to directly pay for their health care, will want to get these laws fixed as soon as possible.

What safety net?

As Matt Yglesias points out, a President Romney intends to follow an austerity program with respect to the poor. Romney, Yglesias asserts:

…wants to cut the safety net, cut the health care part of the safety net, muck around with the federal workforce, and then cut the non-health care part of the safety net. To further clarify, he states that he “will immediately move to cut spending and cap it at 20 percent of GDP” while increasing defense spending. Which is to say he wants to cut social safety net spending. What’s more “as spending comes under control, he will pursue further cuts that would allow caps to be set even lower so as to guarantee future fiscal stability,” thus cutting social safety net spending even further.

Chutzpah!