Thanksgiving for Hurricane Sandy RN Relief Efforts

Thank you so much to those who have responded to our Registered Nurse Response Network (RNRN/National Nurses United) request following the Hurricane Sandy emergency.

Hurricane Sandy Recovery

In the spirit of Thanksgiving, we are truly grateful for the dedication of our volunteers.

Currently, these efforts are being handled by local organizations, with the New York State Nurses Association (NYSNA) taking a key leadership role.  If volunteers from out of the local area are needed, we will contact you. The affected RNs and patients are incredibly grateful for your continued support.

Make a Contribution to the RNRN fund established to support disaster relief services. To donate by mail: Make checks payable to CNF/RNRN and mail them to: CNF/RNRN, 2000 Franklin St. Oakland, CA 94612.
 
Nearly three weeks after the storm, the affected areas continue to have urgent, unmet medical and public health needs. FEMA and HHS officials have told volunteer nurses, doctors and health advocates that the federal government’s hands are tied until the city and state governments request more assistance.

See a video here on NYSNA’s response to Hurricane Sandy.

RNRN and NYSNA Response

In the immediate aftermath of the storm, a group of dedicated NYSNA nurse volunteers fanned out to the hardest hit communities. NYSNA opened up a deployment site that operated out of the organization’s RV located on Miller Field on Staten Island. They began sending RN teams door to door to determine people needs, and provided much needed care to many residents affected by the storm.  At this time they are filling the volunteer needs with New York City area RNs, but may need out of state RNs at a later date.
 
RNRN has been on the ground supporting the efforts of the New York State Nurses Association (NYSNA) to assess the needs at different locations in order for RN volunteers to be fully utilized to fill the long-term public health care needs to the communities most affected.
 
Make shift clinics and door to door assessment teams have been organized by an array of community organizations ranging from Occupy Sandy, NYSNA, and Physicians for a National Health Plan, People’s Medical Relief, and Doctors without Borders to the neighborhood churches and synagogues.

Striking Similarities to Katrina—

There has been a lack of coordination by government and traditional disaster relief organizations such as the Red Cross, the Medical Reserve Corps, Department of Health, and FEMA. The outlying areas closest to the storm that were the hardest hit are still in dire need of basic services and there is a long-term public health need that RNs can fill.

Poor, middle and working class residents are left to their own devices, and makeshift “soup” kitchens pop up on block after block. Most apartments are abandoned, though there are still some residents, even on the lower floors where there is water.  There are many elderly residents who are of particular concern, especially the ones on the higher floors. The stairways are concrete, narrow and pitch black.

The lack of running water, heat and electricity that is slowly coming back to these communities after more than three weeks has created a public health crisis that will be around for a long time—the potential of hypothermia as the temperatures drop, lack of clean running water and fresh food.

NYSNA, along with PNHP, Occupy Sandy, and other community groups, held a press conference at City Hall on Friday, November 16 to send the message to Mayor Bloomberg that, “As RNs we do not accept the conditions patients are forced to live in. Ask that the city immediately request resources from the state and federal governments to: provide life-saving medications and supplies and provide financial and human resources to rebuild existing community health care infrastructures.”

Many hospitals and clinics have been closed due to damage from Hurricane Sandy, and some won’t be open for weeks or months.

Thank you for your ongoing concern and support for those RNs and patients affected by Hurricane Sandy.

Contribute to the RNRN fund established to support disaster relief services.

To donate by mail: Make checks payable to CNF/RNRN and mail them to: CNF/RNRN, 2000 Franklin St. Oakland, CA 94612.

RNRN Disaster Relief Fund: National Nurses United and the Registered Nurse Response Network (RNRN) work to send nurses to disaster stricken areas both inside the U.S. and internationally. Please complete this secure donation form and share it with friends to ensure that RNs are among the first responders. RNRN is a project of the NNU and the California Nurses Foundation, a 501(c)(3) nonprofit. Donations are secure, and tax-deductible to the extent of the law.

Thank you,

Registered Nurse Response Network

California Nurses Foundation
2000 Franklin St.
Oakland, CA 94612

Robin Hood actions say ‘No to Cuts, Tax Wall Street to Spark Recovery’

Outside the district office of Rep. Charles Rangel, Robin Hood Tax Campaigners from National Nurses United (NNU) and Health GAP found an engaged audience today.  These residents of New York’s Harlem are wondering when the recovery will arrive.  

