Community

Federal Judge Says Health Insurance Companies Don’t Have to Cover Preventive Care Services

In a big blow to health insurance in the U.S., a federal judge has ruled that insurers no longer have to pay for preventive care services like cancer and heart disease screenings. The ruling comes as a result of a lawsuit brought by a group of insurers who argued that the Affordable Care Act (ACA) exceeded its authority by requiring them to cover certain preventative care services without being able to charge co-payments or deductibles.

Published

1 month ago

April 20, 2023

Oakland Post

A federal judge’s ruling means insurers don’t have to cover preventive care for cancer and other illnesses/Rhoda Baer via Wikimedia commons

By Stacy M. Brown,
NNPA Newswire

In a big blow to health insurance in the U.S., a federal judge has ruled that insurers no longer have to pay for preventive care services like cancer and heart disease screenings.

The ruling comes as a result of a lawsuit brought by a group of insurers who argued that the Affordable Care Act (ACA) exceeded its authority by requiring them to cover certain preventative care services without being able to charge co-payments or deductibles.

The Affordable Care Act, or Obamacare, was signed into law in 2010 to make it easier for millions of Americans to get health insurance.

One of the law’s key provisions was the requirement that insurance companies cover certain preventative care services without cost-sharing, including immunizations, blood pressure screenings, and mammograms.

However, the recent ruling by U.S. District Judge Reed O’Connor of the Northern District of Texas has effectively invalidated this provision of the ACA.

In his ruling, Judge O’Connor wrote that the ACA’s requirement for insurers to cover preventative care services “exceeds the powers of Congress under the Commerce Clause” of the U.S. Constitution.

The ruling is likely to significantly affect health insurance in the U.S., especially for people who already have health problems like cancer or heart disease.

If insurance companies weren’t required to cover preventive care services, patients might be less likely to get the screenings and tests that could catch these health problems early.

Experts said this could lead to serious health problems and higher healthcare costs.

“The President is glad to see the Department of Justice is appealing the judge’s decision, which blocks a key provision of the Affordable Care Act that has ensured free access to preventive health care for 150 million Americans,” White House Press Secretary Karine Jean-Pierre stated.

“This case is yet another attack on the Affordable Care Act – which has been the law of the land for 13 years and survived three challenges before the Supreme Court.”

Jean-Pierre continued:

“Preventive care saves lives, saves families money, and protects and improves our health. Because of the ACA, millions of Americans have access to free cancer and heart disease screenings. This decision threatens to jeopardize critical care.

“The Administration will continue to fight to improve health care and make it more affordable for hard-working families, even in the face of attacks from special interests.”

Critics of the ruling include healthcare advocacy groups and politicians. They say it will make it more complicated and expensive for millions of Americans to get health insurance. In a statement, Dr. Patrice Harris, president of the American Medical Association, called the ruling “a clear step backward for our health system.”

“Preventative care is a cornerstone of good health,” Dr. Harris said. “It’s critical that patients have access to these services without cost-sharing to stay healthy and catch health problems early before they become more serious and more costly to treat.”

The ruling is also likely to face legal challenges in the coming months. Several states and healthcare advocacy groups have already said they will appeal the decision. They say that the Affordable Care Act’s (ACA) requirement that insurers cover preventive care services is a crucial part of the law’s goal to make more people eligible for health insurance.

In the meantime, patients and healthcare providers alike are left to grapple with the uncertain future of healthcare coverage in the U.S. Without the assurance of coverage for preventative care services, and patients may be forced to choose between paying out-of-pocket for these services or foregoing them altogether, potentially putting their health and well-being at risk.

“Once again, an extreme activist judge is taking a monumental swing at the Affordable Care Act, which has saved millions of lives and made Americans healthier for the last 13 years,” Congressional Black Caucus Chair Steven Horsford (D-Nevada) stated.

“The preventative care provisions in the law have ensured that, without concern for cost, Americans have been able to get screened for things like diabetes, breast cancer and heart disease.

