Topic

Health Care

534 petitions

Update posted 2 weeks ago

Petition to U.S. Senate, Dan Brown, Kathy J. Byron, Lee Ware, Mike Cunningham, Timothy Hugo, Bill Eigel, Jason Holsman, Daniel Marshall, III, Jacob W Hummel, Robert B. Bell, Israel D. O'Quinn, Jamilah Nasheed, Bob Onder, Ron Richard, David E. Yancey, John Joseph Rizzo, Caleb Rowden, Margaret B. Ransone, Dave Schatz, Scott Sifton, Wayne Wallingford, Michael J. Webert, Paul Wieland, Tony O. Wilt, Christopher T. Head, Jeion A. Ward, Mark L. Keam, Eileen Filler-Corn, Kaye Kory, Joseph C. Lindsey, Lamont Bagby, David J. Toscano, Steve E. Heretick, Michael P. Mullin, Jeffrey M. Bourne, President of the United States, Maria Chappelle-Nadal, U.S. House of Representatives

Stop Forcing Mail-Order Pharmacy as the Only Option of Coverage

Patients' lives depend on choice. **Since starting the petition, I have realized that there are many issues other than temperatures with forced mail-order pharmacy.  Mail-order pharmacy is very loosely regulated. There are life-threatening delays, lack of face-to-face relationships with pharmacists for people with chronic conditions, and rapid closures of our independent pharmacies; although, a recent study showed people prefer independent pharmacy (2018, Gill).  *************Our Story************* Our son received a life-saving liver transplant at the age of 2 from a 3-year-old little girl. His life depends on the potency and effectiveness of chemotherapy or immune suppression medications every 12 hours to prevent his body's immune system from fighting off his transplanted liver. In the past mail-order pharmacy delivered his liquid oral medications in nothing but a plastic envelope on a 102-degree day on a hot enclosed non-temperature controlled UPS truck. Shortly after, he went into liver rejection which could have resulted in complete liver failure or death. I speculated that the medication could have been too weak after the delivery of medications in high heat. I vowed to never again risk his life with mail-order pharmacy. Recently, we were mandated or forced to only use mail-order pharmacy in order to receive coverage for his life-saving medications.  The package arrived in only a bag on a hot day without an ice pack. I now know that the hot non-temperature controlled enclosed delivery truck and mailboxes can reach temperatures up to 120-170 degrees. His labs elevated again afterward. My son wants to know, "Why would they do that?" I contacted the manufacturer, who performs the testing, who informed me that both of my son's medications should be discarded and considered less potent once stored above 86 degrees as higher temperatures and freezing could both result in lower potency.  I contacted the mail-order pharmacy who refused to replace or take back the medication. They said the law & USP Pharmacopoeia allows them to ship up to 104 degrees, although the manufacturer states it is not proven safe at these temperatures. However, I have received communication from USP Pharmacopoeia who writes guidelines for storage, and they also said that the mail order pharmacy should follow the manufacturer's guidelines of 59-86 degrees for storage. Again, the trucks reach up to 170 degrees which is much hotter than 104.  I contacted the FDA, who states that the mail order pharmacy should be using the manufacturer's guidelines that have been proven safe. Since the mail-order pharmacies are regulated loosely by the State Board of Pharmacy, not the FDA, there was nothing that the FDA could do.  I made over 30 calls to the insurance company begging for them to please let us pick my son's medications up at the local pharmacy at which they are filled. My son's physician wrote an appeal and his transplant team has stated that they have tried to voice their concerns about this issue with their pediatric/child patients and no one is listening! The insurance company still denied the doctor's appeal for us to pick up my son's medications in the safest way. It was not until the Media became evolved that the insurance company budged.  I felt helpless and have united with many other pharmacists, physicians, patients, mothers and fathers, and caregivers who feel the same way. Helpless. Mail-order of prescription drugs should be a choice, not the only option of coverage.  Mail-order pharmacies may appear to save money, but when my son ended up in the hospital after taking medications that could have been compromised by having lower potency, the cost of the rejection was thousands of dollars. If his liver would have fully failed, the cost of his liver transplant for just 5 days (he was in the hospital for 5 weeks) was over $1,000,000. The lax regulation and oversight may save money on prescription drug plans but may come at an increased cost to the health plan itself. Also, keep in mind the endless waste of medications that automatically are sent regardless of whether or not patients need them. Also, people with chronic, complex conditions, should always have the option of face to face interaction with a pharmacist who knows their complex needs and medical history. The pharmacist and patient relationships are crucial to the successful outcome of the patient's overall health. Taking this away is harmful to patients and be more costly to our already stressed healthcare system. Only allowing mail-order pharmacy for coverage is unethical and irresponsible. I share stories on my social media sites every day of patients who are suffering from a lack of choice.  We need your help to make mandatory mail-order an option, not a mandate.  YOUR URGENT SUPPORT WILL SAVE LIVES! THANK YOU!! WE APPRECIATE ALL OF THE SUPPORTERS, CAREGIVERS, & PATIENTS.  Thank you,  Loretta Boesing, Founder of Unite for Safe Medications You may make a tax-deductible contribution to support our advocacy here Email: loretta@uniteforsafemeds.com Facebook Page: Issues with Mail Order Pharmacy @justamomwholovesherson Twitter: @BoesingLoretta The greatest way that you can help is by sharing this petition & gathering 2-3 people in your community who are having issues and speak to your legislatures.    Reference: Gill, Lisa L. “Consumers Still Prefer Independent Pharmacies, CR's Ratings Show.” Product Reviews and Ratings - Consumer Reports, 7 Dec. 2018, www.consumerreports.org/pharmacies/consumers-still-prefer-independent-pharmacies-consumer-reports-ratings-show/

