logo
Metro Detroit advocate for sickle cell patients worry about potential Trump cuts

Metro Detroit advocate for sickle cell patients worry about potential Trump cuts

Yahoo16-05-2025

The Brief
Proposed cuts by the Trump Administration to medical assistance could hurt critical sickle cell patient care.
The CEO and medical director of the Sickle Cell Disease Association are working to prevent the cuts.
DETROIT (FOX 2) - A Metro Detroit doctor who is an advocate for the sickle cell community fears proposed cuts to Medicaid from the White House could potentially be deadly for those dealing with this disease.
Audrieana Tabb thought her baby was healthy until she got a call from the medical staff.
"She had the full sickle cell disease," she said.
Dig deeper
It's a blood disorder that can cause serious complications. Amara became so sick that two months later she was hospitalized. But when doctors learned Amara had sickle cell disease, Tabb said they immediately knew how to treat her, and everything started turning around.
The family has Medicaid, but some fear that proposed cuts by the Trump Administration to medical assistance could hurt critical patient care needed to survive.
What they're saying
The CEO and medical director of the Sickle Cell Disease Association of America Michigan Chapter, Dr. Wanda Whitten-Shurney, is working to prevent the cuts.
"The most important impact it's going to have is on sickle cell patient care," she said.
This disease is often so debilitating it prevents the patient and their caregiver from working, forcing them to rely on Medicaid.
"So if they don't have good insurance coverage, then what happens, they go to the ER, and they go to the inpatient setting—that's not good care and that's very expensive care, and what we're going to find is our warriors are going to be sicker and they're going to be literally dying because they can't get preventative care," Whitten-Shurney said.
These patients are called 'Warriors' because they fight every day to survive.
What's next
The proposed cuts could also reduce access to gene therapies and medical research. So the doctor and advocate went to DC.
"On May 7, we went to Hill Day and met with senators and representatives," Whitten-Shurney said. "Just to help them understand the real-life impact this is going to have."
But the sickle cell community in Michigan hopes a state lawmaker can help their mission.
"We're working with a champion, Amos O'Neil, who will introduce a bill that will codify the care that patients with sickle cell disease get who are on Medicaid, and it's so important that they get the appropriate care."
It's a matter of life or death.

Orange background

Try Our AI Features

Explore what Daily8 AI can do for you:

Comments

No comments yet...

Related Articles

46 State Medical Associations Urge Senate to Reject Medicaid Cuts in H.R. 1
46 State Medical Associations Urge Senate to Reject Medicaid Cuts in H.R. 1

