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Without Planned Parenthood in Texas, Good Luck Finding Low-Cost Healthcare : Ms. Magazine Blog
Governor Perry’s office and anti-choice lawmakers in the state have rallied behind the claim that “There are more than 2,500 qualified providers in the WHP that operate more than 4,600 locations across the state,” downplaying the significant role Planned Parenthood plays in bringing WHP access to low-income women. What Perry’s office doesn’t mention is that most of those providers are small clinics and individual doctors that aren’t currently equipped to take on the tens of thousands of women who will have to leave Planned Parenthood should the courts rule in favor of the State of Texas.

I set out to test the WHP’s non-Planned Parenthood provider listings over the past week and found that while initial searches of TexasWomensHealth.org turn up what appear to be hundreds of available providers, many of them don’t provide any kind of contraceptive care, don’t take Medicaid Women’s Health Program clients, or are simply misleading duplicate listings.

In Austin, for example, many WHP clients visit the Downtown Austin Clinic for contraceptives and cancer screenings. What if a resident of the 78702 zip code who formerly relied on Planned Parenthood had to suddenly find a new doctor?

A search for providers within 30 miles of 78702 turned up 137 doctors and clinics–initially, a very promising number. But once the duplicates were weeded out there were just 49 individual providers, including those like the Austin Endoscopy Center. When I called to try to make a gynecological appointment there, I was understandably turned down: “This is a colon cancer center,” the operator told us. No women’s health care there.

Several times, locations listed on the Texas WHP website weren’t taking new Medicaid clients, were only taking those within a limited age range, or simply did not accept Medicaid Women’s Health Program patients. The People’s Community Clinic, which serves low-income and uninsured clients, said they were only taking adolescents or pregnant women—and pregnant women are, by definition, excluded from the WHP.

The Austin Regional Clinic, which has several locations in Austin, looked promising, but they don’t accept Medicaid WHP clients. Neither does the similarly situated Austin Diagnostic Clinic.

Ultimately, I found nine providers within a 30-mile radius of the selected zip code that accepted the WHP and were taking new patients—some could see a patient for an annual exam as soon as the following day. Provided, of course, that clients are able to travel. The Lone Star Circle Of Care, which also focuses on underserved populations, had appointments in neighboring cities.

But for a WHP enrollee who may not have a car or who can’t afford to take a day or a half-day off from work, it may be a matter of having to make the difficult decision of choosing between several hours’ worth of pay—which could mean making rent or buying baby formula—or getting her annual exam.

And if Planned Parenthood is excluded from the WHP in Texas, there’s a good chance that WHP patients wouldn’t have the good luck to find nine available providers if, as a George Washington University study predicts, existing providers simply will not be able to fill in the gaps left by Planned Parenthood. From the study:

In FY 2010, PPFA clinics accounted for approximately 49 percent of all WHP-financed care, furnishing services to 51,953 WHP clients out of 105,998 WHP clients served. Of the 1,469 providers that billed the WGP in FY 2010, 908 (62 percent) served 10 or fewer patients, while 368 (25 percent) served only one patient. The authors conclude that the WHP program lacks any reasonable access alternative.

Multiply just one caller looking for care by 51,953, and it’s easy to imagine that a morning of phone calls to doctor after doctor—again, if a woman working and managing a family had the time to dedicate to it—might turn up no available appointments, or appointments that could only be made months in advance.

It’s also important to remember that an imagined Austin-based client lives in a major metropolitan area with public transportation and multiple hospitals and women’s health centers. WHP clients in other areas of Texas, especially those in rural towns, will have even fewer options.

I asked a Texas Planned Parenthood representative what area of Texas the group thought would suffer most if it could no longer participate in the WHP. The results were dismal: based on their research, nearly 80 percent of WHP clients get their care from family planning clinics, and they turned over a list of 25 cities that have no family planning clinics other than Planned Parenthood that serve WHP clients. The top four results–Edinburg, McAllen, San Juan and Weslaco, Texas—are all located near the Texas-Mexico border, an area that has been hit especially hard by clinics closing.

And if women in South Texas can’t see their Planned Parenthood doctors and nurses for WHP care, the Texas WHP website won’t be much help either: A search for doctors within the McAllen zip code on the WHP site turned up anesthesiologists, pediatricians and a night clinic in their top results–plus one provider that did not take WHP clients.

If the State of Texas wants to exclude Planned Parenthood from the Women’s Health Program, they’re going to need to go beyond technical support for their website to invest huge sums of money increasing access to care throughout the state, replicating the system they are seeking to eliminate.
PlannedParenthood  legal  crime  politics  Texas  abortion  lawsuit  from instapaper
11 hours ago by jtyost2
Technology - Rebecca J. Rosen - Should Google's Search Results Be Protected by the First Amendment? - The Atlantic
But at the high-quality end of the Internet’s curve — how do you sort and rank the very best information? What if the information returned by two sites — Google Places and Yelp, for example — is nearly identical? Those decisions are judgment calls, coded into Google’s algorithm by humans. Not neutral, not the unbiased calculations of a machine, no matter how it works in a given instance. Volokh’s paper rests on this idea (he uses the word judgment 34 times) that in exercising judgment, Google’s engineers are essentially acting as editors, curators, or, even, parade organizers — all of whom the First Amendment protects in their decisions to include or exclude content, even when they themselves are not the creators of that content.