Loretta Boesing
175,200 supporters
Started 4 weeks ago

Petition to Patty Murray, Bernie Sanders, Robert P. Casey, Jr., U.S. Senate Committee on Health, Education, Labor and Pensions

Workplace Violence Prevention for Health Care and Social Service Workers Act (H​.​R. 1195)

Help pass the Workplace Violence Prevention for Health Care and Social Service Workers Act (H.R. 1195) along to the Senate. This landmark legislation would require the federal Occupational Safety and Health Administration (OSHA) to create a national standard for Healthcare employers, mandating them to develop and implement a comprehensive workplace violence prevention plan based on guidelines published by OSHA in 2015.  If passed by the Senate, this bill would then be sent to President Biden to be signed into law. This legislation is an incredible moment for health care workers who have long faced threats of violence on the job. It would also place a significant new burden on health care employers as well as social service workers who are also on line. With recent times of COVID these workers need all the support they can get.  This act will help benefit those who are currently on line working for us every day. As well as insuring their safety while they do it. This applies to health care workers as well as Social Service workers each and every day. They are the ones who are upholstering America right now and we need to keep their lives safe. Keeping their workplace out of violence and making sure their lives are at risk will help them protect all the others who need it.   

Krystina Bisig
63 supporters
Started 1 month ago

Petition to American Psychology Association, Accreditation Council for Graduate Medical Education, Liason Committee on Medical Education

Offer equitable healthcare for Black Women

The Black Women Mobilizers campaign is run by students who are psychology majors enrolled at Clark Atlanta University and student affiliates of the Clark Atlanta University Psychology Department. The campaign was launched in Spring 2021 and is continuously developed by individuals enrolled in the department’s Special Topics in Social Justice course. Our collective considers health a human right and we believe that healthcare should be affordable, accessible, and individualized. For the sake of Black women’s health, health policy must be expanded to incorporate cultural competence and eliminate cultural and racial biases. We seek to mobilize the public to demand equitable healthcare for Black women. In the United States, Black women do not receive equitable care within either medical or mental health systems. Due to social disparities, Black women seeking mental health treatment are less likely to be offered evidence-based medication, therapy, or psychotherapy. Black women are also at heightened risk of illness but are less likely to receive adequate or appropriate care.  Black women experience a maternal mortality rate 2 to 3 times higher than white women. Black women also experience 31% of breast cancer mortality rates, it is even statistically proven that doctors believe that Black women have a higher pain tolerance which results in them not given enough medication. Further disparities include lack of access to helpful mental health and medical resources and effective treatment. These are the issues we want to tackle and improve for Black women's mental and medical health in America. No one should be excluded from access to effective mental health and medical treatment from competent providers regardless of income.  The biases that are created due to systemic oppression that lead to ineffective assessment, treatment, and misdiagnosis must be addressed in the area of psychology and medicine.  Everyone deserves to be healthy, mentally and medically, and Black women need our attention. Our demands are to: (1) Ensure that Black women have access to physicians and medical facilities that prioritize their specific needs and wellbeing by providing assessment, diagnosis, and treatment that is free from biases.  (2) Ensure that Black women have access to physicians and medical facilities that prioritize their specific needs and wellbeing by providing assessment, diagnosis, and treatment that is free from bias and reflects cultural sensitivity and awareness of environmental issues that lead to distress. (3) We are asking that APA accredited doctoral and master’s degree programs in psychology infuse multiculturalism throughout the curriculum and require separate multicultural courses with emphasis on Black women prior to the APA accredited internship or post-doctoral fellowship. (4) We are asking that the Council for Graduate Medical Education and the Liaison Committee on Medical Education recognize that race is a social construct and that relying too heavily on this construct can inhibit physicians from providing high quality medical treatment and to understand how to recognize and eliminate personal and historical biases that prevent Black women from receiving effective treatment prior to residency and during residency programs. We’re addressing our demands to the American Psychology Association, the Accreditation Council for Graduate Medical Education, and the Liaison Committee on Medical Education. These are large national organizations that have the power to make necessary changes at academic institutions and within training programs.  We believe it is necessary to address these issues before practitioners become licensed professionals. If you are truly interested in supporting our movement and becoming a MOBILIZER, get active and make a difference by signing our petition below!