Yahoo

time35 minutes ago

  • Yahoo

46 State Medical Associations Urge Senate to Reject Medicaid Cuts in H.R. 1

The House Budget Reconciliation bill will cause at least 7.8 million Medicaid enrollees to lose their health care coverage. SACRAMENTO, Calif., June 6, 2025 /PRNewswire/ -- Just days ahead of an expected Senate vote on H.R. 1, 46 state medical associations, as part of Physicians for Medicaid have sent a letter to the United States Senate urging them to reject the dangerous cuts to Medicaid proposed in H.R. 1 that will cause millions of patients to lose coverage and even more to lose access to care - children, pregnant women, seniors, veterans, the disabled and working families. Statewide hospital associations have also weighed in, as proposed cuts impact all providers, including physicians and hospitals. The bill, which includes $200 billion in cuts to the existing and longstanding provider taxes, would have a catastrophic effect on state budgets and the country's entire health care delivery system and would impact 49 state Medicaid programs. Provider taxes have been authorized under federal law, approved by both Republican and Democratic administrations, and affirmed by state legislatures in 49 states for decades. They are a legitimate financing mechanism used by states in partnership with the federal government to fund essential health services and have kept rural hospitals, maternity wards, nursing homes, and physician practices open. The bill also imposes damaging changes to federal student loan programs making it harder for students to pursue medical careers at a time of critical physician shortages. We urge the Senate to pursue more balanced solutions that expand the physician workforce and preserve Medicaid for our patients. "If these provider tax cuts are enacted, it will create significant gaps in State budgets, forcing states to raise taxes, or reduce benefits, coverage, and provider payments. These reductions will lead to even more crowding of emergency departments and as the uncompensated care burdens grow from patients losing coverage, many rural hospitals, nursing homes, and community physician practices will be forced to close to all patients," the letter says. There are three main provisions in H.R. 1 (as passed by the House of Representatives on May 22, 2025) that will drastically limit or eliminate existing provider taxes nationwide. These provisions below apply to all provider taxes, including hospitals, nursing homes, managed care organizations, and other provider categories. Moratorium on New or Increased Provider Taxes (SEC. 44132) – Under the provisions of H.R. 1, none of these taxes could be increased after the passage and enactment of the law nor can any new taxes be adopted by the state Legislatures (there are 19 categories of provider taxes). This provision would freeze taxes and not keep pace with increasing health care costs over time. It is also not equitable between states. Revising Payments for Certain State Directed Payments (SEC. 44133) – Once a provider tax is established, state Medicaid programs can fund supplemental or enhanced payments to providers using a variety of rate methodologies. Under H.R. 1, any future directed payments would be limited to the Medicare payment rate. Medicare physician payment rates are already 33% behind the costs to provide health care. These rates will not keep pace for public hospitals and physician specialists that care for the sickest patients nationwide. Requirements Regarding Waiver of Uniform Tax Requirement for Medicaid Provider Tax (SEC. 44134) – The language in H.R. 1 requires provider taxes in multiple states to uniformly tax hospitals, nursing homes, and managed care organizations within each category of provider tax. The uniformity requirement will be extremely difficult for most states to meet and therefore, it eliminates multiple provider taxes in many states. The HHS Secretary has discretion to allow for a transition period, which is not something upon which states can rely. "These provisions will destabilize state health systems, reduce access to care, and worsen physician shortages. Instead, we encourage you to protect Medicaid – a proven, cost-effective safety net that serves 80 million vulnerable Americans," the letter concluded. View original content to download multimedia: SOURCE California Medical Association; Physicians for Medicaid Sign in to access your portfolio

Republicans Like Health Savings Accounts
Republicans Like Health Savings Accounts

