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Annapolis (Map, News) - The leaders of the Maryland General Assembly committee on health care funding and delivery said financing expanded access to health insurance needs to be a top item on the table as the state grapples with a $1.4 billion structural deficit and the revenues to pay for it.
After a three-hour hearing Tuesday, Sen. Robert Garagiola, D-Montgomery County, and Del. Dan Morhaim, D-Baltimore County, said they expect to come up with a set of recommendations by the fall in case there is a special session to deal with the deficit.
“If we’re going to do it all, let’s do it all” and “set aside some of those dollars” for health care, Garagiola said. He said he’s had several conversations with Health Secretary John Colmers, who testified at the hearing.
“[The General Assembly is] rolling up their sleeves and they’re looking at their options,” Garagiola said.
“A significant portion of the deficit relates to health care,” Morhaim said, with $6 billion, a fifth of the state budget, going to Medicaid, the federally subsidized health care for the poor.
“We’ve got one bite of the apple” to raise new revenues, Garagiola said.
Morhaim agreed. “Everything is on the table,” the senator said, including an increase in the cigarette tax to pay for expanding health care coverage. The House passed such a proposal this year, but the Senate rejected the plan because of its costs.
The estimated 780,000 uninsured Marylanders already are costing the state and their fellow citizens more than $1 billion per year, said Rex Cowdry, executive director of the rate-setting Maryland Health Care Commission. These costs come largely through the uncompensated care given in hospital emergency rooms, which are factored into increased hospital rates paid by private, state and federal health plans.
“Premiums for family coverage were estimated to be $948 higher because of uncompensated care in 2005,” Cowdry said, a number that’s probably up to $1,100 now. That’s despite the fact that a majority of the uninsured are young and healthy.
Morhaim, a physician, said looking at reducing administrative overhead, which represents 8 percent to 20 percent of the costs in medical offices, is “one of the areas that’s been overlooked.”
“We spend a lot pushing money from place to place” in health care, said Sen. Delores Kelley, D-Baltimore County.
llazarick@baltimoreexaminer.com



Comments from Examiner Readers
11:13 AM MST on Mon., Mar. 10, 2008 re: "Medical center faces tough choices"
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1:27 PM MST on Tue., Feb. 26, 2008
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Albert Franklin said:
However, when the County chooses to address the $2 billion dollars Jerry Brown bilked from them in a meaningful manner, then this should all become most academic!
17 agree | 15 disagree
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Examiner Reader said:
As an employee of SF General Hospital's psych dept., where none of us wear uniforms nor have lines on the floor that patients can't cross and where we train patients to take better care of themselves (including the activities of daily living such as nutrition, personal hygeine and the like), I am a bit mystified by John Nickens' comments. Has he been in a hospital in the past 20 years or so?
56 agree | 44 disagree
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Examiner Reader said:
I love the fact that they are turning Dore Alley (not Street) from an iconic Gay area into another crazy person magnet in the already crazy SOMA. Last year a doorman at the Powerhouse came to the defense of a patron being attacked by a nut-job housed across the street (along door alley) by another "non" profit. The police arrested the DOORMAN for gods sake, and the Powerhouse had to hold fundraisers to pay his legal expenses. Why is the City being allowed to take our great SOMA neighborhood and turn it into another Tenderloin? How sad.
52 agree | 41 disagree
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jacksmith said:
Insurance mandates are not universal health care. And politicians should stop calling it that. Nothing is Universal Health Care except "Single Payer Not For Profit Tax Supported Government Managed Health Care" (HR 676). Insurance mandates will be worse than what you have now. And what you have now is a complete, and total disgrace, and horror show. Insurance mandates will (require) you to buy insurance from the private insurance companies that have been ripping you off, and killing you by the thousands.
101 agree | 84 disagree
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Examiner Reader said:
know of a guy who came here for a couple of years and got on the welfare medical roles in san francisco and had major surgery done to a problem eye he was born with in Mexico, had the work done at taxpayer expense and moved back to Mexico permanently. Wow and I can't even get medical insurance without breaking the bank.
89 agree | 69 disagree
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Jeff, an Independent said:
I wonder how many Illegal Aliens are going to exploit this...
114 agree | 112 disagree
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Examiner Reader said:
The sheep want to give O'Malley a health care victory.
111 agree | 111 disagree
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Examiner Reader said:
Another rash decision by the immature Ulman. You are going to have people move to Howard County just for the free medical insurance. That'll be good for the tax base. Ulman was "Secretary of the Cabinet" under Glendening, the worst MD governor in the last 30 years. Under Ulman's Cabinet leadership, Glendening created a structural deficit that we deal with still today. Ulman deserves the blame for this. Now we are going to support another big-government idea from him? Unless, of course, Ulman wasn't really "Secretary of the Cabinet" under Glendening. But that would mean he would have lied about his resume, which can't be the case.
129 agree | 118 disagree
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Stephanie Shantz said:
I'm sorry for going on and on, but if Dr. Renold Keyser wouldn' have told my parents what he found I would not be here today. It began when I was 6 months, then a different tumor when I was 5 years old. Dr. Howard Lederman was my Dr. at JHH, both are my angels. Even though I have lasting effects, I wouldn't be here if it wasn't for them both. Dr. Renold Keyser is from Hagerstown MD, I love them both and Dr. Howard Lederman is from JHH. Dr. Alex Hollar did my surgery, he was chief of surgery back then. I still keep in contact w both dr's. I was given a second chance. So if anyone that reads this has any doubt about their sickness Please go to JHH. They will save ur life. I'm now 26 yrs. old and doing great because of them. My email is sshantz123@yahoo.com if u have any questions or would just like to talk. I enjoy helping people and trying to give back what was given to me. Dr. Cindy Swartz was also a big help, however she's not there anymore, she moved to NY and is now the d
482 agree | 207 disagree
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Examiner Reader said:
Could this be the begining of the end. Med companies will probably buy up the Patents to save their income. How can we stop them?
308 agree | 553 disagree
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Examiner Reader said:
The below site has great information about hyperhidrosis and its treatments. They also offer Free brochures and a Free e-newsletter. www.SweatHelp.org
348 agree | 314 disagree
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Examiner Reader said:
Perhaps Miss Lietz should read the harvard medical school study that came out this march stating Indoor tanning prevents melonoma cancer, thats the Dana -Farber cancer institute, Miss Lietz was scheldued in Annapolis to address this at a legistative meeting she did not show, thats www.dana-farber.org
370 agree | 333 disagree
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Examiner Reader said:
I doubt that Miss Lietz will be telling the students about the Harvard Medical School's Dana Farber Cancer Institute study that concluded "Tanning Protects Against Skin Cancer." Miss Lietz should stop blaming herself for getting skin cancer. She should know by now that nothing she did caused her to get the disease. It's genetic. Tanning didn't cause it. Tanning salons are not to blame. The fact of the matter is, moderate tanning is healthy behavior. It prevents more diseases by the processing of vitamin D3. It's time for Miss Lietz to go back to Nursing School. She has a lot to learn.
383 agree | 320 disagree
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