WASHINGTON -- Sen. Chuck Grassley of Iowa today questioned whether the federal agency in charge of implementing the Affordable Care Act appreciates the consequences of whether health care plans participating in the program are subject to key anti-fraud protections.

"I'm alarmed that the Obama administration doesn't understand the capacity for fraud in the new health care program," Grassley said.  "The head of the agency in charge doesn't seem to appreciate that the billions of dollars in subsidies for individuals going to health insurers to join Obamacare are federal tax dollars.  Those dollars should be subject to anti-fraud laws.  Why wouldn't they be?"

At a Finance Committee hearing today, Grassley asked Health and Human Services Secretary Kathleen Sebelius to explain her letter to a House member that qualified health plans and other programs related to the federally facilitated marketplace and other programs under the Affordable Care Act are not considered federal health care programs.  Grassley questioned whether that would mean Obamacare programs are not subject to federal anti-kickback statutes and the federal False Claims Act, one of the government's most effective tools against fraud, especially health care fraud in recent years.

Sebelius argued that the federal exchanges offer plans from private insurers that should not be subject to anti-fraud protections designed for taxpayer-funded federal programs.   After Grassley pointed out that Medicare Advantage also offers plans from private insurers and is subject to those anti-fraud provisions, Sebelius argued that the exchanges were different from Medicare Advantage because of the direct payments from the government to the insurers.  However, after the hearing, Grassley questioned whether Medicare Advantage and Obamacare should be treated differently for federal anti-fraud protections, since both involve direct payments from the government to private health care plans.

Adding to the confusion, the department put out guidance this week saying it "has broad authority to regulate the Federal and State Marketplaces" and "discourages" providers from giving premium support and other help to enrollees.  The guidance is available here.

"I intend to do everything I can to get to the bottom of whether the federal agency in charge of Obamacare will apply every available anti-fraud protection to this program," Grassley said.

Grassley is the Senate author of the 1986 whistleblower amendments strengthening the federal False Claims Act, making it more effective than ever in exposing fraud against the government.

-30-
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Jerusalem 3D Premier and a one-time chance to meet Director, Writer and Producer
Daniel Ferguson
TOMORROW - November 7
5:30 p.m. & 7:30 p.m.
with a Q & A with Daniel after each show.

November 14 & 16
6p.m. & 8p.m.
Click here for more information




Cub Scout Event:
Science Everywhere
Friday, November 15
6:00-9:00 pm





Classic Film Series:
Ben Hur
Tuesday, November 19
1 p.m. & 7 p.m. 

 

 

 

 

 

Members - Mark your calendars!

Museum Store Open House

Thursday, November 21

5 p.m. - 8 p.m.

Receive 25% OFF regularly-priced merchandise!

Refreshments will be served.

Click here for more information

Amana - Tru, a dramatic comedy about the life of famed author Truman Capote by Jay Presson Allen, opens on The Old Creamery Theatre's Studio Stage Dec. 5.

Truman Capote, or Tru to his friends, was a flamboyant writer who stood out from the crowd. His ability to weave truth with fiction led to some of his greatest works such as "Breakfast at Tiffany's" and "In Cold Blood." This play gives a glimpse of the man behind the pen, the socially elite and at times outcast Tru, whose impact on literature still runs deep.

Featuring Jeff Haffner of Cleveland, Ohio, Tru is directed by Jackie McCall of Marengo and runs through Dec. 22 on The Old Creamery's Studio Stage in Middle Amana. Tickets are $27.50 for adults and $18 for students. Tru is sponsored by The Gethmann Organizations with KMRY as the media sponsor and is rated Theatre R.

Call the box office for tickets and information 319-622-6262 or visit us online at www.oldcreamery.com.

The Old Creamery Theatre is a not-for-profit professional theatre founded in 1971 in Garrison, Iowa. The Company is celebrating 42 years of bringing live, professional theatre to the people of Iowa and the Midwest.

Honor Recognizes Governor's Advocacy for Ensuring All Residents Have the Option of Community Living

CHICAGO - Governor Pat Quinn today was presented with the Outstanding Advocate Award from the Illinois Council on Developmental Disabilities (ICDD) for his work to offer people with intellectual and developmental disabilities the opportunity to live in their community of choice. Since taking office, Governor Quinn has worked tirelessly for people with developmental disabilities by investing in community care and signing legislation that breaks down barriers to increase opportunities for employment. This legislation was first introduced by the Governor in his 2013 State of the State Address.