“It also puts the brakes on critical preventative treatments like immunizations and PrEP for HIV.

“The impact of this ruling, especially on working Nevadans and communities of color, will result in the loss of lives, increased costs for treatment of preventable illnesses, and increased inequities in our already unbalanced health care system.”

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Activism

Community Opposes High Rise Development That Threatens Geoffrey’s Inner Circle

City Council chambers were full for the May 17 Planning Commission hearing, and almost all the 40 speakers who had signed up to make presentations talked about the importance of the Inner Circle as part of Oakland and Geoffrey Pete as a stalwart community and business leader who has served the city for decades.

Published

1 day ago

May 30, 2023

Oakland Post

Geoffrey Pete went to City Hall to appeal the city Planning Commission’s approval of the high-rise development that threatens the closure of his 44-year historic cultural mecca. Photo by Jonathan ‘Fitness’ Jones.

By Ken Epstein

An outpouring of community supporters – young, old, jazz lovers, environmentalists and committed Oakland partisans – spoke out at a recent Planning Commission hearing to support Geoffrey Pete and his cultural center – The Inner Circle – an historic Oakland landmark whose future is threatened by a proposed skyscraper that out-of-town-developer Tidewater Capital wants to build in the midst of the city’s Black Arts Movement and Business District (BAMBD).

The speakers argued passionately and persuasively, winning the sympathy of the commissioners, but were ultimately unsuccessful as the Commission unanimously approved the high-rise to be built either as a residential building or office tower on Franklin Street directly behind Geoffrey’s building.

Mr. Pete has said he would appeal the decision to the City Council. He has 10 days after the hearing to file an appeal on the office building. His appeal on the residential tower has already been submitted.

Mr. Pete said the Planning Department still has not published the boundaries of the BAMBD. “Tidewater’s applications and subsequent applications should not be approved until the Planning Department fully acknowledges the existence of the BAMBD,” he said.

“This (proposed) building poses a grave danger to the historic (Inner Circle) building next to it, arguably Oakland’s most meaningful historic building,” Pete said.

“We’re here to advocate for what’s best for the African American district and community that has gotten no representation, no advocacy, as of yet,” he said. “The (commission) is guilty, the City of Oakland is guilty, and Tidewater is guilty.”

One of the first speakers was Gwendolyn Traylor, known as Lady SunRise, who directly addressed the developers.

“With all due to respect to your business, it’s not a need of this community. I would like to ask you to reconsider the location …What is being (promised) here does not add to the healing of this community,” she said.

Naomi Schiff of the Oakland Heritage Alliance emphasized that Geoffrey’s Inner Circle is a treasure of Oakland’s history.

“Our first concern is the integrity of the historic district, in particular the former Athenian-Nile Club, now Mr. Pete’s equally historic venue, which has been the location of a great number of important community events,” she said. “It would not be OK with us if the integrity of the building were damaged in any way, no matter how much insurance (the developer bought) because it is very difficult to repair a historic building once it’s damaged.”

The Inner Circle was previously owned and operated by the Athenian-Nile Club, one of the Bay Area’s largest all-white-male exclusive private membership club, where politicians and power brokers closed back-room deals over handshakes and three martini lunches.

Cephus “Uncle Bobby X” Johnson pointed out that commissioners and the city’s Planning Department have “acknowledged that you went through the entire design review process without even knowing that the Black Arts Movement and Business District existed.”

The district was created in 2016 by City Council resolution. “At the heart of the opposition to this building is the desire to further the legacy of local Black entertainment and entrepreneurship exemplified by businesses like Mr. Pete’s … a historical landmark and venue (that serves) thousands of people who listen to jazz and other entertainment and hold weddings, receptions, and memorial services,” said Uncle Bobby.

This development is taking place within a context in which the “Black population in Oakland has decreased rapidly … because of the city’s concentration on building houses that are not affordable for people who currently live in Oakland,” he said.

