Higgins Offers Thoughts on 2012 Congressional Agenda

As Americans prepare to tune into tomorrow’s State of the Union Address, many are wondering what’s in store for 2012 in Washington, DC.  Prior to the speech, Western New York Congressman Brian Higgins (NY-27) outlined some of the actions he would like to see addressed in the year ahead:

Infrastructure

For the last decade we have spent billions rebuilding places like Iraq and Afghanistan.  Now is the perfect time to create jobs by making large scale investments in American infrastructure.  A New America Foundation report, the “The Way Forward”, makes the case that investing $1.2 trillion over five years in rebuilding our infrastructure will create 27 million jobs.  That is more than the 22 million jobs created in the 1990’s which raised so much revenue that our federal budget reached a record surplus.  In 2012 we should focus on nation building here at home.

Healthcare

We must refocus our national commitment to developing research toward the goal fighting serious diseases like cancer and Alzheimer’s.   The only failure in medical research is when we quit, or when we are forced to quit because of lack of funding.  In 2012 we should honor the pledge so many Members of Congress made to give the medical community the resources they need to conduct groundbreaking cancer research.  Working toward promising treatments and cures not only saves precious lives but it saves money.

 Made in America

Americans used to make things and sell them to the world and now is the time to regain our competitive edge.  Approval of China Currency reform legislation would serve as a critical step in the creation of local jobs and provide a level playing field for American business.

 Research & Development

The United States has long been a leader in innovation.  We should be rebuilding our standing in the competitive global marketplace by educating the next generation of innovators through affordable education as well as encouraging innovative discovery at U.S. businesses.  This year we shouldsimplify, extend and enhance tax incentives for research and development into the next generation of technological breakthroughs.

Worker Training

We should revamp and make a substantial commitment to our worker training programs to ensure that no American manufacturer chooses to send work overseas for want of highly trained workers.

Energy

Our country’s dependence on foreign oil is not just an environmental issue; it is an economic issue and a matter of homeland security.  The rising cost of gasoline is a challenge for already economically strapped consumers and small business.  These challenges will only increase unless and until we take a serious approach to the development of alternative energy.

Cooperation for Our Country

Western New Yorkers know that good things don’t always come easy; it takes hard work.  Congress must recognize that our nation’s future is not partisan issue.  The manufactured crises and brinksmanship of the last year did real damage to the American economy.  We cannot allow that to occur again.  Our Representatives may never reach a finish line if they can’t even cross an aisle.  Most important to our national agenda is a sincere bipartisan effort to build a stronger America.

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Extreme new Trump admin rules threaten to shutter even more hospitals



A pair of extreme new Trump administration rules aimed at functionally banning gender-affirming healthcare for transgender youth could force even more hospitals to close down.

NPR reported Thursday that the Department of Health and Human Services (HHS) drafted a proposed rule that would prohibit federal Medicaid reimbursement for medical care provided to transgender patients younger than 18 and prohibit the same from the Children’s Health Insurance Program (CHIP) for patients under 19.

Another proposed rule goes even further, blocking all Medicaid and Medicare funding to hospitals that provide gender-affirming care to youth.

As Erin Reed, an independent journalist who reports on LGBTQ+ rights, explained, this “would effectively eliminate access to such care nationwide, except at the few private clinics able to forgo Medicaid entirely, a rarity in transgender youth medicine.”

The policies are of a piece with the Trump administration and the broader Republican Party’s efforts to eliminate transgender healthcare for youth across the country.

Bans on gender-affirming care for those under 18 have already been passed in 27 states, despite evidence that early access to treatments like puberty blockers and hormones can save lives.

As Reed pointed out, a Cornell University review of more than 51 studies shows that access to such care dramatically reduces the risk of suicide and the rates of anxiety and depression among transgender adolescents.

The new HHS rules are being prepared for public release in November and would not be finalized for several more months.

But if passed, the ramifications could extend far beyond transgender people, impacting the entire healthcare system, for which federal funding from Medicare and Medicaid is a load-bearing piece. According to a report last year from the American Hospital Association, 96% of hospitals in the US have more than half their inpatient days paid for by Medicare and Medicaid.

It is already becoming apparent what happens when even some of that funding is taken away. As a result of the massive GOP budget law passed in July, an estimated $1 trillion is expected to be cut from Medicaid over the next decade. According to an analysis released Thursday by Protect Our Care, which maintains a Hospital Crisis Watch database, more than 500 healthcare providers across the country are already at risk of shutting down due to the budget cuts.

Tyler Hack, the executive director of the Christopher Street Project, a transgender rights organization, said that the newly proposed HHS rule would be “forcing hospitals to choose between providing lifesaving care for trans people or maintaining the ability to serve patients through Medicare and Medicaid.”

“Today’s news marks a dangerous overreach by the executive branch, pitting trans people, low-income families, disabled people, and seniors against each other and making hospitals choose which vulnerable populations to serve,” Hack said. “If these rules become law, it will kill people.”

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