Since the Supreme Court overturned the right to abortion, almost 60,000 women had rape-caused pregnancies – and live in states where they cannot get an abortion.

From the American Medical Association’s research:

In the 14 states that implemented total abortion bans following the Dobbs decision, we estimated that 519 981 completed rapes were associated with 64 565 pregnancies during the 4 to 18 months that bans were in effect (Table 2). Of these, an estimated 5586 rape-related pregnancies (9%) occurred in states with rape exceptions, and 58 979 (91%) in states with no exception, with 26 313 (45%) in Texas.

Notably, even in states that allegedly allow exceptions for rape or incest – e.g. Idaho – the AMA found NO abortions have occurred.

So…consequences.

60,000 girls, teens, and women who were raped will have live or dead babies.

The psychological damage will be devastating for them, their loved ones, and their babies.

Make no mistake, the burden will fall on the least fortunate of us...almost everyone subscribed to MCM has healthcare; you and your daughters/wives can travel to states that allow abortion.

The vast majority of victims live in states that have crappy Medicaid coverage, so many/most won’t have coverage for/access to pre-natal care, ob/gyn services, labor and delivery, and infant/pediatric health.

Not to mention mental health.

The shameless hypocrisy of the “protect life” crowd in these states is overwhelming... forcing rape victims to have babies and not providing the women or the babies with healthcare is just…unthinkable.

The cost – in terms of destroyed lives and unfunded/uncovered healthcare expenses – is immeasurable.

What does this mean for you?

WWJD?

Okay, this isn’t a law, rather a school board ruling.

But it is so amazingly, blindingly, completely stupid that it beggars belief.

Last June the duly-elected Escambia County School Board  banned 8 dictionaries and encyclopedias because they…wait for it…contain depictions or descriptions of sexual conduct.

Who knows if these vile, disgusting, immoral books contained anything problematic…but under Florida’s “Don’t Say Gay” law, one parent – yup, just one – can force a school to pull a book from its shelves and conduct a lengthy review to ascertain if it is – according to some made-up criteria – inappropriate for that school.

So, let’s see…what could qualify?

• A parent kissing their spouse?
• Reproduction by an earthworm?
• A trout laying eggs?
• A medical textbook describing intercourse?

Those are all “sexual conduct…

That’s not the worst of it. Under Florida’s law, ANY parent could force a school too pull ANY book – which could include…the Bible…which does reference various activities that could be construed as “sexual conduct”.

What does this mean for you?

Don’t let your kids go to Escambia County schools.

I’ve finally figured out that what I think should happen often doesn’t.

So, here’s my take on the 5 things that SHOULD happen in worker’s comp this year but likely won’t.

1. We won’t hear more caterwauling about “rising medical costs”.
   Ha. The latest NCCI research indicates execs still don’t understand what’s really happening with medical costs – despite NCCI’s diligent efforts to educate same.
2. Work comp execs will embrace innovation.
   I wrote about this three years ago here. Basically,
   1. execs got to be execs by avoiding anything remotely risky.
   2. The industry is making billions in profits so why try anything new.
   3. Frequency and premium rates are declining, so why try something for a declining business?
   4. And worker’s comp is mandatory in 48 states, so they’ll have to buy it from someone.
3. Buyers will stop asking about/measuring/caring about medical “savings”.
   I’ve written about this a gazillion times…here’s one example. The net – it’s really easy to show a reduction below list price – we Americans have been trained to do just that.
   Even when it makes zero sense…follow the link to get why there’s a horrendously ugly sport jacket here…
   
   Oh, And, this industry is pretty lazy.
4. The industry will wake up to human-caused global warming. 
   Ha. Nice to see that some pundits have finally raised this as an issue – but jeez people it’s 2024, and we’ve KNOWN we are boiling the planet for decades. Nope, there will be minor moves, with little public discussion among or by work comp execs.
   Why?
   Great question.
5. The industry will seriously embrace behavioral health, take major steps to understand this as a disability driver, and seek out meaningful solutions.
   Sure, some have – and kudos to them for doing so – And kudos to good friend, colleague, and mentor Bill Zachry, David Vittoria of Carisk, Dr Les Kertay, and others who have been leading the charge.
   But let’s get real folks…disability is as much- if not more – mental/emotional/
   psychological as physical, yet far too many payers don’t want to accept that blindingly obvious truth, scared of “owning the psych”.”
   You already own it.

   (Carisk is an HSA client)

The best possible news hit the wires yesterday – there won’t be a government shutdown next week.

The House – in a bipartisan vote – passed a continuing resolution (aka CR) to keep current funding levels in place till early March, giving the House and Senate time to negotiate on 12 individual spending bills.

The really good news is this passage:

• was bipartisan, with 207 Democrats and 107 Republicans joining together to pass the CR
  
• did not result in a move to oust current House Speaker Mike Johnson (R LA) (a similar bill cost then-speaker Kevin McCarthy R CA the Speakership)

While it is way too early to celebrate a new era of bipartisanship and congratulate the radicals on both ends of the spectrum for their maturity, and

…it is mind-blowing that we now celebrate a near-government shutdown as “good” news, 

Given recent history this does count as good news.

What does this mean for you?

That said, we cannot continue governing like this.  Thoughtful, principled compromise must return to Washington.