There’s a lot of support for Volokh’s argument including two lower court decisions (2003 and 2007), and, as First Amendment and technology law expert Marvin Ammori argues, other courts — and even the Court — would likely agree. The result would be greater protection for Google and its preference for its own products — something we may not like. But the First Amendment has never been interested in curating society to our liking — quite the opposite in fact. The results of a strong First Amendment are often distasteful in varying degrees, with hateful speech at the extreme end. But the converse is much worse — would we really want the government to have a say in the content of Google’s returns? Could you imagine what it would like to do with something like this?

The law is always under revision as new technologies emerge and challenge the old categories we had created. Is Google like a publication — such as the New York Times — or a utility like the gas company that merely conveys information “neutrally”? Which set of laws should we apply? These comparisons never work perfectly, and refining their raggedy edges is the work of the courts and the participants in their adversarial process. In the case of Google, its search results do seem more like the handiwork of a newspaper editor or a parade organizer than an electrical utility. But the impact of its choices — judgment, if you will — are so much greater, so much more central to our civic life that it can be scary to give it such free reign. But that free reign is at the core of our grand experiment with free speech and a free press, an experiment you just have to hold your breath and hope for, because the alternative is much, much worse.
google  search  legal  crime  information  FreedomOfSpeech  SearchEngine  from instapaper
11 hours ago by jtyost2
Violence Continues to Plague Sanlitun
KEY PART OF THIS STORY IS THE TIME: NOTHING GOOD HAPPENS AT 3AM ANYWHERE
beijing  Crime 
yesterday by maoxian
The Cybercrime Wave That Wasn’t - NYTimes.com
This is not simply a failure to achieve perfection or a matter of a few percentage points
crime  cyberlaw  online  estimate  economics  statistics  surveys  from delicious
yesterday by tsuomela
חדשות 2: השר שוקל: כדורי גומי על מסתננים
בניסיון לעצור את שטף המסתננים מאפריקה לישראל, קורא השר לביטחון פנים להגביר את האכיפה בגבול מצרים ולאפשר בין היתר ירי כדורי גומי על המסתננים: "ראוי שהמצרים ידעו שאנחנו לא נותנים להם לעבור". בנוסף סיכמו אהרונוביץ' ומפכ"ל המשטרה לתגבר את הכוחות בדרום תל אביב ב-100 שוטרים נוספים, כולל לוחמי מג"ב
Police  crime  incitement  MinistryOfInternalSecurity  refugees  borders 
yesterday by elizrael
Congress Should Ban Armed Drones Before Cops in Texas Deploy One
You’d think Montgomery County, Texas, would’ve learned its lesson. In 2011, when its Sheriff’s Office was preparing to become the first police agency in America to order a drone that could carry weapons, Chief Deputy Randy McDaniel said, “I’m tickled to death,” adding, “It’s so simple in its design and the objectives, you just wonder why anyone would choose not to have it.” That was before the day of the most famous drone test in Texas. It seemed like a perfect photo-op. They’d get out the BearCat armored vehicle they own, which looks like a small military tank, and fly a bad-ass $300,000 drone above it. The problem came when the drone operator lost control of the unmanned aircraft, which plummeted earthward, hitting the BearCat on the way down.
The accident got them ridiculed on the Internet. But they never wavered in their commitment to drones. And now, apparently still tickled to death, Chief Deputy McDaniel has been quoted telling the press that tear gas and rubber bullets might be added to the unmanned aerial vehicle. CBS News quotes him explaining that “those are things that law enforcement utilizes day in and day out and in certain situations it might be advantageous to have this type of system.” That’s rather vague, but there’s no getting around one thing: the situations would all involve police deliberately shooting rubber bullets or tear gas clouds at civilians from an unmanned drone.
politics  legal  crime  police  from instapaper
yesterday by jtyost2
Google Releases New Copyright Transparency Report
This transparency report gives Google a chance to highlight some of its good citizenship as an online service provider. Although the burden of liability is supposed to be on the organization that sends the takedown notice — it is required to claim under penalty of perjury to have a good-faith belief of copyright infringement — in practice many groups are willing to skirt those rules, sending takedown notices to silence unfavorable speech or even without human review . The 3% of takedown notices that Google chooses not to comply with is a large absolute number, and each of those are instances of legitimate speech that would have otherwise been shut down. Google deserves to be commended for that behavior.
copyright  legal  crime  Google 
yesterday by jtyost2
How the Yakuza and Japan's Nuclear Industry Learned to Love Each Other - Global - The Atlantic Wire
The yakuza provide the labor for a job no sane person would do considering the crappy working conditions,” said Tomohiko Suzuki, author of Yakuza and the Nuclear Industry: Diary of An Undercover Reporter Working at the Fukushima Plant (ヤクザと原発-福島第一潜入記-鈴木-智彦). “The only way to get the yakuza out of the atomic power business is probably to shutter all the reactors. Even then, like savvy vultures, the yakuza will be living off the cleanup work for years to come.”
energy  japan  crime 
yesterday by redex

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