Black Women Mobilizers
177 supporters
Update posted 1 month ago

Petition to Yuma County Hospital District No. 1 Board

KEEP our COMMUNITY HOSPITAL a not-for-profit

Keep Yuma Regional Medical Center Non-Profit Say NO to the Merger or Joint Venture with Apollo-Owned LifePoint Tell our Hospital District Board to kill this proposed MERGER NOW! Do Not Allow Private Equity to Control Our Health Care Monopoly! On June 30, 2021 the Yuma Regional Medical Center announced it is exploring forming a joint venture with LifePoint Health, a for-profit health care company owned by private equity giant Apollo Global Management since 2018. Under the proposed joint venture, current YRMC employees would become LifePoint employees. The Good, the Bad and the Ugly - Yuma's Community HospitalNow isn't this interesting? While doing some research on the "chosen merger partner" announced by YRMC I found that LifePoint Health, started in 1999 as A spin-off from Hospital Corporation of America (HCA) The company was then acquired by Apollo-owned RCCH HealthCare in a $5.6 billion merger in 2018.Apollo Global Management, Inc., is a global alternative investment manager firm. It was founded in 1990 by Leon Black, Josh Harris,[4] and Marc Rowan.[5] Apollo is headquartered in New York City.On March 26, 2021, founder Leon Black relinquished all control of Apollo Global Management, the private equity firm he led for more than three decades, after revelation he paid more than $150 million to the disgraced financier Jeffrey Epstein.Imagine that! The founder and Chairman (until 3 months ago) of the Private Equity Company that YRMC wants to partner with and trust with Yuma County’s healthcare, paid Jeffrey Epstein $158 million for “personal tax-related advice” over the period from 2012 to 2017! Read Press Accounts About LifePointLifePoint in WyomingIn Wyoming, LifePoint operates the only hospital in Riverton. In 2014, LifePoint merged that hospital with another LifePoint facility in Lander, approximately thirty miles away. LifePoint cut staff, reduced surgeries, and ended OBGYN services at Riverton, according to a local group that included a retired doctor and former mayor. The Wall Street Journal reported air ambulance rides from the county where the Riverton hospital is located increased from 155 in 2014 to 937 in 2019. In 2019, LifePoint closed its inpatient mental health unit in Lander. Now, a group of community leaders in Riverton is raising funds to construct a new, nonprofit hospital in their city. LifePoint is opposing their efforts, and reportedly lobbied against the group’s attempt to receive low-interest loans from the USDA. A City’s Only Hospital Cut Services. How Locals Fought Back. Wall Street Journal, April 11, 2021 “When the only hospital in a small central Wyoming city stopped delivering babies and cut back on surgeries, local residents sought to start their own. The fight that ensued now stretches to Washington, and is shining an uncomfortable light on one of the country’s biggest hospital chains and its private-equity owner. LifePoint Health Inc., backed by Apollo Global Management Inc., controls the only hospital in working-class Riverton, Wyo. After LifePoint merged Riverton’s hospital with another facility it owns in the city of Lander, 30 miles away, it began consolidating the hospitals’ services.” … Read full article Fremont County hospital group confirms it will close Lander mental health unit Casper Star Tribune, February 21, 2019 “Lander will lose its inpatient mental health service next week, as local hospital system SageWest announced the imminent closure of the unit Wednesday. … [Vivian] Watkins said the community was ‘dismayed’ by the decision, as it was when SageWest closed other units. ‘But you know they are a private corporation, they make those decisions based on their business plan,’ she said, referring to SageWest’s parent company, LifePoint. ‘While that is emotionally daunting, you know, they are a for-profit corporation that is there to return to their investors an income on their investment.’” …Read full article Riverton group accuses hospital owners of ‘systematic reduction’ at facility in favor of Lander location Casper Star Tribune, August 26, 2018 “‘It’s clear that there has been an orchestrated, systematic reduction in physicians and services,’ said retired physician Roger Gose, ‘including general surgery, orthopedics, obstetrics, that has occurred progressively since April 24, 2014, which was the beginning of what we know as SageWest.’ SageWest Health is the merger of the Lander and Riverton hospitals under the corporate ownership of LifePoint, a Tennessee-based health care company. The two hospitals were separate until April 2014, when LifePoint joined them at the hip under the SageWest banner.” … Read full article LifePoint in IdahoIn Idaho, the St. Joseph Regional Medical Center converted from a nonprofit to a for-profit model when it was acquired by Apollo-owned RCCH HealthCare Partners in 2017, which then merged with LifePoint in 2018. In 2020, nurses protested LifePoint. In June 2021, the nurses’ union announced they reached an agreement with the hospital that included improvements to staffing. Private Equity Powerhouse Books $1.6 Billion Profit Selling Hospital Chain -- to Itself Sabrina Willmer Bookmark July 29 2021, 5:33 PM July 29 2021, 11:06 PM (Bloomberg) -- Apollo Global Management Inc. booked a $1.6 billion gain for its 2013 buyout fund by selling its majority stake in rural hospital chain LifePoint Health to another Apollo fund.  