"Everyone deserves the opportunity to chase their own dreams and reach their full potential," Governor Quinn said. "We are making Illinois a better place to live for all people as we continue our mission of creating more choices and improving care for people with disabilities."

Governor Quinn has been recognized both nationally and locally as a champion for people with disabilities. Two years ago, the Governor launched his Rebalancing Initiative to improve the state's system of caring for those with disabilities and mental health challenges. The initiative has successfully moved hundreds of people with disabilities out of institutions and into community-based care.

"We are very appreciative of the leadership Governor Quinn has shown in the Rebalancing Initiative," Executive Director of the Illinois Council on Developmental Disabilities Sheila Romano said. "More than 500 people with developmental disabilities applaud the Governor's advocacy."

The Arc of the United States recently named Governor Quinn the Advocacy Matters! Award recipient for 2013, which is The Arc's most prestigious, national honor. The award is presented annually to proven leaders who advocate and protect the civil and human rights of people with disabilities and increase resources, services and supports that promote their full inclusion and participation in the community. In July, the Governor signed the "Employment First Act," a new law which requires Illinois state agencies to work together to make employment for people with disabilities a priority.

The Illinois Council on Developmental Disabilities (ICDD) summit for people with developmental disabilities promotes self-confidence and enhances skills enabling participants to become more self sufficient. The Arc of Illinois represents more than 220,000 people with disabilities and their families and is committed to empowering persons with disabilities to achieve full participation in community life through informed choices. In 2012 Governor Quinn received The Arc of Illinois 2012 President's Award for his leadership to improve life for people with developmental disabilities by rebalancing Illinois' approach to providing care.

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WASHINGTON, DC - In an effort to protect taxpayers, hold corporate wrongdoers accountable, and deter future fraud and abuse, U.S. Senators Jack Reed (D-RI) and Chuck Grassley (R-IA) are introducing legislation to rescind tax write-offs for illegal corporate behavior.  The bipartisan Government Settlement Transparency & Reform Act would close a loophole that has allowed some corporations to reap tax benefits from payments made at government direction stemming from settling misdeeds.

Corporations accused of illegal activity routinely settle legal disputes with the government out of court because it allows both the company and the government to avoid the time, expense, and uncertainty of going to trial.

Federal law prohibits companies from deducting public fines and penalties from their taxable income.  But under current law, offending companies may often write off any portion of a settlement that is not paid directly to the government as a penalty or fine for violation of the law.  This allows some companies to lower their tax bill by claiming settlement payments to non-federal entities as tax deductible business expenses.

The Reed-Grassley bill would require the government and the settling party to reach pre-filing agreements on how the settlement payments should be treated for tax purposes.  The bill clarifies the rules about what settlement payments are punitive and therefore non-deductible and increases transparency by requiring the government to file a return at the time of settlement to accurately reflect the tax treatment of the amounts  that will be paid by the offending party.

"A penalty is supposed to deter others because it causes pain to a company's bottom line.  If a company is paying thousands, millions, or even billions in fines, it shouldn't save money for those same misdeeds, it should be held accountable.  The law needs to change to ensure the punishment fits the crime.  Congress needs to close this settlement loophole," said Reed.

"A penalty should be meaningful or it won't have the deterrent effect it's supposed to have," Grassley said.  "This issue comes up regularly, and this bill would make deductibility clear going forward."

Summary: The Government Settlement Transparency & Reform Act (S. 1654)

Closes tax loophole that allows tax write-offs for corporate violations.

The bill would amend the tax code to deny tax deductions for certain fines, penalties, and other amounts related to a violation or investigation or inquiry into the potential violation of any law.

It amends subsection (f) of Section 162 of the Internal Revenue Code.  Amounts paid by corporations, which constitute restitution for damage caused by the violation of any law are exempted and remain deductible.  This section requires that nongovernmental entities which exercise self-regulatory powers be treated as government entities for purposes of disallowing deductions under this section. The bill requires the government to stipulate the tax treatment of the settlement agreement.

-end-
NOVEMBER 6, 2013

The public is invited to join the Muscatine Art Center as they host Humanities Iowa speaker Professor Roy R. Behrens as he presents a 45 minute presentation on the artistic legacy of Regionalist artist Grant Wood. This presentation is to take place Sunday, November 17 from 2:00 to 3:00 PM in the Muscatine Art Center's Music Room. Admission to this program is FREE.

