~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
MCMCH LOGO       Michigan Council for Maternal and Child Health
                 Friday Notes
Friday Notes is intended to share current information, resources and notices.
If you have information or announcements that you would like to have included in the next issue forward them to MCMCH.
                    February 4, 2011
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
In this issue
Governor's Citizens Guide to Finances Released
Florida Judge Rules on Healthcare Overhaul
New Vaccination Recommendations Released

Snyder Unveils Citizens Guide to State's 'Financial Health' 

Governor Rick Snyder this week unveiled the "Citizen's Guide to Michigan's Financial Health" at the Business Leaders for Michigan's Leadership Summit in Lansing.  The Citizen's Guide is an easy to understand, comprehensive look at the current state of finances in Michigan, in contrast to the legally required and more complex Comprehensive Annual Financial Report.

 

Governor Snyder's budget recommendations for the 2011-12 fiscal year will be presented to a joint meeting of the House and Senate Appropriations committees on February 17. 

 

Among the report's findings: 

 

Michigan's Economic and Demographic Trends:  

Michigan has lost more jobs than any other state. Michigan private sector job losses were equivalent to two-thirds of all jobs lost in the U.S. during the past decade.  Michigan workers earn less than in almost every other state.  Michigan ranks 37th in per capita income among all 50 states while 10 years ago, Michigan was 18th.  Michigan's population is aging which means fewer younger workers are available to support the state's economic activities and finance the high cost of government.

 

How Taxpayer Money is Spent:  

Many governments in Michigan regularly spent more money than they took in and have done so since 2001.  State and local governments (including public schools) received $82.5 billion in revenue and spent $84.8 billion in fiscal year 2010 resulting in a shortfall of $2.3 billion.  

 

Michigan has been unable to invest in its future.  State government expenditures on infrastructure and higher education have declined over the past decade.  The demand for safety net services has increased dramatically.  Spending in these human services and community health categories increased at twice the rate of inflation.

 

State and local government employee compensation in Michigan has grown while private sector compensation has fallen.  Between 2000 and 2009, compensation of the average private sector worker fell 13 percent while it increased 19 percent for state government employees and 13 percent for local government employees.  Public school teacher compensation has fallen by 4 percent in real terms since 2000.  The average annual compensation of state employees (including salary, wages and benefits) was over twice the average annual compensation of private sector workers in 2009.  The average state worker gets $53,453 in salary, $31,623 in fringe benefits each year and it costs for the state $13,000 per employee for group insurance (medical, dental, vision, life, and long-term disability).

 

Michigan's Fiscal Health:  

The state has depleted its savings and now must engage in complex accounting practices to meet its obligations.  At the current level of $2.2 million, the balance in the state's "Rainy Day Fund" is not enough to cover the cost of state government operations for 30 minutes.  

 

Each year, the schools stay open only because money that had originally been designated for other purposes is temporarily re-routed into the School Aid Fund.

 

Public agencies in Michigan borrow extensively and have accumulated unfunded pension and retiree health care liabilities.  The state has borrowed money at a faster rate than personal incomes have grown over the past 20 years.  The level of state debt per person has increased from $724 per person in 1979 to over $2,430 per Michigan resident in 2009.  Local and school debt makes that number even higher.

 

To make ends meet, governments have stopped setting aside enough money to fully fund future retirement obligations for public employees.  This shortfall, coupled with rising benefits, poor market conditions, and stagnant or slowly rising contributions have made a perilous situation even worse.

 

Retiree health care benefits are also inadequately funded.  The state's two largest systems have unfunded obligations of more than $40 billion.  Add the unfunded obligations to the current shortfalls, and Michigan's total cumulative budget gap at the end of FY 2009 was $43.3 billion.  

 

You can find more information, including the full 25-page guide, here.
____________________________________________________________________________________ 

Florida Judge: Healthcare Overhaul Unconstitutional

A federal judge in Florida ruled Monday that President Obama's entire health care overhaul law is unconstitutional, placing even noncontroversial provisions under a cloud in a broad challenge that seems certain to be resolved only by the Supreme Court.

Faced with a major legal setback, the White House called the ruling by U.S. District Judge Roger Vinson -- in a challenge to the law by 26 of the nation's 50 states -- "a plain case of judicial overreaching." That echoed language the judge had used to describe the law as an example of Congress overstepping its authority.

Attorney General Bill Schuette who took over as one of the lead plaintiffs in the case when he took office last month, praised the ruling.

The Florida judge's ruling produced an even split in federal court decisions so far on the health care law, mirroring enduring divisions among the public. Two judges had previously upheld the law, both Democratic appointees. A Republican appointee in Virginia had ruled against it.

The Justice Department quickly announced it would appeal, and administration officials declared that for now the federal government and the states would proceed without interruption to carry out the law. It seemed evident that only the U.S. Supreme Court could deliver a final verdict on Obama's historic expansion of health insurance coverage.
____________________________________________________________________________________

 

Pediatricians Issue New Vaccination Recommendations

HealthDay, Jenifer Goodwin
Teenagers need a booster shot to protect them from meningococcal meningitis, a potentially deadly infection of the tissue around the brain, while all kids should have up-to-date whooping cough vaccines in light of recent outbreaks, according to new recommendations from pediatric experts.