Read more at: https://www.bloombergquint.com/business/apollo-books-1-6-billion-gain-selling-hospital-chain-to-itselfCopyright © BloombergQuint LifePoint in WashingtonIn Washington, LifePoint operates the Lourdes Counseling Center in Richland. In December 2020, nurses and counselors protested for fair staffing before later reaching an agreement with LifePoint. Lourdes workers picket to bring awareness to ongoing problems at Richland center KEPR, December 14, 2020 “Workers with Lourdes Counseling Center in Richland are bringing awareness to ongoing problems at the center that staff say are causing workplace safety concerns. On Monday morning the crowd of picketers chanted, ‘What do we want? Fair staffing! When do we want it? Now!’ on the corner of Carondelet Drive and Goethals Drive in Richland. Picketers tells Action News they want better wages and benefits to recruit quality staff that is needed at the center. Workers say the low wages are causing staff shortages which are also causing concerns of workplace safety for both staff and patients.” … Read full article LifePoint in NevadaIn Nevada, LifePoint acquired the only hospital in Elko in 2005. In 2015, LifePoint closed its inpatient behavioral health unit. Now, patients in need of inpatient mental healthcare travel to Reno or Salt Lake City. In 2017, the Elko County Health Board sent a letter to LifePoint raising concerns about its high prices and billing practices, stating, “the local hospital is having an extremely negative impact on our local economy and the safety, health and welfare of our citizens.” It described high prices causing local employers to send employees out of town to seek care to reduce costs. It also stated that there was a “widespread lack of confidence that the corporation cares about our community.” County health board chastises NNRH Owner Elko Daily Free Press, January 7, 2017 “After receiving numerous complaints from residents, the Elko County Health Board this week sent a five-page letter to LifePoint Health CEO William Carpenter with concerns about Northeastern Nevada Regional Hospital’s prices and billing practices. … The letter begins, ‘The Elko County Health Board would like to officially put you on notice that the local hospital is having an extremely negative impact on our local economy and the safety, health and welfare of our citizens.’ … ‘This anti-competitive pricing is eroding our healthcare infrastructure,’ the letter states. … Read full articleApollo Global ManagementApollo is massive investment management company that has over $471 billion in assets under management as of June 2021. Apollo’s private equity funds purchase companies, typically own them for a short period of time, and then seek to sell them for profit. Private equity companies use many strategies to profit from their investments, including cost-cutting, charging management fees to companies they own, selling companies’ assets including real estate, or extracting money from companies in the form of dividends which in some cases are funded by taking on debt. In 2018, Apollo acquired LifePoint in a leveraged buyout – a financial maneuver that used borrowed money towards the purchase of LifePoint and put the debt on LifePoint’s books. Apollo then merged LifePoint with two other healthcare companies that it had acquired previously. Under Apollo’s ownership in 2019, LifePoint sold the real estate of ten of its hospitals for $700 million and began paying rent to lease back the properties. According to reporting in Bloomberg, in 2020, Apollo told its investors that it was pursuing a strategy of consolidation and that LifePoint has a stockpile of $2 billion of cash that could be used for acquisitions. In June 2021, LifePoint announced it entered an agreement to acquire Kindred Healthcare for an undisclosed price. Following the announcement, Moody’s placed LifePoint’s credit ratings on review for downgrade. Moody’s noted that LifePoint already had a high level of debt prior to newly announced acquisition and that Apollo’s ownership could mean financial practices that extract funds for investors: “With respect to governance, LifePoint’s ownership by private equity firm Apollo Management will result in the deployment of aggressive financial policies. While LifePoint may pursue an IPO longer-term given its large scale, Apollo may take dividends along the way, particularly if the company achieves its cash flow and deleveraging goals.”-Moody’s Investors Service, 6/22/21

The Good, The Bad and The Ugly - Yuma's Community Hospital
310 supporters