Grant Wood's most famous painting, "American Gothic", has been described as equivalent to Leonardo da Vinci's portrait of the "Mona Lisa". The attention given to that single work, however justified, too often prevents us from focusing on Wood's other accomplishments. How was he trained as an artist? What influenced him? Who in turn did he influence? What did he really achieve in life? This presentation is a visual and verbal analysis of Wood's artistic legacy, illustrated by dozens of examples of his drawings, prints, paintings and other artworks, including those less widely known. Among the highlights are rare historic photographs of Wood, his students, and his Regionalist contemporaries, accompanied by eyewitness stories about his creative process, his methods, his failings, his sense of humor, and the growth of his basic beliefs about art.

Roy R. Behrens is Professor of Art and Distinguished Scholar at the University of Northern Iowa. He has taught graphic design history for more than 35 years at art schools and universities throughout the U.S. An editor, author and designer, he has appeared in interviews on PBS, BBC, BBC Radio, and IPTV. He is described by Communication Arts magazine as "one of the most original thinkers in design," and was a nominee for the Smithsonian Institution's National Design Awards in 2003.

This program is funded by Humanities Iowa, a private, non-profit state affiliate of the National Endowment for the Humanities. A cultural resource for Iowans since 1971, Humanities Iowa brings humanities programs into the heart of Iowa communities.

The humanities are fields of study that help us to discover and remember who we are and how we came to be, as individuals and as part of the world. Humanities Iowa offers funding for this Speakers Bureau event and for grants in support of public programs to non-profit organizations in the state of Iowa.

NOTICE! Posting an opinion on this site DOES NOT constitute publication of the opinion. The opinions posted on this site are subject to modification or correction by the court. Opinions on this site are not to be considered final until the time for rehearing or further review has passed. The court of appeals publishes only a limited number of final opinions. An unpublished opinion of the Iowa appellate courts may be cited in a brief; however, unpublished opinions shall not constitute controlling legal authority. The official published opinions of the Iowa Court of Appeals are those published in the North Western Reporter published by West Group.

Opinions released before April 2006 and available in the archives are posted in Word format. Opinions released after April 2006 are posted to the website in PDF (Portable Document Format).   Note: To open a PDF you must have the free Acrobat Reader installed. PDF format preserves the original appearance of a document without requiring you to possess the software that created that document. For more information about PDF read: Using the Adobe Reader.

For your convenience, the Judicial Branch offers a free e-mail notification service for Supreme Court opinions, Court of Appeals opinions, press releases and orders. To subscribe, click here.

NOTE: Copies of these opinions may be obtained from the Clerk of the Supreme Court, Judicial Branch Building, 1111 East Court Avenue, Des Moines, IA 50319, for a fee of fifty cents per page.

Summaries of most recent opinions.

No. 3-574 / 12-0919

NICOLE LARA SHUMATE, Plaintiff-Appellant, vs. DRAKE UNIVERSITY a/k/a DRAKE UNIVERSITY LAW SCHOOL, Defendant-Appellee.

No. 3-578 / 12-1619

STATE OF IOWA, Plaintiff-Appellee, vs. JUSTIN ROBERT JENTZ, Defendant-Appellant.

No. 3-671 / 12-1527

HOUSEHOLD FINANCE INDUSTRIAL LOAN COMPANY OF IOWA, Plaintiff-Appellee, vs. JUDY LYNN RASMUS, a/k/a JUDY LYNN DREES, DOUGLAS F. DREES, SR., and PARTIES IN POSSESSION, Defendants-Appellants. JUDY LYNN RASMUS a/k/a JUDY LYNN DREES and DOUGLAS F. DREES, SR., Counterclaimant, vs. HOUSEHOLD FINANCE INDUSTRIAL LOAN COMPANY OF IOWA, Third-Party Defendant.

No. 3-688 / 12-2310

IN THE INTEREST OF A.J.M., Minor Child, STATE OF IOWA, Appellant.

No. 3-769 / 13-0033

STATE OF IOWA, Plaintiff-Appellee, vs. MICHAEL DAVID ROHM, Defendant-Appellant.

No. 3-779 / 13-0155

IN RE THE MARRIAGE OF TROY SCOTT JOHNSON AND KRISTY LYNN JOHNSON Upon the Petition of TROY SCOTT JOHNSON, Petitioner-Appellant, And Concerning KRISTY LYNN JOHNSON, Respondent-Appellee.