Their neighborhoods are a mix of shuttered brownstones and half-empty condos, a sign of the realty speculation that somehow, someway never brought decent, affordable housing to Manhattan’s northern-most community.  

It was one of four national Robin Hood actions today repeating the call for a different approach to addressing the economy, with a renewed call for a Robin Hood tax on Wall Street speculation to increase revenues, not more punishing austerity cuts, especially to the vital programs Social Security, Medicare and Medicaid.

Robin Hood activists at New York office of Rep. Charles Rangel
Robin Hood activists at New York office of Rep. Charles Rangel

The spirit of speculation lives on in the trading floors and conference rooms of Wall Street.  Financialization, as opposed to a productive economy, is the model being sold, even after the collapse of financial markets in 2008.  

The bailout of these “too-big-to-fail” financial institutions ran up a bill in the trillions, much of it paid from federal tax coffers.   That money needs to be returned to places like Harlem—for jobs, rebuilding, decent retirement, good schools and clean environment.  

That is what the Robin Hood Tax is all about.  It is embodied in Rep. Keith Ellison’s Inclusive Prosperity Act, H.R. 6411, and the RHT Campaign made visits to Boston, Los Angeles and San Francisco, in addition to Rangel’s offices, to get pledges of support.

“The Robin Hood Tax would provide us with the resources we need to end the AIDS pandemic and fight back against climate change,” said Michael Tikili of Health GAP.  “With disasters like Hurricane Sandy looming, we can no longer look to spending cuts to fix our financial crisis. We need a Robin Hood Tax to give us the revenue we need to end AIDS and fight climate change now.”

Like their last visit to Mr. Rangel, RNs and Health GAP members sought an audience inside the congressman’s office.  No go.   “So we bargained with them to send someone down,” explained Jonathan Weitz of NNU.  
 
Special Assistant Isiah Horton spoke for 20 minutes, in the end explaining Mr. Rangel had spoken with Rep. Ellison and that he still had concerns on how the bill would supposedly affect pensions.
Special Assistant Isiah Horton spoke for 20 minutes, in the end explaining Mr. Rangel had spoken with Rep. Ellison and that he still had concerns on how the bill would supposedly affect pensions.  

“The RNs immediately fired back that the law would have a minimal or no effect, would raise up to $350 billion a year for healthcare, education and jobs.”   The Ellison bill in fact for the most part taxes the brokers who make the trade and exempts households with incomes below $75,000 per year.

Across the coast, in Los Angeles, some four dozen nurses and activists rallied outside the district office of Rep. Xavier Becerra.
Across the coast, in Los Angeles, some four dozen nurses and activists rallied outside the district office of Rep. Xavier Becerra.

Some were invited in to meet with Liz Saldivar, district director, who continued to hedge on the bill and said he’d like to see more sponsors of the bill. It already has 18 co-sponsors, a good number for a bill that was only introduced a few weeks ago.

Nurses, activists outside Los Angeles office of Rep. Xavier Becerra.
Nurses, activists outside Los Angeles office of Rep. Xavier Becerra.

Dozens more gathered outside the San Francisco district office of Rep. Nancy Pelosi, who earlier today announced plans to run for another term as House Minority Leader.

Outside San Francisco office of Rep. Nancy Pelosi.
Outside San Francisco office of Rep. Nancy Pelosi.

Pelosi’s district director Dan Bernal dismissively told the RNs they had a “90 seconds” to talk to him.

Sherri Stoddard, RN (left) told him they were calling on Pelosi to be a leader and support the bill.
Sherri Stoddard, RN (left) told him they were calling on Pelosi to be a leader and support the bill.

Sherri Stoddard, RN told him they were calling on Pelosi to be a leader and support the bill.

The Robin Hood Tax Campaign was also saying at the actions that cuts to essential services – Medicare, Medicaid, Social Security and the food stamp program – must not be carried out.  

“This country has vast wealth but poor priorities,” said Jean Ross, RN and co-president of National Nurses United, one the founding organizations of the Robin Hood Tax Campaign.  “Social Security, Medicare, Medicaid and the Food Stamp program are the economic bedrock of vast numbers of American families.   To reduce these in any way is to do serious harm and lead to more poverty.   We, as nurses, shudder at the thought of more harm to Americans.  Don’t do it.”