Forbes

time37 minutes ago

  • Forbes

Republicans Like Health Savings Accounts

Should the government allow HSAs to cover gym memberships? Health Savings Accounts (HSAs) are a popular and important way many people pay for medical expenses. They are also a great way to save—better, for example, than an IRA or a 401(k) plan. Because of various quirks in the law, HSAs are not available to a large number of people—including people on Medicaid or Medicare and most people who buy their own insurance in the (Obamacare) exchanges. Under the reconciliation bill just passed in the House of Representatives, more people will have access to these accounts and there will be new opportunities to use them. Currently, individuals and their employers can make tax-free deposits to HSAs, provided the individual is also covered by third-party health insurance with a high deductible. Money can accumulate and grow tax-free. After age 65, the money can be withdrawn for non-health expenses without penalty, but it is subject to normal income taxes. As of 2023, there were 37.4 million accounts with $46.4 billion in assets. Industry experts think the House bill will lead to an additional 20 million people with an HSA. Here is a summary of the hits and misses in the Republican bill, as it faces a vote by the Senate. The Good. By far the best feature of the bill is a provision making all bronze and catastrophic insurance plans offered through the (Obamacare) exchanges automatically eligible for an HSA account. This is likely the main reason why the number of HSA accounts is likely to soar. Another provision would allow the use of HSAs to pay monthly fees for direct primary care (DPC). This used to be called 'concierge care' and in the past it was available only to the rich. But the price has come way down. Atlas MD in Wichita, for example, charges $50 a month for a mother and $10 for a child. In return, the family has 24/7 access to a physician's practice that provides all primary care. Often, the family has the doctor's personal phone number. DPC has become increasingly popular, and employers often pay the monthly fee for their employees. Under current law, however, the employer cannot put funds in an HSA account, let the employee choose a DPC doctor and pay that doctor from the account. The House bill will create that opportunity. According to the Congressional Budget Office (CBO), the ten-year cost of all of the HSA changes combined is almost $44 billion. Yet the cost of the two best provisions is less than $6 billion. More on that below. The Questionable. The bill allows annual withdrawals of $500 (individuals) or $1,000 (couples) for gym memberships and other physical activities. (No sailing or golfing expenses, however.) The problem is that these are not medical expenses. If we are going to allow gym memberships, why not hundreds of other nonmedical expenses – including sailing and golfing? The CBO says the cost of this provision is $10 billion. The bill also doubles the annual HSA contribution that is allowable for individuals with incomes up to $75,000 and couples who earn up to $150,000. The problem here is that only about one in ten account holders are contributing the maximum allowable right now. At a cost of more than $8 billion this is an expensive change that will only affect a small part of the market. Instead of these questionable measures, the Senate should consider making all Obamacare silver plans (the most popular choice) automatically eligible for an HSA. Missed opportunities. While the House should be congratulated for making many desirable improvements in the HSA law, it unfortunately failed to correct a fundamental flaw: an inflexible across-the-board deductible. Common sense would suggest that different medical expenses need different deductibles. The biggest problem with chronic illness, for example, is noncompliance with a drug regimen. That is why some Medicare Advantage plans make maintenance drugs for chronic patients (such as insulin for diabetics) available for free or at very low cost. In the first Trump administration, an IRS ruling waived the deductible requirement for 14 specific services and medications that serve as treatments for such conditions as diabetes, asthma, heart disease, and depression. This was an executive branch decision to modify existing legislation, however. To make it permanent, Congress needs to codify it. Ideally, Congress should remove the deductible requirement altogether and let the role of deductibles be determined in the marketplace. One way to think about the combination of allowing gym memberships and failing to address the deductible issue is to see that the House risks being accused of creating benefits for the healthy while ignoring the sick. Another missed opportunity was the failure of House Republicans to give 80 million Medicaid enrollees access to what I will call a Roth HSA. Private companies managing Medicaid (or the state itself) should be able to make deposits to an account that would cover, say, all primary care. Enrollees could use the money for health care during an insurance year. Afterward, they could withdraw any unspent funds for any purpose. If there were no taxes or penalties on non-medical withdrawals, health care and non-health care would trade against each other on a level playing field under the tax law. People wouldn't spend a dollar on health care unless they got a dollar's worth of value. An early study by the RAND Corporation suggests that these accounts would reduce Medicaid spending by 30 percent. Aside from payments for the disabled and nursing home care, if Medicaid spending could be reduced by 30 percent, the savings would amount to almost $1 trillion over ten years. This saving would be shared by the beneficiaries and the taxpayers who fund Medicaid.

Local families head to DC to fight Medicaid cuts
Local families head to DC to fight Medicaid cuts