No. 3-788 / 12-1282

MARK FOSTER, Applicant-Appellant, vs. STATE OF IOWA, Respondent-Appellee.

No. 3-789 / 12-1293

HARLAN MOTT, Applicant-Appellant, vs. STATE OF IOWA, Respondent-Appellee.

No. 3-790 / 12-1666

RICHARD ARTHUR PUNDT, Plaintiff-Appellee, vs. THE GAZETTE COMPANY, GAZETTE COMMUNICATIONS, INC., and TRISH MEHAFFEY, Defendants-Appellants.

No. 3-799 / 12-2087

CENTER FRESH EGG FARM, L.L.P., B.E.K. POULTRY, L.L.C., and DOOYEMA & SONS, INC., Plaintiffs-Appellants/Counterclaim Defendants. vs. NATURAL FERTILIZER COMPANY, Defendant-Appellee/Counterclaim Plaintiff. NATURAL FERTILIZER COMPANY and HULL COOPERTAIVE ASSOCIATION, Plaintiffs-Appellees, vs. SIOUX COUNTY EGG FARM, LLP, f/k/a WE 3 EGGS, LLC. Defendant-Appellant.

No. 3-802 / 12-2268

STATE OF IOWA, Plaintiff-Appellee, vs. FRANCISCO JAVIER GARCIA, Defendant-Appellant.

No. 3-810 / 13-1045

IN THE INTEREST OF A.C., Minor Child, C.C., Father, Appellant.

No. 3-825 / 12-1499

JAMES SLECHTA, Plaintiff-Appellee, vs. RICHARD JEWETT and NANCY JEWETT, Defendants-Appellants.

No. 3-828 / 12-1695

STATE OF IOWA, Plaintiff-Appellee, vs. BELINDA ANN CLARK, Defendant-Appellant.

No. 3-836 / 12-2249

IN RE THE MARRIAGE OF PAULA J. BURKE AND MICHAEL V. BURKE Upon the Petition of PAULA J. BURKE, Petitioner-Appellee, And Concerning MICHAEL V. BURKE, Respondent-Appellant.

No. 3-838 / 13-0226

STATE OF IOWA, Plaintiff-Appellee, vs. RICHARD DOUGLAS CLARK, Defendant-Appellant.

No. 3-839 / 13-0260

IN RE THE MARRIAGE OF LINDA SUE FOEGEN AND MARK C. FOEGEN Upon the Petition of LINDA SUE FOEGEN, Petitioner-Appellee/Cross-Appellant, And Concerning MARK C. FOEGEN, Respondent-Appellant/Cross-Appellee.

No. 3-840 / 13-0285

NATASHA L. ELICK, Individually, and TODD C. ELICK, Individually, and as Next Friend of TRISTAN ELICK and CALEB ELICK, Minors, Plaintiffs-Appellees, vs. JERRY A. GARRETT and ENVIRONMENTAL SERVICES, INC., Defendants-Appellants.

No. 3-862 / 12-1744

STATE OF IOWA, Plaintiff-Appellee, vs. CORY CURTIS FYLER, Defendant-Appellant.

No. 3-864 / 12-1936

IN RE THE MARRIAGE OF JOSHUA DAVID BAKK AND ELIZABETH ANN BAKK Upon the Petition of JOSHUA DAVID BAKK, Petitioner-Appellant/Cross-Appellee, And Concerning ELIZABETH ANN BAKK, n/k/a ELIZABETH ANN JOHNSON, Respondent-Appellee/Cross-Appellant.

No. 3-865 / 12-1955

MINNESOTA LAWYERS MUTUAL INSURANCE COMPANY, Plaintiff-Appellee, vs. BEECHER, FIELD, WALKER, MORRIS, HOFFMAN & JOHNSON, P.C., Defendant-Appellant.

No. 3-868 / 13-0070

IN RE THE MARRIAGE OF ERIC SCHULTZ AND AUBREY SCHULTZ Upon the Petition of ERIC SCHULTZ, Petitioner-Appellant, And Concerning AUBREY SCHULTZ, Respondent-Appellee.

No. 3-875 / 13-0622

IN THE INTEREST OF G.K., Minor Child, G.K., Minor Child, Appellant.

No. 3-885 / 12-0399

STANLEY CARTER LIGGINS, Applicant-Appellant, vs. STATE OF IOWA, Respondent-Appellee.

