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"Not necessarily what this will mean for the delivery of care, but for jobs and for job growth in the healthcare sector," says Dr. Skinner. "For hiring new doctors."
If congress leads us off that cliff, it could be the place just around the corner that's affected. Health centers could see major cuts in federal funding.
"Everyone's paying attention," says CEO of Columbus Neighbor Health Centers Tom Horan. "We'll see what happens in the next few weeks."
There's 5 centers in the city and 2 more on the way. If we fall off the cliff, the centers see funding cuts.
"We may lose a position," says Horan. "We may lose a nurse practitioner. We may not be able to fill a position that's currently vacant."
"We rely on federal dollars, state dollars, local dollars to be able to function," says Medical Director Dr. Jeffrey Marable.
Dr. Marable says they have enough to worry about with implementation of the Affordable Healthcare Act. Now it's the fiscal cliff. Whatever happens, this should be about solutions.
"The real question is how do we create a healthcare system that becomes more efficient?" says Dr. Skinner.
Good question. There are many answers, but we've narrowed it down to a few key points on reducing healthcare spending. Cut down on all the unnecessary testing, reward healthcare institutions for their results rather than the amount of care they provide, and empower patients with full knowledge of their options. Do this, and they tend to choose the least costly. 2 other key solutions: reduce Medicare fraud and move from sick care to preventative care models. As for the potential cuts:
"By definition Medicaid is not part of the current negotiations," says Dr. Skinner.
Though some fear that may change once a flurry of cuts is unleashed. Another worry is military healthcare once defense spending is slashed. As the nation nears the cliff, the message to Congress is clear:
"Get your act together and let's get this figured out," says Horan.
"People want Congress to be able to handle their business and come to some sort of consensus," says Marable.
Which may happen, because the thing about the fiscal cliff:
"Most people who look at it from a political perspective know it's not going to happen," says Dr. Skinner. "Because the political stakes are too high."
Tuesday, December 11 2012, 09:57 PM CST
Afghan pilots learn air assault tactics from 101st
May 19, 2013 16:48 GMT
By KRISTIN M. HALL Associated Press
BAGRAM AIR FIELD, Afghanistan (AP) -- With Afghan troops increasingly leading combat operations on the ground, the Afghan Air Force's fledgling helicopter fleet based in Kabul has learned new techniques to support them from the air.
The U.S. Army's 101st Combat Aviation Brigade started a new training program at Bagram Air Field for Afghan helicopter pilots to learn how to perform air assault missions, which they have started to use in combat operations.
101st Combat Aviation Brigade Commander Col. Paul Bontrager said the Afghans need to be weaned off American aviation during the drawdown of U.S. forces this year.
The ability of Afghan helicopters to quickly drop soldiers into combat is a new and critical role.
Gauge of US economy's future health up in April
WASHINGTON (AP) -- A measure of the U.S. economy's future health rose in solidly in April, buoyed by a sharp rise in applications to build new homes and apartments.
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Dow Record: Three tales of ups, downs and changes
AP Photo FX102, FX103
Eds: With BC-US--Dow Record. Adds photos.
By SCOTT MAYEROWITZ
AP Business Writer
NEW YORK (AP) -- When the Dow first crossed 14,000, investors were overjoyed. ...
IN THE NEWS: LABOR GROUP SAYS CONDITIONS AT APPLE PLANTS IMPROVING
WASHINGTON (AP) -- A labor group Apple joined to assess working conditions at three manufacturing plants in China, where its products are made, says conditions are getting better.
ON THIN ICE?
ANCHORAGE, Alaska (AP) -- He was already on thin ice with the law when he failed to meet the conditions of his probation.