Keith Olbermann ousted from Current TV talk show

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Gregory Trotter: Trapped in a Broken System

For the 1.2 million Americans living with HIV, the Affordable Care Act will be utterly life-changing. For some, it will be life-saving.

Just ask Will Wilson, 58, who was diagnosed with "full-blown AIDS" in 2002.

"It will basically mean freedom," said Wilson, a Chicago resident and an advocate for the Illinois Alliance for Sound AIDS Policy.

For the first time, Wilson will be able to purchase private insurance without fear of being rejected for his preexisting condition. The former graphic designer will be able to aggressively re-enter the job market without risking his continuous access to lifesaving HIV drugs that cost him $3,000 a month.

He'll have options he's never had.

This week, the Supreme Court has heard oral arguments on the constitutionality of the Affordable Care Act, specifically the legality of the individual mandate provision and the expansion of Medicaid. It is slated to rule in June on what is widely considered to be the most important Supreme Court case in decades. Many people living with HIV/AIDS and other preexisting conditions will be hoping and praying that the court rules in favor of health care reform.

In January, the AIDS Foundation of Chicago (AFC) signed on to a legal brief -- along with 130 other HIV/AIDS organizations throughout the country -- asserting that the Affordable Care Act is, in fact, constitutional. It's also necessary to stopping the AIDS epidemic in the United States.

"The list of supporters for our brief urging the court to uphold the ACA continues to grow because of the law's enormous potential to impact the domestic AIDS epidemic," said Scott Schoettes, HIV Project Director for Lambda Legal, the legal firm that submitted the brief.

About 24 percent of people living with HIV are uninsured, according to data from the U.S. Department of Health and Human Services. The majority of people living with HIV depend on Medicaid and Medicare for medical treatment.

Those unlucky, uninsured hundreds of thousands -- who are not eligible for Medicaid or Medicare -- often depend on the federal Ryan White funding system, which was never intended to be the primary source of health care funding for people with HIV when it was enacted in 1990. Ryan White provides HIV-related treatment and medication, but it's not insurance. But for many, it's the only limited option.

It's not enough just to be poor. Many uninsured people living with HIV don't qualify categorically for Medicaid, meaning they're not over 65, an infant or a pregnant woman. And they're not yet sick enough to meet the disability category.

That's a tragedy in itself. By the time many people living with HIV become eligible for Medicaid, it's almost too late. They're incredibly sick because they did not have earlier access to the drugs and treatment that could have prevented their decline.

As of 2014, the Affordable Care Act will begin expanding Medicaid to accept all low-income Americans. As a result, low-income adults with HIV will no longer have to wait for an AIDS diagnosis to become eligible for coverage.

Perhaps more importantly for people like Will Wilson, the Affordable Care Act will also prohibit insurers from denying coverage because of preexisting conditions. And no longer will insurance companies be able to charge exorbitant premiums for people with HIV.

Wilson has made his living with odd jobs, most recently a gig as a tour bus guide, since his AIDS diagnosis. He does not qualify for Medicaid. He carefully monitors his wages to remain eligible for the AIDS Drug Assistance Program (ADAP), the Ryan White program that helps low-income people afford costly AIDS drugs.

If Wilson were to pursue private insurance, he would face several daunting prospects, including being denied for his preexisting condition or being charged exorbitant premiums. Even in moving to a group insurance plan, Wilson could be subject to interruptions in his continuous care that could be detrimental to his health.

He looked into the preexisting condition insurance plans -- which are now available but vary in cost state-by-state -- but found the premiums too cost-prohibitive.

"Do I drop out of Ryan White, get denied coverage and then go to the bottom of the list?" Wilson said. "You stay with what's got you covered."

In other words, he's stuck in a broken health care system. Like many others, he's eagerly looking forward to 2014 when he can seek out private insurance that won't deny him or cost him out of the healthcare he desperately needs. So, he waits.

Around the country, HIV/AIDS advocates and organizations are intently focused on how the Affordable Care Act will be implemented. The Ryan White system is expected to be an extremely important safety net for the foreseeable future. Visit the new educational website -- hivhealthreform.org -- for a comprehensive discussion of that transition.

David Ernesto Munar, president of the AIDS Foundation of Chicago, has lived with HIV for nearly 17 years. Speaking from his personal experience and his professional expertise, Munar believes healthcare reform to be critical in preventing new infections and, ultimately, stopping the AIDS epidemic in the United States.

"By expanding coverage and ensuring more preventative services like HIV testing, we can begin to turn the tide against this epidemic," Munar said.

Of course, people with HIV are not alone. There are nearly 50 million Americans with no health insurance, people of all walks with various diseases and ailments, trapped in the forgotten corners of the healthcare system. The Supreme Court will have its say on whether that's right.

In November, voters will have their say, too.

Gregory Trotter is a staff writer for the AIDS Foundation of Chicago.

