Al Gore
Surgeon general pushes mental health treatment
Shame and the lack of insurance keep many from getting the help they need.
People are embarrassed to admit they have a mental health problem or can’t afford to see a doctor to treat the ailment, according to the U.S. surgeon general, in the first federal comprehensive report on the subject, released Monday at the White House.
“While mental illness strikes one in five Americans each year, more than half of those who need treatment do not get it, either because they do not seek it or they do not have access to it,” Surgeon General Dr. David Satcher told a news conference.
The stigmatization of and inadequate insurance coverage for mental illnesses has been documented for some time. But this report puts a federal emphasis on the problem and gives advocates new ammunition to continue to push for parity for mental health coverage. The report described mental illness as “a diagnoseable mental disorder” and says that mental illness, including suicide, is “the second leading cause of disability” next to heart disease.
The 500-plus page volume is the result of an exhaustive review of more than 3,000 studies on mental illness.
“Despite unprecedented knowledge gained in just the past three decades about the brain and human behavior, mental health is often an afterthought and illnesses of the mind remain shrouded in fear and misunderstanding,” the report says.
Typically, health plans have some mental health coverage but often it limits office visits and doesn’t guarantee hospital stays. And under managed care, mental health coverage is also managed by a company separate from the medical health plan that covers the rest of the body.
“One would hope that we’ve come a long way from the myth and cliche of the Woody Allen syndrome,” said Bob Carolla of the National Alliance for the Mentally Ill. “Treatment sometimes involves a combination of talk therapy, but also with several mental illnesses, you’re oftentimes talking about medication and there are a range of treatments that have to be individualized.”
In recent years Congress and the states have taken up the issue of mental health parity. In 1996 Congress passed a bill with the goal of having physical and mental illnesses treated the same. But that bill had loopholes, advocates say, and they want federal legislation to plug those holes. The 1996 law did not provide for a minimum number of in-patient days or out-patient visits that have to be covered. And it exempted businesses with fewer than 50 employees. The bill was also silent on such issues as co-payments, deductibles and other out-of-pocket costs.
Some 28 states have a form of parity legislation, Carolla said. But the models for the nation, he added, are three bills passed this year in California, New Jersey and Virginia. And President Clinton signed an executive order that will take effect in January giving parity for mental health coverage for some 9 million federal employees.
The insurance industry says the answer isn’t mandates. The coverage is there, they say, it’s up to employers to decide to provide it. “The employer community is betwixt and between,” said Richard Coorsh, spokesman for the Health Insurance Association of America. “On the one hand they’re eager to continue to provide coverage for their employees. On the other hand they have to deal with health care cost increases which translate into higher premiums. Therefore, adding additional cost can provide an impediment to additional coverage for mental health services.”
The report falls short of calling for exact parity with the rest of the health care coverage, but says equal coverage should be “an affordable and effective objective.”
“This report underscores the need to continue to strengthen our nation’s mental health system and fight the stigma associated with mental illness so all Americans can get the treatment and services they need to live full and productive lives,” said Tipper Gore, wife of Vice President Al Gore. She has made identification and treatment of mental illness a top priority.
Dena Bunis is Washington bureau chief of the Orange County Register. More Dena Bunis.
Why President Gore might have gone into Iraq after 9/11, too
Americans don't think the world would be much different if he'd been president on 9/11 -- and they may be right
Al Gore concedes the 2000 presidential election The tenth anniversary of 9/11 is almost upon us and the commemorations are well underway. So it’s probably not surprising that someone would commission a poll asking Americans how different they think world would now be if their country’s response had been guided not by George W. Bush but by Al Gore.
What is surprising is what the poll, conducted by “60 Minutes” and Vanity Fair, found: A clear majority of Americans — 56 percent — don’t really think anything would be different. This includes 62 percent of independents, 57 percent of Republicans and 48 percent of Democrats. Even among Democrats, only 44 percent say they thought the world would be a better place now if Gore had been in the White House back then.
Continue Reading Close
Steve Kornacki writes about politics for Salon. Reach him by email at SKornacki@salon.com and follow him on Twitter @SteveKornacki More Steve Kornacki.
Al Gore: We need an “American Spring”
The former VP tells Olbermann we need a non-violent Tahrir Square, but he doesn't mean revolution
Al Gore Former Vice President and Current TV chairman, Al Gore, made an appearance on his own channel Tuesday to decry the state of American politics.
