As of today, June 8, 2020, there have been 7 million cases of COVID19 worldwide and 402,555 deaths. The US has the worst COVID19 track record with 2 million cases and 110,514 deaths. Although the US has 4.25% of the world’s population, we have had 28% of the cases and 28% of the deaths.
Why does the US have such a dismal track record in fighting the novel coronavirus? I thought we had the “best healthcare system in the world.” We have the most expensive healthcare system in the world, but when you look at our public health data and our response to COVID19, we definitely do not have the best system in the world.
The United States is the only developed country in the world that does not have a national health plan that guarantees care for all residents. The Affordable Care Act (ACA) was a nice try, but its efficacy and affordability have been whittled away by Republicans in Congress.
Why is the US response to COVID19 so disorganized and inadequate? Before the pandemic, we had an over-priced, inequitable system based upon profit and a just-in-time supply chain of personnel, equipment and beds. The novel coronavirus turned the spotlight on inadequacies and inequities of our health care system. In the United States, the health care you get depends on your income and your ZIP Code– not your needs. If you’re a resident of the United States you should have access to the same healthcare across the country. A person living in Chinle should have the same access to care as a person living in Paradise Valley. Now the person in Chinle not only does not have adequate medical care, they may not have running water or passable roads.
Today’s video is about HB2409, small business investment tax credit extension. This is also known as the Angel Investor Tax Credit. In the big scheme of tax giveaways in the state of Arizona, this one is sort of small potatoes dollar wise, but I still have issues. It is an extension if $2.5 million per year tax credit for 10 years. The angel tax credits are for “qualified investors,” people who are licensed, trained, and smart enough to play the stock market and make otherwise risky investments wisely because of their expertise. ￼[My layman’s definition.] ￼
I have attended several Bioscience Roadmap events where they showcase research and new discoveries from the universities that are … just …about… ready for market. What they need is venture capital to get the new drug discovery or the next medical device from our universities to production to market.
I am very familiar with this topic because ever since I started my own small business in 1986, I have been writing about or working in public health and medical research. In fact, the first Bioscience Roadmap event that I attended featured Dr. Gene Gerner, Dr. ￼Tom Grogan and the story of how their research at the Arizona Cancer Center blossomed into huge NCI research grants, new drugs, and successful UA spinoff businesses. I knew them, wrote about their research, and photographed them when I worked in the communication office at the cancer center.￼
My point is that I value scientific research and believe that research jobs (and related jobs that come with big grants) are some of the best jobs in our state. One of the reasons that I don’t support the angel investment tax credit is that I found out that only 30% of the funds go to businesses that spinoff from our research universities.￼ Also, there is a $10 million ceiling to qualify as a “small start-up business” (who is eligible to receive funds from angel investors). If your business has $9 million in assets, is it really as “small business start-up”? ￼
Arizona is dead last — #50– for Adverse Childhood Experiences (ACEs). ￼Arizona is not only shortchanging school children, our stingy policies hurt little children before they ever enter the classroom. ACEs include food insecurity; domestic violence; DCS removal; addiction, incarceration, or death of a parent; or housing insecurity at any level– homelessness, eviction, foster care, etc.
Rep. John Filmore’s bill HB2013 would force teachers to hold back children if they are not performing at grade level– thus eliminating “social promotion” for students who are technically not at grade level. Rep. Jennifer Pawlik– herself a soft-spoken and kind special ed teacher– said that teachers have tools to help children who are progressing but may not be at grade level. Filmore’s bill ignores the expertise of teachers and ignores the fact that some children may need extra help because of Adverse Childhood Experiences.
Far too many Arizona children have the chips stacked against them before they are born and due to significant ACEs during their early years, they enter kindergarten with emotional trauma. At a meeting with Amphi School District educators and parents, I learned that 40-50% of Amphi elementary school children who enroll in school in the fall, don’t end the year in the same school. Why? Housing insecurity, eviction, domestic violence, death, poverty, foster care. With low wages and bad policies, we are forcing far too many families to live with hardship.
Holding a student back a grade is second only to death of a parent in childhood trauma. HB2013 just increases the likelihood that Arizona children will be continue to be worst in the nation for Adverse Childhood Experiences.
With big data surveillance, church recruitment, government-funded, incomplete and biased medical information, and unregulated clinics providing “all wrap-around pregnancy, counseling and post-childbirth services”, HB2388 is Big Brother and Aunt Lydia’s love child.
Last week was draining– with multiple tax cuts in Ways and Means, fake pregnancy centers in Health and Human Services (HB2388), and passage of the Build Your Own Border Wall on the House floor on reconsideration. (Another Zombie Bill brought back from the dead).
I recorded the video (below) late in the day on Thursday after the end of a two-part, marathon health committee meeting with multiple ideological debates. I am proud to serve with Dr. Amish Shah, and Reps. Kelli Butler and Alma Hernandez. The four of us did a great job standing up for patient choice, reproductive rights, medically accurate and unbiased information, science, privacy and separation of church and state.
All too often my video updates focus on bad bills that the Arizona Legislature is considering. To end week three of the Legislature on a high point, here is a good bill.
HB2269 sets up a process for donating unused, good medications to people in need. Under HB2269, nursing homes, assisted living centers, and people￼ can take unused but in-date medications to participating pharmacies for inspection for tampering, checking expiration dates, repackaging, and redistribution. People receiving the drugs would pay a fee for the handling but nothing for the medications. This would not include prescription opioids, but it would include everything else, including many very expensive drugs.
Regulation of pharmacy benefits managers (PBMs) is a hot topic at the Capitol. PBMs are corporate middlemen between insurance companies and patients when it comes to prescription drugs. Rep. Nancy Barto has proposed HB2285. This is a bipartisan issue. Both Democrats and Republicans want patients to be treated fairly and to have a access to affordable drugs. This is not on an agenda yet but will be heard in the House Health and Human Service Committee in the future.