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Video: Dog welcomes soldier home ? again

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Whether grasping Easter eggs or glass bottles, this robotic hand uses tact

ScienceDaily (Mar. 30, 2012) ? It may be difficult to imagine, but pouring juice into a plastic cup can be a great challenge to a robot. While one hand holds the glass bottle firmly, the other one must gently grasp the cup. Researchers at Saarland University together with associates in Bologna and Naples have developed a robotic hand that can accomplish both tasks with ease and yet including the actuators is scarcely larger than a human arm. This was made possible by a novel string actuator, making use of small electric motors to twist strings. The robotic hand is thus powerful yet delicate and could one day be deployed as a helper around the house or in catastrophic scenarios.

"We wanted to impart our robotic hand with a broad spectrum of human traits. Its artificial muscles should be able to deliver enormous forces by simple and compact means," explains Chris May, scientist at Saarland University's Laboratory of Actuation Technology. The robotic hand was recently presented during a meeting at the Forschungszentrum Informatik in Karlsruhe. It is an example of some of the new steps taken in robotic research within the scope of the European project DEXMART. Over the past four years international scientists developed various concepts, especially focussed on increasing the versatility with which two-arm robots can be implemented. The European Union sponsored the research consortium to the sum of 6.3 million Euros.

"When robots help around the house or should save people from a burning building, they need to have hands which can grasp with strength but at the same time gently," explains Hartmut Janocha, Professor of Process Automation at Saarland University. The challenge lies in trying to make the necessary technology fit within the robotic arm such that it does not differ significantly from a human arm in terms of size and form. ?We came up with a simple, yet extremely effective idea: using strings that are twisted by small, high-speed motors, we are able to exert high tensile forces within a compact space," explains mechatronic researcher May. The sensorised and controlled robotic hand is able to touch diverse objects, to grasp and lift them and place them gently in a new position. Chris May demonstrated this in Karlsruhe with a delicate Easter egg and a heavy glass bottle.

Extremely strong polymer strings enable the Saarbr?cken researchers to lift a five kilogram load by 30 mm within a split second, making use of a small electric motor and a 20 cm long string. ?Each robotic finger, which like a human finger is composed of three segments, can be controlled precisely by means of the individual tendons ," describes Chris May the novel miniature actuator. The mini electric motors run at high speed and a small torque on the order of five Newton-millimetres. ?The capability of the robotic hand is so near to that of humans that the vision of robots as personal assistants in the household, in the operating room as well as in industrial settings is becoming ever more realistic. We presume that the combination of small electric motors with twisted string is interesting for other applications as well," the researcher reckons.

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Note: Materials may be edited for content and length. For further information, please contact the source cited above.

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ScienceOnline2012 in Review [Video]

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Requirements for Workers Compensation | Business Insurance

The State of New York requires virtually all businesses with 1 employee or more to have of workers comp insurance. The employer pays an estimated amount which can be adjusted using an audit right at the end of each official policy period. Let us take a look at how premiums are determined and what paperwork is required for a NYS work comp audit. The expense of every company?s workers compensation insurance is good payroll and a set of classification codes set through the state of latest York.

The payroll number is based on the GROSS PAYROLL including salaries, bonuses, commissions, and all of vacation, holiday and sick pay.CLASSIFICATION CODES are dependant upon the New York Compensation Insurance Rating Board, often known as the NYCIRB. The codes are split up into 5 groups; truckers, contractors, retailers, manufacturers, and wholesalers. Each group is then divided into dozens of sub groups. You can find 35 pages of codes.You will need to take the time had to properly classify each worker before the audit begins. If you rely on the auditor to assign categories, your premium could be much higher than it needs to be.

Suppose you have an employee who drives for ten hours, unloads and stocks shelves for five hours and works the money register for 20 hours. His three different tasks may be under three different classification codes, and proper bookkeeping will produce a lower rate.However, in the event the auditor assigns codes, that worker might be put underneath the single highest category. The important thing to a successful audit almost always is attached to organization. Firms that keep their books in order, and all the mandatory paperwork when the audit begins normally have successful audits that usually result in the best possible premium rates. Their state requires a great deal of documentation.

You will require several tax records as well as your 941, NYS45, business taxation statements, and your 1099s. You will also be asked to have your Payroll book, sales records, general ledger, checkbook, and cash disbursement book available over the audit. Many businesses in Ny State over pay for premiums.The classification codes may be confusing plus a bit overwhelming. You can find experts who help businesses untangle the code and they also can get the most beneficial rates possible and turn into in compliance of state laws. Other businesses become confused from the paperwork and turn out paying a lot more than necessary. Organization along with a complete understanding of classification codes can lead to the best possible rates.

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Wealth-building Secrets As Practiced By The World's Richest People ...

Your Dept Can Make You Rich - True?

Wealth-building Secrets As Practiced By The World's Richest People: What The Kuwaitis Can Teach You About Getting Rich -- And Staying Rich

Do the Kuwaitis have a magic formula for getting rich - besides striking oil? No, but they do have four easy-to-follow secrets that have helped them amass fortunes for centuries - long before oil was discovered. And their secrets will work for you. Guaranteed. List Price: $ 18.00 Price: $ 35.00

Mutual Fund Mastery: Wealth-Building Secrets From America's Investment Pros Book

Lower Your Taxes-Big Time!: Wealth-Building, Tax Reduction Secrets from an...

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