The American Academy of Pediatrics issues updated vaccination guidelines annually. Its new schedule, released Feb. 1 in the journal Pediatrics, is very similar to last year's recommendations.
Yet even without major changes, pediatricians said the revised schedule is a good opportunity to remind parents to make sure their children's vaccines are up to date.


Among this year's recommendations:
All children aged 6 months to 18 should get an annual flu shot.

Children aged 6 months to 8 years vaccinated for the first time, or those who only had one dose of a previous flu vaccine, need two doses of the 2010-2011 seasonal flu vaccine, the guidelines say.

 

With whooping cough (pertussis) outbreaks on the rise and an epidemic in California, parents need to make sure their children and teens have the recommended whooping cough vaccines. According to experts, the resurgence of whooping cough could stem from some parents shunning vaccines because they believe the shots might cause autism -- a theory based on a now-discredited study.


At about age 16, adolescents should receive a meningococcal meningitis booster shot.
The previous guidelines called for 11-year-olds to receive a meningococcal booster. Later research found that protection from the shot starts to fade after about five years, precisely at the time when teens' risk of getting the disease increases.


Boys aged 9 to 18 "may" get the HPV shot, which protects from some strains of genital warts, particularly those that lead to cervical cancer in women. The shot is recommended for all girls at age 11-12. 

 

Babies who didn't get their recommended dose of hepatitis B vaccine at birth should have their final dose no earlier than 6 months.


The AAP guidelines were approved by the American Academy of Family Physicians and the CDC's Advisory Committee on Immunization Practices.

____________________________________________________________________________________ 

Contributors to this Issue
AHIP HI-Wire
Associated Press
Gongwer News Service
HealthDay
PR Newswire
__________________________________________________________
Quick Links . . .

 

HKHM Policy Priority Rollout: Feb. 16 

Healthy Kids, Healthy Michigan will hold its 2011 Policy Priority Rollout on Feb. 16 from noon to 1 p.m. in the Michigan State Capitol Rotunda. HKHM members are asked to attend the event and show their support for this year's policy priorities.   

____________________________________________________________________________________________

Legislative Day to Educate about Healthy Futures

The Michigan Association for Health, Physical Education, Recreation and Dance (MAHPERD), Comprehensive School Health Coordinators' Association (CSHCA), and the Michigan Fitness Foundation will join forces again this year for Legislative Education Day on February 16, 2011, in Lansing.  Click here for more information.

____________________________________________________________________________________________

Children First Column Looks at Governor's 'P-20' Focus 

Jack Kresnak, President/CEO of Michigan's Children, has resumed the Children First columns, previously written under the Detroit Free Press campaign. Kresnak's latest column looks at Governor Snyder's statement in his first State of the State address regarding 'P-20' instead of 'K-12' education. 

____________________________________________________________________________________________

Go Red for Women Casting Call in Michigan 

The American Heart Association is searching for local women who can help us inspire women to take their heart health to heart in local and national marketing and promotional campaigns.

There will be three Casting Call events around the state:

Today from 5:00 - 8:00 pm at the Mid-Michigan Women's Expo located in the Lansing Center.

In Flint on Feb. 5 from 11:00 - 1:00 pm at Genesee Valley Mall (click here for more information)

In Grandville on Feb. 12 from 2:00 - 4:30 pm at Macy's - RiverTown Crossing (click here for more information)

____________________________________________________________________________________________

Diabetes in Pregnancy A Risk Years Later 

A type of diabetes that strikes during pregnancy may disappear at birth, but it remains a big red flag for mothers' future health. Yet new research shows fewer than one in five of those women returns for a crucial diabetes test within six months of delivery.

____________________________________________________________________________________________

One Third of Americans Have High Bad Cholesterol

Only about half of U.S. adults with high levels of bad cholesterol get treatment for it. Worse, not all those treated are managing to control the problem, the Centers for Disease Control and Prevention said in a report this week.

____________________________________________________________________________________________

Study Examines Why Some Women Avoid Mammograms 

Pain, embarrassment and being too busy are among the main reasons why women avoid having mammograms, a new study finds.

____________________________________________________________________________________________

SEMHA Seeks Program Coordinator  

The Southeastern Michigan Health Association job posting for a program coordinator for the Maternal, Infant, & Early Childhood Home Visiting department. Read the full posting here. Deadline is Feb. 11.

____________________________________________________________________________________________

Order your 2011-12 Watch Me Grow Calendars!  This 24-month calendar highlights a different program each month - offering both program information and contact information. Activities and tips for parents are also offered throughout the calendar providing information on health, safety, nutrition, and parenting. The best part is that these calendars will be available - in English and Spanish - for only $1.00 each.  Visit the website for complete information and order form.

____________________________________________________________________________________________

 
 
Join Our Mailing List            Become a MCMCH Member at PayPal                 

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
The Michigan Council for Maternal and Child Healthblur image MCMCH is made up of
member organizations who share a commitment to the health of
Michigan's women, children and families.
To learn more go to http://www.mcmch.org or email info@mcmch.org.

             Amy Zaagman - Executive Director - azaagman@mcmch.org
     Jennifer Gorchow - Communications Manager - jgorchow@mcmch.org 
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~