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One major challenge facing Trump’s chosen health leaders: Keeping politics separate from science

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1 month ago • 6 min read
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Moreover, payers can develop and diversify Medicare Advantage and supplemental Medicare plans to better meet the needs of the aging population and capitalize on increased enrollment By offering a broader range of tailored plans, payers can attract and retain beneficiaries, confirming holistic coverage and improving patient satisfactionThe employee should generally be accommodated in his or her current position if doing so does not pose an undue hardship For example, if a pharmacist who has a religious objection to dispensing contraceptives can be accommodated without undue hardship by allowing the pharmacist to signal a coworker to assist customers with such prescriptions, the employer should not choose instead to accommodate by transferring the pharmacist to a different position

If no such accommodation is possible, the employer needs to consider whether lateral transfer is a possible accommodation The employer cannot transfer the pharmacist to a position that entails less pay, responsibility, or opportunity for advancement unless a lateral transfer is unavailable or would otherwise pose an undue hardshipJudicial decision-making has never met the ideal of perfect impartiality,37 but the Supreme Court has become exceptionally conservative and partisan in recent years,38 while bypassing standard procedures, precedents, and norms that had previously governed the Court39 President Trump was able to nominate three members to the Supreme Court, as well as an unusually high number of appeals court judges

Justice Clarence Thomas has come under scrutiny for his connections to the Trump team that attempted to overturn the 2020 election40 Today, most Americans —including most Democrats and most Republicans—believe the Court is motivated primarily by politics, rather than by the lawAn employee whose assigned work area is a factory floor rather than an enclosed office asks his supervisor if he may use one of the company’s unoccupied conference rooms to pray during a scheduled break time The supervisor must grant this request if it would not pose an undue hardship

An undue hardship would exist, for example, if the only conference room is used for work meetings at that time However, the supervisor is not required to provide the employee with his choice of the available locations and can meet the accommodation obligation by making any appropriate location available that would accommodate the employee’s religious needs if this can be done absent undue hardship, for example by offering an unoccupied area of the work space rather than the conference roomEXAMPLE 30Failure to Advise Employer That Request Is Due to Religious Practice or BeliefJim agreed to take his employer’s drug test but was terminated because he refused to sign the accompanying consent form After his termination, Jim filed a charge alleging that the employer failed to accommodate his religious objection to swearing an oath

Until it received notice of the charge, the employer did not know that Jim’s refusal to sign the form was based on his religious beliefs Because the employer was not notified of the conflict at the time Jim refused to sign the form, or at any time prior to Jim’s termination, it did not have an opportunity to offer to accommodate him The employer has not violated Title VIIThe people of Warren County ultimately lost the battle, and the toxic waste was deposited in that landfill

But their story—one of ordinary residents driven to protect their homes from a toxic assault—fired the imagination of many across the country who had lived through similar injustices These events even inspired a new faction within the Civil Rights Movement In fact, several early environmental justice leaders came out of it They understood that the environment was another front in the struggle for justice, and they brought with them many of the same tactics—like marches, petitions, coalition building, community empowerment, litigation, and nonviolent direct action

Finally, politicians may personally benefit from violent mobilization that is not election-related In South Africa, former president Jacob Zuma spent years cultivating ties with violent criminal groups in his home state of Kwa-Zulu Natal30 When he was out of office and on trial for corruption and facing jail time for contempt of court, he activated those connections to spur a round of violence and looting on a scale not seen in South Africa since apartheid Vast inequality, unemployment, and other social causes allowed for plausible deniability—many looters with no political ties were just joining in the fracas

Zuma has, as of this writing, avoided imprisonment due to undisclosed “medical reasons”What’s at Stake for Health Insurance, Medicare/Medicaid, and Drug Pricing?Unlike in previous elections, this year there isn’t one overarching health insurance issue each candidate is focused on, says Gerard Anderson, PhD, professor in Health Policy and Management and International Health But there are still plenty of impacts a future Trump or Harris administration could have on how Americans access essential health care, he explainsTitle VII’s prohibitions apply to employers, employment agencies, and unions, subject to the statute’s coverage

Those covered entities must carry out their activities in a nondiscriminatory manner and provide reasonable accommodation unless doing so would impose an undue hardship Unions also can be liable if they knowingly acquiesce in employment discrimination against their members, join or tolerate employers’ discriminatory practices, or discriminatorily refuse to represent employees’ interests, and employment agencies can be liable for participating in the client-employer’s discriminationBeth’s colleague, Bill, repeatedly talked to her at work about her prospects for salvation For several months, she did not object and discussed the matter with him

When he persisted even after she told him that he had “crossed the line” and should stop having non-work-related conversations with her, the conduct was clearly unwelcome“ Trump administration wants to make everybody private sector plans and take away what's called ‘traditional Medicare,’ or to reduce the number of people that option,” Anderson says He expects a Trump administration would try to make it easier and more appealing to use Medicare Advantage, while making it more difficult to access traditional Medicare

But there are still plenty of impacts a future Trump or Harris administration could have on how Americans access essential health care, he explains.Title VII’s prohibitions apply to employers, employment agencies, and unions, subject to the statute’s coverage. Those covered entities must carry out their activities in a nondiscriminatory manner and provide reasonable accommodation unless doing so would impose an undue hardship. Unions also can be liable if they knowingly acquiesce in employment discrimination against their members, join or tolerate employers’ discriminatory practices, or discriminatorily refuse to represent employees’ interests, and employment agencies can be liable for participating in the client-employer’s discrimination.Beth’s colleague, Bill, repeatedly talked to her at work about her prospects for salvation. For several months, she did not object and discussed the matter with him. When he persisted even after she told him that he had “crossed the line” and should stop having non-work-related conversations with her, the conduct was clearly unwelcome.“ Trump administration wants to make everybody private sector plans and take away what's called ‘traditional Medicare,’ or to reduce the number of people that option,” Anderson says. He expects a Trump administration would try to make it easier and more appealing to use Medicare Advantage, while making it more difficult to access traditional Medicare.


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