In a meeting with leaders of labor and liberal advocacy groups Tuesday, the President pledged he was not going to “budge” on opposing extension of the Bush tax cuts for the rich, and “seemed to agree that Social Security” should not be part of any grand bargain because it “didn’t add to the deficit.”

Yet, the President’s press secretary afterwards told reporters that the President “has put forward a very specific plan that will be what he brings to the table when he sits down with Congressional leaders.” That $4 trillion, 10-year plan includes the commitment to $1.1 trillion in spending cuts that agreed to during the debt ceiling negotiations last year as well as additional spending cuts that include $340 billion in savings from Medicare and Medicaid, the New York Times reported.

Further, in his press conference today, President Obama twice cited his support for “entitlement changes” as part of a fiscal cliff deal.

Robin Hood and company have a different message:

Austerity has no place in America.  It will have the same affects these draconian cuts have had in Europe:  demise, poverty and no growth.

Don’t the Europeans know it.  Millions hit the streets today to protest spending cuts they say have made the economic crisis worse.  General strikes were held in Portugal, Spain, Greece and Italty, with major strikes in France and Belgium and labor actions in cities across the continent.  Flights were cancelled, car factories and ports were at a standstill and trains barely ran in Spain and Portugal where unions held their first ever coordinated general strike.

The Affordable Care Act


D.aniel – Fotolia

The election is over and Barack Obama has won a second term. Although many people may have been hedging their bets, waiting on the outcome of the election, the Affordable Care Act is here to stay. What does this mean for Medicare, healthcare institutions, healthcare workers and the general public? As nurses, we care for our patients regardless of insurance status, but we all know that insurance is a major issue for many of our patients. Keeping in mind that some of the key features won’t be implemented until 2014, here are some of the highlights of the Act and how they will affect individuals and corporate entities:

Health insurance: At the present time, no one is required to have health insurance, but by 2014 this will change. Most individuals will be required to have health insurance or face a fine of up to 1% of their income (or $95 per year, whichever is greater). By 2016 the fine will rise to 2.5% of income or $695, whichever is greater. For families, the penalty for not having insurance will be 2.5% of the combined household income. However, these requirements could be waived when financial hardship is an issue. Some states have passed laws to block the necessity of carrying health insurance; however, federal law supersedes state law. Many more people are expected to be eligible for Medicaid or will be able to access federal subsidies to buy health insurance.

Current health insurance plans: For those individuals who already have insurance through their current employer, it is possible that nothing will change. However, employers may change premiums, network coverage, co-pay amounts and deductibles, just as they could before the Affordable Care Act. Some of the effects of the Affordable Care Act have already been enacted; for example, lifetime coverage limits have now been banned, and adult children (up to the age of 26) who don’t have health insurance through work can stay on their parent’s plan.

Medicaid: For people who want health insurance but can’t afford it, starting in 2014 the federal government is offering to expand the Medicaid program so that individuals and families who earn incomes at or lower than 133% of the federal poverty level will be eligible for this benefit. This is not yet a hard-and-fast law — the governors of several states, such as Alabama, have stated that they will refuse the expansion of Medicaid and the Supreme Court has ruled that states cannot be mandated into making this change to Medicaid. For people who earn too much money for Medicaid but still can’t afford health insurance, government subsidies will be put in place to allow them to purchase insurance from state-based exchanges, which will sell insurance to small businesses and individuals.

Seniors: Changes to the Medicare Part D prescription plan will mean that seniors will only be required to pay for 25% of their prescription costs, without a certain initial cost to be paid first before coverage begins. Preventive services will be expanded and seniors will be allowed a free annual wellness visit.

Other changes:
– No out-of-pocket costs for certain screening tests (i.e., mammography, cholesterol tests)

– Coverage cannot be cancelled if you become ill (known as rescission)

– Coverage for pre-existing conditions cannot be refused (for children this is already the case, for adults will be enacted by 2014)

– Rebates to be provided to customers if they spend less than 80-85% of premium dollars on medical care

Like it or hate it, agree or disagree, the Affordable Care Act is here to stay. Although there is apt to be some confusion over the next two years, as well as some contention as the last kinks in the plan get worked out between Democrats and Republicans, the end result will be that most people will have health insurance by 2014.