The state's notoriously shaky medical facilities and resources plunged into dire condition post-Katrina and Rita, raising serious issues about Louisiana's ability to care for its citizens ' especially individuals and families lacking the financial resources to purchase medication and insurance. The charity hospital system was upended by Katrina's decimation of New Orleans' flagship Charity Hospital; countless medical records were lost in the floods; post-traumatic stress disorder plagues thousands of Louisiana citizens; suicide rates have gone up alarmingly; and hospitals face a severe personnel shortage.
And like much of the rebuilding process, the private sector isn't waiting around for a magic elixir. A consortium of private groups is helping pour approximately $2 million over the next year into the Public Affairs Research Council to fund a comprehensive health care study and research position. Their work's already begun, with a lead gift of $200,000 from the Franciscan Missionaries enabling PAR to tap David Hood, former secretary of the Louisiana Department of Health and Hospitals, as the organization's senior health care policy analyst.
The first briefing from the long-term study was recently issued, and school associations, business lobbyists and industry groups are backing PAR's recommendations. Yet others seem hell-bent on ignoring the effort. The Legislature has yet to take an interest in the undertaking, says PAR President Jim Brandt, whose nonprofit agency monitors state government.
"We have had no response from lawmakers, which is unfortunate," Brandt says. "They aren't interested in talking about this. We thought we would have heard something by now."
Gov. Kathleen Blanco and other state officials hosted the Governor's Healthcare Summit two years ago to garner ideas, one of which was the formation of the Governor's Healthcare Forum. As a result, regional hearings have been held all over the state ' but tangible results are hard to find.
Meanwhile, PAR's initial findings reveal a dysfunctional structure ripe for reform. On a national level, Louisiana is a high-spending state, but in its study, PAR could not locate a single health care area where the money was being used efficiently. And more times than not, sacrifices were made on the backs of patients.
"Louisiana's health care system is organized to deliver inefficient institutional care at the expense of primary and preventive care," Brandt says. "Spending priorities in the health budget are focused on institutions and providers, rather than patients." The study concludes that Louisiana lacks the infrastructure to provide patients ' especially the uninsured population ' with basic health care services. To reverse that trend, PAR recommends the following immediate actions:
â?¢ Transfer certain emergency room visits to a doctor's office or clinic, saving around $300 per case. If one-half of all non-emergency ER visits were diverted in this fashion, the state would save $40 million annually.
â?¢ Establish an initial investment of $50 million in state or federal grant money to help develop new health centers and clinics around the state, specifically in the hurricane-ravaged areas.
â?¢ To assist with the extraordinary expenses related to treating Medicaid patients, the state should bankroll $36 million over three years to phase in a major Medicaid fee increase for primary care physicians and other doctors. The bottom-line result could be more people seeing more doctors.
â?¢ Restore medical care to rural parishes and other underserved areas by providing incentives for primary care physicians to practice in those locations. This would require an initial investment of $25 million in state or federal grant money.
â?¢ Relax practice requirements for non-physician clinicians or mid-level practitioners to enable them to practice independently in some cases.
â?¢ Provide no-interest loans to physicians in the Greater New Orleans region to assist them in re-establishing their medical practices.
They're lofty goals with a hefty price tag, but they've caught the attention of the Louisiana Association of Business and Industry, one of the state's most influential lobbying organizations. In particular, CEO Dan Juneau notes that the state's archaic Charity Hospital delivery system model was experiencing a steep decline in patients in the years leading up to the storms. At the same time, private hospitals were seeing a large influx of uninsured patients streaming into their emergency rooms for basic care.
"Our illogical system of government-focused healthcare has given strong indications of an impending disaster for a long time," Juneau says. "PAR makes a strong case that the time to act is now ' and the reforms needed are very apparent."
A recommendation to double the enrollment in school-based health centers also earned praise from the Louisiana Assembly on School-Based Health Care. The group recently urged the state to consider PAR's $10 million recommendation to develop more school-based health centers. "The PAR Report gets it exactly right in terms of school-based health," says Angie Ruiz, LASBHC president. "School-based health is a cost effective way to deliver quality health care to youth. They're a captured audience at a school, so they are more likely to actually get the physical or come in for the immunizations they need."