Yahoo

timean hour ago

  • Yahoo

Local families head to DC to fight Medicaid cuts

CLEVELAND (WJW) — As the battle over the proposed budget bill continues in the nation's capital, local families are preparing to go to Washington to meet directly with lawmakers to advocate for the preservation of Medicaid. The U.S. House of Representatives has already passed the sweeping budget bill that reportedly cuts $600 billion from Medicaid and would eventually reduce enrollment by millions. Missing 7-year-old paddleboarder found, and he only had one question New Franklin mother Wendy Wilson is planning to go to Washington with her daughter Mia, 14, representing University Hospitals Rainbow Babies & Children's Hospital. Since birth, Mia has had a critical heart defect called Ebstein's anomaly. Wendy said she wasn't able to be repaired, meaning her heart is not fixed. More than once she was at risk of dying. Although she does enjoy activities including boating, going to concerts and just having fun, Mia is on a daily routine that includes breathing treatments twice a day, feeding tubes and about 40 doses of medication every day. Her mother left her work when Mia was young so she could care for her. Her father has a good job with insurance, but Mia's condition keeps them from getting any other insurance. 'I haven't checked recently, but the last time I checked, it was around $5,000 a month for just her medicine,' said Wendy. That does not include all of the additional costs. They qualified for assistance through Medicaid through a state program that picks up a large portion of the cost. Without it, Wendy said they could be at risk of losing their home. Akron Children's Hospital will be represented in Akron by Stephanie Hill of Twinsburg and her 2-year-old daughter Amaiyah. At 17 months old, Amaiyah accidentally swallowed some baby oil while she was taking a bath. Although it did not immediately show signs of significantly impacting the toddler, within a short time, she started to experience breathing problems and was eventually admitted to Akron Children's Hospital where she spent 152 days. During that time, her condition became so serious that there was consideration of Amaiyah needing a double lung transplant. 'As we were waiting to hear back from her insurance, we got word that they denied it, but that very same day was the day she started getting better and better,' said Stephanie. In February, Amaiyah was released from the hospital. On Friday — having celebrated her second birthday just this week — she appeared to have suffered no ill effects from that episode. Without Medicaid, she may not have had access to the health care that helped her recover. Remains found in search for missing teen last seen at airport Chris Gessner, CEO of Akron Children's Hospital, said about 54% of the patients at his hospital are helped by Medicaid, which he believes is about the norm across the state. 'I think its been proven, evidence-based, that kids who have access to high quality health care services do much better long-term and and the Medicaid program is wonderful from a benefit perspective in terms of what it covers,' Gessner said. 'It would be a real problem for us. I mean, with over half of our business with Medicaid, we pay a lot of attention when they start talking about Medicaid cuts,' Gessner told FOX 8 News. 'From my perspective, we understand the need to balance the budget and be responsible with resources, but we really don't want to see that done by cutting into the future of our country — our kids' health,' he added. As the debate over Medicaid cuts continues in Washington, he hopes federal lawmakers understand how the program has a direct impact on the welfare of young lives. When discussing the budget bill, President Donald Trump has defended the need to make cuts to Medicaid. 'The only thing we are cutting is waste, fraud and abuse from Medicaid,' Trump said, discussing his 'big beautiful bill' on May 30. Among the lawmakers who the Hill family knows they will be speaking with directly is Ohio's Republican Sen. Jon Husted, who was appointed to fill the term of now Vice President J.D. Vance. FOX 8 News reached out to Husted's office on Wednesday and was sent a written statement which reads: 'We need to save Medicaid. And saving Medicaid means you have to make it financially sustainable. We want to make sure that children, people with disabilities and the people who are really in need have this program available to them. To do that, able-bodied, healthy Americans without dependents have to give back to their communities in return for the benefits they're getting. America has a $36 trillion national debt, so we have to be smart about finding savings in order to protect these programs.' Participating in a Democratic news conference about Medicaid on May 20, U.S. Rep. Shontel Brown of Cleveland said she will do everything within her power to preserve the program. 'In my state of Ohio, the state government has already said that if these cuts are enacted under state law, they would end the Affordable Care Act Medicaid expansion in our state, so what does that mean? It means 770,000 people will lose their health care. That's an entire congressional district in just one state. This is suffering on a massive scale and it's going to hurt people of all backgrounds,' said Brown. Sobriety checkpoints Friday: Here's where in Northeast Ohio Next week's trip to Washington, D.C., is sponsored by the Children's Hospital Association, an organization that represents 150 hospitals across the country. It is an annual trip the organization schedules each year, giving each member hospital the opportunity to nominate one family as their representative. Among the other things for which they are advocating is access to pediatric hospitals, which Gessner said is particularly concerning in many rural areas of the country. They will also be advocating for what they describe as the 'growing youth mental health crisis.' But for Medicaid, the Northeast Ohio families that are going hope they can show firsthand how important the program has been for them. 'We have good insurance and it's still just not enough. With the health care costs and the way the policies run, [Mia] can't get insurance anywhere else,' said Wilson. 'Mia's never gone without something that she needed, but I also realize that's not the case for everybody. 'Thank God we are in a position where we are surrounded by a community that literally has helped us pay for these things when we didn't have coverage — but not everybody is in that position.' Copyright 2025 Nexstar Media, Inc. All rights reserved. This material may not be published, broadcast, rewritten, or redistributed.

DOWNLOAD THE APP

Get Started Now: Download the App

Ready to dive into the world of global news and events? Download our app today from your preferred app store and start exploring.
app-storeplay-store