Showing posts with label massachusetts health care. Show all posts
Showing posts with label massachusetts health care. Show all posts

Massachusetts - Planting the seeds of revolution?

Guest post by Carol Rainville, N.D.

After the Seachange
Photo by occam via Flickr, used under the Creative Common's license.

Itʼs been several days now and I am still trying to wrap my mind around the fact that conservative Republican Scott Brown won the senate race in Massachusetts. I was hoping for some kind of voting irregularities to surface but, alas, such is not the case.

A recent Washington Post poll says health care was the most important issue driving the results. I didnʼt really need a poll to figure that one out. One candidate vowed to vote for it and the winner vowed to vote against it. The poll also said that the majority of voters support the Massachusetts universal health care plan. In my own little poll, my selfemployed friends have expressed far greater fear, frustration and anger with the state mandate than the friends with employer-provided health care plans.

Since the universal health insurance law went into effect here in 2007, premium costs have skyrocketed. If you donʼt have “credible” health insurance coverage, you will be fined. Since January 2009, credible means, in addition to the basic coverage prescribed by law (catastrophic insurance alone isnʼt enough), you must also pay for prescription drug coverage whether you need it or not. We are seeing double digit annual increases in our premiums. Blue Cross was planning increases of up to 47% for some small businesses for 2010, claiming costs have increased that much in the span of one year!

I had high hopes for health care reform when President Obama took office. The original ideas looked like real reform. It now looks like the Massachusetts plan gone national and I believe that is the message the voters here were sending. They are outraged and they donʼt want more of the same. I share the outrage. As a self employed individual I pay well over $8000 per year just in premiums, plus co-pays and the cost of membership in a chamber of commerce to get that special group rate. I rarely use prescription drugs and the ones I have used were not covered by my insurance. Itʼs not hard to see who the winners are here.

For a lot of reasons, though, Scott Brown was not my candidate of choice. My thinking was that if Congress did pass this legislation, with the same results we have seen here, the national outrage would drive real reform. Senator-elect Brown is an intellectual lightweight and once he casts his vote against the health care bill, his 15 minutes of fame will be over. However, that vote may well be “the shot heard round the world.”

I do believe things happen for a reason. Massachusetts has sent a strong message to Washington because the citizens of this state and this country, however naively, still believe in government of the people, by the people, for the people. There is an incredible opportunity here. President Obama and Congress can grab it and regain the peopleʼs trust or they can let it pass them by. If the latter happens, I sense a revolution sprouting. Cake anyone? (Apparently, Marie Antoinette never really said “Let them eat cake” but the symbolism remains.)

Massachusetts Law Falls Short

Michael Cronin, ND
AANP President

Governor Deval Patrick, of Massachusetts, did not sign the Naturopathic Practice Act. The bill passed both chambers of the legislature in a special session in December 2012 and required his signature to become law.

This brings up many thoughts and emotions for me. I feel disappointment over a legislative process that seems slow and unfair. And there is anger at a process that placates the desires of the Massachusetts Medical Society over serving the health needs of the public and the desire of the Commonwealth. However, my dominant emotion is pride and amazement at the dedication of our ND colleagues who for 18 years have worked to achieve licensure for the Massachusetts NDs.

Our profession is now at a new legislative high water mark for licensure in the United States. According to our history as described in the Textbook of Natural Medicine (pg. 71 Vol. I, 3rd edition), it is described in the California based International Society of Naturopathic Physicians 1948 membership directory as 13 states, the territory of Hawaii and 3 Canadian provinces. There were 32 state associations then.

There are currently licensing laws in 16 states (up from 5 in 1978), the District of Columbia, the United States territories of Puerto Rico and the U.S. Virgin Islands, and 5 Canadian provinces. We have 7 healthy, accredited North American colleges and there are now 43 state associations..

Naturopathic Medicine is a profession that thrives on the passion of its doctors and the generosity of its volunteers.

  • We have the tremendous efforts of our state associations that are operated by volunteer board members and supported by member dues. These organizations fight to improve licensing laws where we have them and acquire laws were we do not. 
  • We have the dedicated members of our state licensing boards. These NDs do the difficult and often unrecognized work of regulating the professional activities of our licensed NDs and bear that unique burden of judging unprofessional conduct and administering remediation and punishment. 
  • The members of the Federation of Naturopathic Medicine Regulatory Authorities provide support to the licensing and regulatory authorities. 
  • The members of the Council on Naturopathic Medical Education (CNME) which accredits naturopathic medical education programs. North American Board of Naturopathic Examiners (NABNE) and Naturopathic Physicians Licensing Examination Board which work together to manage the NPLEX examination process. 
  • I applaud the NDs who are board members of the colleges and the many faculty and other committees that keep our colleges improving. 
  • I appreciate those who forward our medicine by serving on specialty societies such as HANP, OncANP, PedANP, AANM, INGM, NAEM, NMSA, NP-GA, AANMC, SpiritMed, and IV Micronutrient Therapy. 
  • The serious work of the innovators, those who create the Naturopathic Education and Residency Consortium (NERC/STAIR) and Naturopathic Physician Research Institute, (NPRI).

All this work begs the question, “Why do we do this?” Well…what else would we do? We have our health; we have a noble profession that we love, serve the needs of our communities, and forward the understanding of true healthcare for the coming generations. Indeed, I know no better outlet for my daily bread.

I send the highest kudos to our ND brothers and sisters in Massachusetts. May you heal your wounds and come out fighting.