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11.01.2009 9:00 pm

Sharing responsibility for health care costs

House Democrats unveiled a sweeping health care reform bill last Thursday built on shared responsibility.
Individuals would have to buy health insurance for themselves and their families.
Taxpayers would subsidize coverage for those unable to afford it on their own.
Employers would have…

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10.09.2009 9:01 pm

Time for Gov. Nixon to lead on health care

For a guy who focused so relentlessly on health care as a candidate, Missouri Gov. Jay Nixon has been remarkably quiet of late.
At a time when health care dominates the national debate, Mr. Nixon is one of just six Democratic…

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05.18.2009 9:01 pm

Myth versus reality on the uninsured

About 75 percent of Americans who work part-time can’t get health insurance through their jobs. Missouri lawmakers are part of the fortunate 25 percent. The part-time lawmakers, whose five-month legislative session ended Friday, not only can buy coverage for themselves —…

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05.15.2009 9:00 pm

A season of missed opportunities for Missouri

Legislators throw paper copies of bills into the air at the close of the 2006 session.

Legislators throw paper copies of bills into the air at the close of the 2006 session.

Chiseled in stone on the state capitol in Jefferson City is a Latin phrase that translates as “Let the welfare of the people be the supreme…

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05.08.2009 9:01 pm

Missouri budget is a triumph of adequacy

Among the winners.

Among the winners.

With the Missouri Legislature, you have take adequacy when it happens, even when the news is not as good as it should have been.

So let’s hear one hand clapping for the legislators who managed to set ideology aside…

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04.12.2009 9:00 pm

Expand Medicaid to cover the uninsured

Republican lawmakers in Missouri have a problem: They’d like to reduce the number of uninsured Missourians. But they don’t want to admit that their 2005 Medicaid cuts were a mistake — or hand Democratic Gov. Jay Nixon a political victory.
Mr.…

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04.03.2009 9:00 pm

The little boy at the edge of the world

Sherri Cook gets a kiss from her son, Chance Roth.

Sherri Cook gets a kiss from her son, Chance Roth.

“Columbus said the world is round?
Don’t you believe a word of that.
For I’ve been down to the edge of the world,
Sat on the edge where the wild wind whirled,
Peeked over the…

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03.16.2009 9:01 pm

Playing politics instead of helping the uninsured

About 344,000 people in Missouri were uninsured in 1999. About 815,000 have no coverage now — an increase of roughly 137 percent.

You might expect that staggering growth to inspire a sense of urgency in Jefferson City. Instead, legislators spent the…

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03.10.2009 9:03 pm

Missouri lawmakers defy common sense in health care for poor

House Budget Committee Chairman Allen Icet, R-Wildwood

House Budget Committee Chairman Allen Icet, R-Wildwood

Missouri lawmakers should not let ideology stand in the way of health care for the working poor.

Gov. Jay Nixon and the Missouri Hospital Association have come up with a plan to extend health insurance to…

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03.04.2009 9:01 pm

Reforming a health care system that’s too big to fail

American taxpayers already have spent more than $2 trillion bailing out banks and insurance companies. Can we afford to reform health care, too?
It’s an understandable question, one that will be at center stage today when the White House hosts a…

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02.18.2009 9:01 pm

Expanding Medicaid with stimulus money is the right medicine

Post-Dispatch file photo.If $4.3 billion of federal money falls into the hands of Missouri legislators, will they be smart enough to take full advantage of it?
The answer, unfortunately, may be no. Even after hearing details of the unexpected windfall in federal stimulus money —…

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02.08.2009 9:00 pm

Smoking in Missouri: Pay now or pay more later

Smokers and Medicaid recipients in Missouri

Smokers and Medicaid recipients in Missouri

This map shows Missouri Medicaid enrollment and smoking rates by county. The darker the color, the greater the percentage of people in Medicaid. Counties with cross-hatching have the highest smoking rates, followed by those with…

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01.30.2009 9:00 pm

Stimulus bill stimulates change

The House of Representatives on Wednesday approved an $819 billion economic stimulus plan that contains the most sweeping expansion of Medicaid in more than a decade.

For the first time, millions of unemployed Americans and their families would become eligible —…

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01.28.2009 9:01 pm

Stimulus makes Nixon one lucky governor

Lucky Jay Nixon

Lucky Jay Nixon

It’s far too early to say whether Jay Nixon will be a good governor, but Missouri’s new chief executive has one thing going for him: Timing.

Like his two immediate predecessors, Democrat Bob Holden and Republican Matt Blunt, Mr.…

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01.18.2009 9:00 pm

Hold it: State wants to pre-approve bedpans for poor patients

The state of Missouri has two words for Medicaid patients who need to use a bedpan, commode chair or urinal: Ask first.
Indelicate though it sounds, the equipment necessary for elderly and disabled people to relieve themselves now is subject to…

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12.17.2008 11:34 am

Cutting off prevention costs more in hospitalizations

Post-Dispatch file photo.People with spotty Medicaid eligibility — coverage that starts and stops and starts again — are nearly four times more like to end up in the hospitals with conditions like asthma and diabetes than people with continuous coverage, a new…

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12.03.2008 9:01 pm

Blood from a stone: Medicaid co-pays are bad health policy

Post-Dispatch file photoIn Missouri, you can live in poverty but still not be poor enough to qualify for Medicaid. Adults have to earn less than about 25 percent of the federal income poverty level — roughly $3,700 a year for a single…

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11.14.2008 9:00 pm

Health Care Reform can’t wait

Barack Obama serves lunch to a patient during a visit to Barnes-Jewish Hospital in June.

Barack Obama serves lunch to a patient during a visit to Barnes-Jewish Hospital in June.

A few days before the historic election that swept him into the presidency, Barack Obama was asked to name his top priorities for 2009. They were,…

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11.05.2008 9:01 pm

Democratic governor faces challenges with Republican Legislature

As a candidate for Missouri governor, Attorney General Jay Nixon told anyone who’d listen about his plans to restore Medicaid coverage to the more than 100,000 poor, elderly and disabled people who lost it in 2005.
On Tuesday, voters responded, sweeping…

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10.12.2008 12:01 pm

Monday editorial: KennyCare vs. JayCare

When pollsters asked Missouri voters to name the most important issues last month, the economy was first, with health care right behind it.

In fact, the two issues are one and the same.

Skyrocketing health costs and the lack of affordable health…

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