No. 3-889 / 12-1251

STATE OF IOWA, Plaintiff-Appellee, vs. THOMAS ANTHONY DUGAN, Defendant-Appellant.

No. 3-894 / 12-1900

STATE OF IOWA, Plaintiff-Appellee, vs. WILLIE DEXTER KIMBROUGH, Defendant-Appellant.

No. 3-900 / 12-2280

STATE OF IOWA, Respondent-Appellee, vs. SONNY W. OXFORD, Applicant-Appellant.

No. 3-901 / 13-0015

RESIDENTIAL AND AGRICULTURAL ADVISORY COMMITTEE, LLC, an Iowa Limited Liability Company, MATT MESCHER, ALLAN R. DEMMER, CATHERINE DEMMER, WAYNE AMESKAMP, SHARON AMESKAMP, VERNON BOGE, DONALD BOGE, MARY ANN RUBLY, JOHN R. RUBLY, STEVE HOEGER, DOLORES THIER, LARRY THIER, GARY BURKLE, CINDY BURKLE, WAYNE VORWALD, LINDA VORWALD, JEFF PAPE, GERALD WOLF, JOANNE WOLF, LORRAINE M. BURKLE, and BERNARD R. BURKLE, Plaintiffs-Appellants, vs. DYERSVILLE CITY COUNCIL, MAYOR JAMES A. HEAVENS, MIKE ENGLISH, MARK BREITBACH, ROBERT PLATZ, MOLLY EVERS, and DAN WILLENBORG, Defendants-Appellees.

No. 3-903 / 13-0051

STATE OF IOWA, Plaintiff-Appellee, vs. SAUNDERS E. PIKE, Defendant-Appellant.

No. 3-904 / 13-0058

WELLS FARGO FINANCIAL LEASING, INC., Plaintiff-Appellee, vs. BEST REPROGRAPHICS, INC., Defendant, and MS DALLAS REPROGRAPHICS, INC., Defendant-Appellant.

No. 3-910 / 13-0275

JASON KLINGE, Plaintiff-Appellant, vs. LUANA SAVINGS BANK, Defendant-Appellee.

No. 3-912 / 13-0351

DIANA LYNN HORN, Petitioner-Appellant, vs. CUMMINS FILTRATION-LAKE MILLS, a/k/a CUMMINS, INC., f/k/a/ FLEETGUARD, INC., Respondent-Appellee.

No. 3-915 / 13-0423

Upon the Petition of JESSICA HANSEN, Petitioner-Appellant, And Concerning BRANDON KOCH, Respondent-Appellee.

No. 3-933 / 12-1939

STATE OF IOWA, Plaintiff-Appellee, vs. LEVI I. SWANSON, Defendant-Appellant.

No. 3-935 / 12-2058

BOBBY R. KLINGER SR., Applicant-Appellant, vs. STATE OF IOWA, Respondent-Appellee.

No. 3-939 / 12-2181

STATE OF IOWA, Plaintiff-Appellee, vs. EDDIE DEAN SEALS, Defendant-Appellant.

No. 3-941 / 13-0021

IN RE THE MARRIAGE OF MICHAEL A. ARPY AND RENEE L. ARPY Upon the Petition of MICHAEL A. ARPY, Petitioner-Appellee, And Concerning RENEE L. ARPY, Respondent-Appellant.

No. 3-942 / 13-0049

STATE OF IOWA, Plaintiff-Appellee, vs. CHAD ALAN STECHCON, Defendant-Appellant.

No. 3-943 / 13-0085

STATE OF IOWA, Plaintiff-Appellee, vs. PAUL ANTHONY HALTOM, Defendant-Appellant.

No. 3-944 / 13-0130

STATE OF IOWA, Plaintiff-Appellee, vs. JASON LEE FOWLER, Defendant-Appellant.

No. 3-945 / 13-0191

H. RANDALL LANCASTER, Plaintiff-Appellant, vs. BRIAN CRAVEN, Defendant-Appellee.

No. 3-949 / 13-0698

IN RE THE MARRIAGE OF STEPHEN MUTTI LOUCKS AND SANDRA ANN LOUCKS Upon the Petition of STEPHEN MUTTI LOUCKS, Petitioner-Appellant, And Concerning SANDRA ANN LOUCKS, Respondent-Appellee.

No. 3-952 / 13-1178

IN THE INTEREST OF J.H. and S.H., Minor Children, T.H., Mother, Appellant, J.H., Father, Appellant.