PAR's ongoing capital campaign will also fund other health care briefings in the coming year, addressing issues such as providing for the uninsured; long-term care for the elderly and disabled; and state Medicaid spending. The Baton Rouge Area Foundation, Community Foundation of Shreveport-Bossier, Ella West Freeman Foundation, Keller Family Foundation and the RosaMary Foundation have all contributed to PAR's campaign.
Another eight to 10 briefings are planned, with the second one arriving later this month. Brandt can't predict beyond that, as the effort is dependent on outside funding. But the results have already proven more beneficial than waiting on the results of another government forum.
"That's probably why we have been able to make an impact and bring something to the discussion immediately," he says.
The U.S. rep billed LSU for work allegedly performed on the same days Congress voted on major legislation and held important committee hearings on energy and the ACA.
Abysmally low participation by the public has prompted the council to scuttle the 2014 survey with plans to simplify it and try again next year.
The village now says the ordinance will likely be overturned and authorities will more vigorously enforce existing leash laws.
Bill Cassidy cast an early ballot Tuesday, seeking to draw renewed attention to a race that has fallen off newspaper front pages and away from people's minds as they plan holiday meals and shopping schedules.
Battered all night by Baltimore's relentless pass rush, Drew Brees could feel his protection collapsing and Terrell Suggs getting ahold of him as he urgently unloaded a pass to the right flat toward tight end Jimmy Graham.
After a convincing defeat at the polls on Nov. 4, Earl “Nickey” Picard has decided to let bygones be bygones with his former right-hand man Brian Pope, announcing his support for his former employee’s runoff bid to become Lafayette’s next city marshal.
Odell Beckham on the catch; chaos in Ferguson; snowstorm set to snarl travel and more national and international news for Tuesday, November 25, 2014.
Tuesday's Blogs from the Bog!
Saturday the athletic department did everything possible to ensure the 2014 Ragin’ Cajun seniors remembered fondly their last home game. Rain and lightning never arrived but turbulence did in the form of the Appalachian State Mountaineers.
Even stranger than the Republican Party’s decision to hold a “unity rally” earlier this month for Congressman Bill Cassidy in a Baton Rouge bar, Huey’s Bar, was the fact that the establishment was named after Louisiana’s most famous Democrat.
Bar Code is not a gay bar.
After failing to pass a medical marijuana bill last year, state Sen. Fred Mills, R-Parks, is telling supporters he will return in 2015 with legislation that focuses on different applications like oils and pills.
Voters, obviously, are not yet tuned into the 2015 ballot, despite the intriguing races it will host.
By now, the story of how longtime LSU coach Dale Brown discovered Shaquille O'Neal has been told many times: Brown happened upon a massive 13-year-old at an army base in Germany, stayed in touch with him and eventually became like a second father.
Fate simply wasn't ready to give the New Orleans Saints a break from longtime nemesis Steve Smith.
Lafayette Police have had a busy day.
Gov. Bobby Jindal's administration will use $130 million in patchwork financing from a tax amnesty program, insurance settlement, uninsured motorist penalties and other excess funds to close most of the state's midyear budget deficit.
Democratic U.S. Sen. Mary Landrieu said she disagrees with President Barack Obama's actions on immigration, hoping the latest controversy doesn't worsen her campaign difficulties.
Gay-rights advocates challenging Louisiana's same-sex marriage ban announced Thursday that they have asked the U.S. Supreme Court to review their case before it is heard by a federal appeals court.
Thinking himself the “son of God,” the man charged with the 2013 killing of an officer of the Chitimacha Tribal Police will not stand trial following a ruling Thursday on his mental competency.
Either Saints coach Sean Payton doesn't want to tip Baltimore off as to who'll start in New Orleans' secondary on Monday night, or he really doesn't know yet.
The Ethics Board gives the lame duck Youngsville mayor permission to offer a sweet parting gift to the community he’s presided over for three terms.
The money came through a general obligation bond sale Thursday.
A legend in the Acadiana Oil Patch, Comeaux died Monday, Nov. 17.
With a growing number of alleged sexual assault victims coming out against Bill Cosby in recent weeks, upcoming projects have been canned by NBC and Netflix, but that won’t affect the once-loved comedian and actor’s scheduled performance in Lafayette.