John Dalrymple of East Bay Residents for Responsible Development said, “This project will result in significant air quality, public health, noise, and traffic impacts. He said the city has not adequately studied the (unmitigated) impacts of this project on the Black Arts Movement and Business District.

“This project is an example of what developers are being allowed to do when they don’t have to follow the law, and they don’t have to be sensitive to our city’s culture and values,” he said. The commission should “send a signal today that we will no longer be a feeding ground for the rich.”

Prominent Oakland businessman Ray Bobbitt told commissioners, “Any decision that you make is a contribution to the systemic process that creates a disproportionate impact on Black people. Please do yourself a favor, (and) rethink this scenario. Give Mr. Pete, who is a leader in our community, an opportunity to set the framework before you make any decision.”

Though the City Council created the BAMBD, the 2016 resolution was never implemented. The district was created to “highlight, celebrate, preserve and support the contributions of Oakland’s Black artists and business owners and the corridor as a place central historically and currently to Oakland’s Black artists and Black-owned businesses.”

The district was intended to promote Black arts, political movements, enterprises, and culture in the area, and to bring in resources through grants and other funding.

Activism

Community Meeting on Crime and Violence

Join Oakland City Councilmember Dan Kalb to discuss the uptick in crime and violence in District 1 and across Oakland. Representatives from the Oakland Police Department will be in attendance. This event will be held in-person and online.

Published

1 day ago

May 29, 2023

Oakland Post

Oakland City Councilmember Dan Kalb

Tuesday, May 30, 2023
6:30 p.m. – 8 p.m.

Oakland Technical H.S. Auditorium
300-340 42^nd St.
Oakland, CA 94611

For more information, contact District 1 Chief of Staff Seth Steward: ssteward@oaklandca.gov, 510-238-7013.

Bay Area

UniverSoul Circus Opens in Richmond

Described by show organizers as a highly interactive combination of circus arts and theatre that spans musical genres, UniverSoul Circus will feature flipping motorcycles, stilt dancers, Fire Limbo Benders, ancestral carnival characters, clowns, flamboyantly costumed dancers and more “in a celebration of energy.”

Published

1 day ago

May 29, 2023

Oakland Post

Clowns who perform with UniverSoul Circus. Photo courtesy UniverSoul Circus.

By Kathy Chouteau | The Richmond Standard

UniverSoul Circus kicked off its Bay Area run under the Big Top at Hilltop Mall last week with the performances continuing during various times through Sun., June 19.

The UniverSoul Circus is a single ring circus, established in 1994 by Cedric Walker and Calvin “Casual Cal” Dupree, an African American man who had a vision of creating a circus with a large percentage of people of color performing. He began searching for people from all around the world with incredible talents. Richmond police Chief Bisa French and City Manager Shasa Curl were set to be guest ringmasters for the opening night show.

“Get ready to be amazed and frightened at the terrifying, gravity- defying acrobats on the Wheel of Death or the bold, breathtaking daredevils on the High Wire,” said UniverSoul Circus in a statement about the show.

This season’s theme is, ‘We All Belong,’ according Walker, the circus founder and CEO. “We all belong to one human race. Everyone is coming together, different cultures, different people, a new transcultural fusion, a new generation inclusive and together in a UniverSoul Experience!”

Venue:
Hilltop Mall
2200 Hilltop Mall Rd, Richmond, CA 94806

Showtimes:
Thurs-Fri: 7:00 p.m.
Sat: 11:30 a.m., 3:30 p.m., 7:30 p.m.
Sun: 11:00 a.m., 2:30 p.m., 6:30 p.m.

Box Office Hours:
Tues: 11:00 a.m. – 6:00 p.m.
Wed-Fri: 11:00 a.m. – 8:00 p.m.
Sat: 9:00 a.m. – 8:30 p.m.
Sun: 9:00 a.m. – 7:30 p.m.
Mon: 10:00 a.m. – 5:00 p.m. (Memorial Day)

Tickets range from $27.50 to $60 depending on your seat and you can purchase them on Ticketmaster. Visit www.universoulcircus.com for more info.