No. 3-959 / 12-1342

IN THE INTEREST OF S.S., Minor Child, K.S., Father, Appellant.

No. 3-962 / 12-1891

STATE OF IOWA, Plaintiff-Appellee, vs. EDWARD M. WILLINGHAM, Defendant-Appellant.

No. 3-964 / 12-1916

STATE OF IOWA, Plaintiff-Appellee, vs. JOHN LOUIS HODGES, Defendant-Appellant.

No. 3-967 / 12-2224

STATE OF IOWA, Plaintiff-Appellee, vs. DAKOTA VINCENT HERNANDEZ, Defendant-Appellant.

No. 3-970 / 12-2271

STATE OF IOWA, Plaintiff-Appellee, vs. JESUS J. RAMOS TORRES, Defendant-Appellant.

No. 3-971 / 12-2276

IN THE INTEREST OF J.O. JR., Minor Child, J.O. SR., Father, Petitioner, C.L., Mother, Appellant.

No. 3-988 / 13-1305

IN THE INTEREST OF L.V.A., Minor Child, H.V.A., Father, Appellant.

No. 3-989 / 13-1307

IN THE INTEREST OF E.M., Minor Child, A.M., Mother, Appellant.

No. 3-1007 / 13-0132

STATE OF IOWA, Plaintiff-Appellee, vs. MICHAEL TRAZEEK ROBINSON, Defendant-Appellant.

No. 3-1008 / 13-0237

STATE OF IOWA, Plaintiff-Appellee, vs. JOSHUA CARMODY, Defendant-Appellant.

No. 3-1024 / 13-1185

IN THE INTEREST OF I.G.M., A.M., and C.M., Minor Children, G.C., Intervenor, Appellant.

No. 3-1025 / 13-1344

IN THE INTEREST OF J.A., N.R., and N.R., Minor Children, J.Y., Mother, Appellant.

No. 3-1026 / 13-1330

IN THE INTEREST OF S.T., S.T., AND S.J., Minor children, J.T., Mother, Appellant.

No. 3-1028 / 13-1405

IN THE INTEREST OF D.D., B.D., and A.D., Minor Children M.D., Mother, Appellant.

No. 3-1029 / 13-1409

IN THE INTEREST OF L.F. and B.F., Minor Children, M.C., Mother, Appellant.

No. 3-1032 / 13-1435

IN THE INTEREST OF S.L., Minor Child, M.L., Mother, Appellant.

No. 3-845 / 13-0417

MAXINE GAIL VEATCH, Plaintiff-Appellant, vs. CITY OF WAVERLY and JASON LEONARD, Individually And In His Official Capacity, Defendants-Appellees.
Experienced Caregiver Warns Those New to Insurance
Coverage: Speak Up

With 11,000 people becoming eligible for Medicare every day and an estimated 25 million Americans expected to gain health insurance through Obamacare on Jan. 1, access to doctors and hospitals will skyrocket.

And while that's a positive, patient advocate Ruth Fenner Barash warns that the U.S. health care system is not the benevolent safety net many people believe it to be. It can be abusive, incompetent, callous toward patients - and worse.

"Patients and their loved ones cannot blindly turn themselves over to this massive, technology-based system and trust that it will care - or take care of them," says Barash, who shares her health-care experiences in a new book, "For Better or Worse: Lurching from Crisis to Crisis in America's Medical Morass," (http://forbetterorworsebook.com/).  The cautionary tale traces the long death of her husband, Philip, through a medical journey fraught with mismanagement and excess, useless interventions and a sometimes complete disregard for pain - even when there was no hope of healing.

"We did experience some wonderful health-care professionals - brilliant, compassionate and helpful people - but they were not the rule," says Barash. "I learned a great deal from our experience, and with so many people now gaining access to health care, I want others to benefit from what I've learned. You can navigate the system; you just have to know how."

Barash offers these suggestions for patients and their loved ones, whether it's a trip to the doctor for a checkup or a diagnosis of a catastrophic illness.

• Avoid the emergency room. Emergency rooms were developed with the idea that few people would use them - most people would see their physician. But as health care costs rose, they became a primary care facility for those without insurance or the money to pay for services out of pocket. "Patients and their families were not expected to spend a long  time in the E.R. - presumably, they would be seen quickly and either admitted to the hospital or treated and released - so they're not designed for comfort," Barash says. "They've become very crowded, especially in cities, and patients might wait for hours sitting in hard plastic chairs in the waiting room. For someone who's sick or injured, this can be torture."