He told “Countdown” host Keith Olbermann that we need an “American Spring” like the Arab Spring, with our own version of Tahrir Square, to reinvigorate political activism in America. However, Gore made clear with a number of qualifications that he was not calling for revolution. Rather than advocating taking to the streets, he seemed to be calling for more Americans to get online to make their political views heard — a far cry from the revolutionary activity in the Arab world.
Continue Reading CloseNatasha Lennard covers the Occupy movement for Salon. A British-born, Brooklyn-based journalist, she has been covering Occupy Wall Street since before the first sleeping bag was unrolled in Zuccotti Park. One of the first journalists arrested at an Occupy action, she has managed to enrage Andrew Breitbart, Rush Limbaugh and Glenn Beck. You can follow her on Twitter (@natashalennard), and email her any Occupy updates/videos/ideas to natasha.lennard@gmail.com More Natasha Lennard.
Drop the Gore vs. Obama script
The former VP indicts the media, corporate titans and both parties, not just Obama, for inaction on climate change
Former Vice President Al Gore introduces Vice President Joe Biden at the annual Tennessee Democratic Party Jackson Day on Friday, July 16, 2010 in Nashville, Tenn. (AP Photo/Mark Humphrey)(Credit: Mark Humphrey) The sweep and complexity of Al Gore’s 7,000-word climate-change jeremiad in Rolling Stone, making news because he chides President Obama, in itself partly exonerates the president. As Gore indicts the media, corporate leaders, both political parties and by extension voters for their inaction on the deadly challenge, it seems almost churlish to single out one man for blame, even if he is the president: Look at what he’s up against!
Continue Reading CloseJoan Walsh is Salon's editor at large. More Joan Walsh.
Is Keith Olbermann at Current TV the weirdest idea ever?
Confirming rumors, Keith Olbermann announced a new gig with Al Gore's cable and Internet channel this morning
This frame grab from MSNBC video, shows Keith Olbermann on "Countdown" on Jan. 21, 2011. Olbermann returned from one last commercial break on "Countdown" to tell viewers it was his last broadcast, and read a James Thurber short story in a three-minute exit statement. Simultaneously, MSNBC e-mailed a statement that "MSNBC and Keith Olbermann have ended their contract." The network thanked him and said, "we wish him well in his future endeavors." Neither MSNBC President Phil Griffin, Olbermann nor his manager responded to requests to explain an exit so abrupt that Olbermann's face was still being featured on an MSNBC promotional ad 30 minutes after he had said goodbye. (AP Photo/MSNBC) NO SALES, MANDATORY CREDIT(Credit: AP) UPDATE (11:07 a.m.)
Like a new media champ, Keith Olbermann announced his new job on Twitter:
Greetings from Keith Olbermann, Chief News Officer of Current Media! And awayyyyyy we go! #FOK
Olbermann will both host and executive produce — this is key — an hour-long prime-time show five nights a week on Current. In addition to this anchor role, the sometimes tough-to-manage Olbermann will help overhaul Current’s news strategy and hold equity in the company.
Continue Reading CloseAdam Clark Estes blogs the news for Salon. Email him at ace@salon.com and follow him on Twitter @adamclarkestes More Adam Clark Estes.
Mark Kirk doesn’t support regulating carbon anymore, because Al Gore got divorced
The new Illinois senator reverses course on cap-and-trade, cites the former vice president's personal life
Former U.S. Vice President Al Gore (L) and his wife Tipper leave after holding a news conference in Palo Alto, California after winning the Nobel Peace Prize in this October 12, 2007 file photo. Former U.S. Vice President Al Gore and his wife, Tipper, have announced their separation after 40 years of marriage, according to media reports on June 1, 2010. REUTERS/Kimberly White/Files (UNITED STATES - Tags: POLITICS PROFILE)(Credit: © Kimberly White / Reuters) So, Mark Kirk voted for cap-and-trade in 2009, when he was in the House of Representatives. But then he ran for Senate, and so he had to decide that cap-and-trade was tyrannical and the entire idea of regulating carbon is socialism because there’s no such thing as global warming. Now Kirk wants to block the EPA from regulating emissions themselves.
How to explain the about-face? Well, a lot has happened since 2009. 2010 happened, for example. And while 2010 was the hottest year on record, something even more significant went down last year:
Continue Reading Close
Alex Pareene writes about politics for Salon and is the author of "The Rude Guide to Mitt." Email him at apareene@salon.com and follow him on Twitter @pareene More Alex Pareene.
Page 1 of 107 in Al Gore