David K. Jones

A study of pre- and postsurgical transsexuals: MMPI characteristics.

This study examines assessment issues concerning transsexualism through the use of the Minnesota Multiphasic Personality Inventory (MMPI). The MMPI was administered to 20 transsexuals matched within sex on age and education: five presurgical male-to-females, five postsurgical male-to-females, five presurgical female-to-males, and five postsurgical female-to-males. Mean T scores for each of these four subsamples were examined in comparison to normative groups. Comparisons among the four subsamples showed significant differences in mean raw scores attributable to both sex and surgical status. The most striking of these comparisons indicated that postsurgical subjects had a higher level of psychological adjustment.

Preliminary results of Rorschach protocols of pre and post operative transsexuals.

Presented are initial descriptive results of two administrations of the Rorschach over a 5-year period to a group of 20 transsexuals. Of the 20, 10 were female to male and 10 were male to female. Five of the female to male transsexuals had during the 5-year period gone on for surgery, as had 5 of the female to males. Discussion focuses on the differences and similarities between pre- and post-operative groups as well as contrasting both groups with norms of the general population. Results suggest that there are no obvious differences between the transsexual group and norms for the general population.

To Extend or Not to Extend the Primary Care “Fee Bump” in Medicaid?

Policy makers and researchers are eager to learn the effects of the Patient Protection and Affordable Care Act of 2010 (ACA) and its many provisions, but to date, they have been frustrated by the dearth of robust evidence on the ACAs true impacts on important health care and patient outcomes (e.g., access to primary care services). The present limitations of evidence, often a consequence of delays and inconsistencies in the laws implementation, have begun to affect policy making in the ACAs wake. In this article, we consider the debates among state and federal policy makers about whether to extend the ACAs so-called fee bump provision, whereby Medicaid fees for primary care services were increased to 100 percent of Medicare levels during 2013 and 2014. We describe the difficulties state Medicaid programs have experienced in implementing the fee bump, as well as how the resulting evidence gap and the broader political context have shaped the deliberations. To conclude, we identify policy alternatives and other factors policy makers should consider when deciding whether to extend or reinstitute the fee bump in the coming years.

Rhetoric and Reform in Waiver States

Seven states have used Section 1115 waivers to expand Medicaid as part of the Affordable Care Act (ACA). While each state pursued a unique plan, there are similarities in the types of changes each state desired to make. Equally important to how a state modified their Medicaid programs is how a state talked about Medicaid and reform. We investigate whether the rhetoric that emerged in waiver states is unique, analyze whether the rhetoric is associated with particular waiver reforms, and consider the implications of our findings for the future of Medicaid policy making. We find that proponents in waiver states have convinced a conservative legislature that their reform is sufficiently innovative that they are not doing a Medicaid expansion, and not building on the traditional Medicaid program. Particularly striking is that none of these reforms are entirely new to the Medicaid program. While not new, the way in which waiver states have been allowed to implement many of the reforms is new and has become stricter. We find an emerging consensus utilized by conservative policy makers in framing the Medicaid expansion. Expansion efforts by conservative policy makers in other states have subsequently pushed this framing far to the right.

The Children's Cliff — Extending CHIP

In a rare bipartisan move, Congress has extended the Childrens Health Insurance Program, a vital safety-net program, for 2 years. But CHIP will go back up for a funding extension in 2017, and a new president and Congress will reconsider its fate.

The Fate of Health Care Reform — What to Expect in 2012

The fate of the Affordable Care Act depends on the outcome of four events in 2012: state legislative sessions, the Supreme Court ruling on the laws constitutionality, the application deadline for grants for establishing health insurance exchanges, and the elections.

A series of unfortunate events: implications of Republican efforts to repeal and replace the Affordable Care Act For older adults.

ABSTRACT This paper discusses Republican efforts to repeal the 2010 Patient Protection and Affordable Care Act (ACA) over President Trump’s first year in office (2017) and their impact on near-elderly Americans (50–64 years old). We describe how the ACA’s provisions for strengthening health care coverage were particularly advantageous for near-elderly Americans: The law shored up employer-sponsored health care, expanded Medicaid, and—most important—created conditions for a strong individual health insurance market. We then describe Republican efforts to undermine the ACA in the years immediately following its passage, followed by detailed discussion of Republican proposals to repeal and replace the ACA during 2017. We conclude by discussing factors informing the fate of Republican legislation in this area, the potential consequences of the legislation that ultimately passed, and the prospects for future attempts to repeal and replace the ACA through the legislative process.

Capping Medicaid Funding—Lessons From Puerto Rico

An editorial is presented which addresses the potential capping of U.S. Medicaid health insurance funding as of 2017, and it mentions the U.S. federal governments contribution to the Medicaid program in Puerto Rico. According to the article, 46 percent of the residents of Puerto Rico are enrolled in Medicaid or the Children’s Health Insurance Program (CHIP). The U.S. Patient Protection and Affordable Care Act and the American Health Care Act are assessed.

Beyond Obamacare: Life, Death, and Social Policy

The beyond obamacare life death and social policy that we provide for you will be ultimate to give preference. This reading book is your chosen book to accompany you when in your free time, in your lonely. This kind of book can help you to heal the lonely and get or add the inspirations to be more inoperative. Yeah, book as the widow of the world can be very inspiring manners. As here, this book is also created by an inspiring author that can make influences of you to do more.

Undermining the ACA through the executive branch and federalism: what the Trump administration’s approach to health reform means for older Americans

ABSTRACT The ACA has survived multiple existential threats in the legislative and judicial branches, including dozens of congressional attempts at repeal and two major Supreme Court cases. Even as it seems that the ACA is here to stay, what the law accomplishes is far from settled. The Trump administration is using executive powers to weaken the law, in many cases using the same powers that President Obama used to strengthen the effects of the reform. States have responded by seeking flexibility to pursue reforms, such as work requirements, that could not pass Congress and that were not allowed by the Obama administration. There is no indication that the ACA is imploding as President Trump has predicted and seems to desire, although these changes have a real and substantial impact on the lives of many Americans, including the near-elderly in unique ways.