Sick people usually are not isolated, so waiting rooms also teem with germs, she notes.

• Be skeptical - question everything. Too often, we take the first thing we're told as gospel, Barash says. "If you have the luxury of time, take some of that time to think things through, to research and get second opinions," she says. Research your physician's connections. When you're referred to a specialist,  ask why that particular person. If you live in an area with a large academic community, ask around about the physicians and health-care providers with the best reputations. Who has the most experience in a particular niche? Who's doing the most promising research? How many times have you performed this procedure and what is your success rate?

• Ask what it costs - no matter who's paying. Our health-care system is absurd in the number of useless consultations, diagnostic procedures and interventions it foists on patients, Barash says. Whether our  hospital bills are fully covered by Medicare, Medicaid or private insurance, or we're paying a portion ourselves, we must all include cost in our discussions with health-care providers. "Part of the blame for having the most expensive health-care system in the world goes to us, the individuals, who don't question purchases or shop for prices as we would for groceries, clothing, or furniture," Barash says.  "If a test or consultation is ordered, understand why. Is it really necessary? You can say no!"

Finally, Barash says, we all must come to terms with the fact that death is a given. "My husband's problem, and the problem many of us may be doomed to face, is the seemingly endless getting there - a dying we don't want."

About Ruth Fenner Barash

Ruth Fenner Barash studied philosophy at City College of New York and did graduate work at the University of Chicago. In 1958, she met and married Philip Barash, a private practice attorney. She went on to work in public relations and real estate, served education and civic organizations at the executive level, and taught art in various media. Her long marriage was a "harmonious adventure" despite the couple's treacherous journey through the health-care system. Her husband died in 2012.

Illinois becomes 15th state to pass marriage equality

SPRINGFIELD - Lt. Governor Sheila Simon today congratulated the Illinois House on its historic vote to pass marriage equality. Illinois is now poised to become the 15th state recognizing marriage fairness.

"Today Illinois has made history. We will treat all families equally," said Simon. "This has been a personal fight for me, and I am looking forward to celebrating with friends who will finally be able to share in the same rights my husband and I have."

Last month Simon joined thousands of marriage equality proponents, religious leaders and families in Springfield to rally and march in support of marriage equality. In January, Simon recruited Jesse Tyler Ferguson, star of ABC's "Modern Family" to push for passage of SB 10. Ferguson and his then-fiancé Justin Mikita visited Springfield to lobby legislators in support of marriage equality. Ferguson and Mikita, who wed this year, are founders of the non-for-profit, Tie The Knot. The foundation sells limited-edition bow ties with proceeds going to organizations nationwide that are working toward marriage equality. The collection is designed and sold by The Tie Bar, a popular Naperville-based online men's neckwear company.

"Justin and I would like to congratulate our friends in Illinois, who today have made history by recognizing all loving, committed relationships," said Ferguson. "Justin and I join you in celebrating equality for all."

Senate Bill 10, sponsored by Sen. Heather Steans (D-Chicago) and Rep. Greg Harris (D-Chicago), passed the Senate in February. The legislation was amended on the House floor today to change the effective date and will be sent to the Senate again for approval before heading to Governor Quinn's desk. The governor's signature will make Illinois the 15th state in the nation to recognize marriage equality.

"I would like to thank the bill's sponsors, Sen. Heather Steans and Rep. Greg Harris for their tireless work on this issue," added Simon. "Their unwavering leadership in the General Assembly has led us to this moment."

"It has been a long and difficult road, and I am proud that we have finally arrived at this historic day in Illinois," said Steans, chief Senate sponsor of SB 10. "We have demonstrated what we know to be true ? that Illinois is a state that opposes discrimination, welcomes diversity, supports families, respects religious freedom and ensures that all its residents are treated fairly under the law."

 

Though Illinois already has civil unions, only marriage affords couples the ability to file joint tax returns, participate in spousal Social Security and veterans' benefits, and benefit under the Family and Medical Leave Act.

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Don't Miss this Workshop! If you are in the non-profit world, you know money can be tight. Join us  Nov. 6, for "Finding Money to Fund Your Cause, 6:30 pm, Rock Island Main Library. Get tips from a professional grantwriter on how to find grants using the Library's Foundation Center collection & other resources, how to know whether your organization qualifies, and some tips on basic grant writing. Free. (For non-profit organizations and their members.)

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