Broadcaster Press 5 June 14, 2016 www.broadcasteronline.com 1830 Rummage Sales 45667 Jetley Park (one mile S. Meckling) Thursday, 6/16, 8am-3pm Friday, 6/17, 8am-3pm Saturday, 6/18, 8am-3pm Harold & Henrietta Sealey Estate Old machinery: platform scale, JD elevator, Idea corn picker, cider press, one row cultivator,metal grain bins. Clipper fanning mill, WD&WC Allis tractors, tools, more. Cherry furniture,household collection,antiques. 627 Thomas St. Vermillion Friday, 6/17, noon-6pm Saturday, 6/18, 8am-2pm Three Family Rummage Sale: Books, Clothes, Christmas, Furniture, Plants, Estate Items and Miscellaneous. 1850 Agriculture We have several crews of bean walkers. We do any type of farm work, including cutting cedar trees, tear down & replace fencing. References available 712-9432084. 1870 Ag Equipment FOR SALE: Hay Dryers, "Tedders" (Fluffers). Also have 2 New Holland Disc mowers Model's 615 & 617 Both like new, been shedded. 402-6401306. 1875 Livestock - Poultry 2-Year old virgin Angus bulls, moderate frame, easy fleshing, calving ease, good disposition, semen tested, EPD's available, Keith Reed, (402)649-3615. For Sale: Angus Polled Charolais & Angus Hybrid Bulls. Performance & Fertility Tested. Excellent Quality & Disposition. Good Selection. Reasonably Priced, WAGONHAMMER RANCH, www.wagonhammer.com Phone: (402)649-2719. For Sale: Registered Black Angus & Sim Angus Yearling Bulls AI Sired born Dec./January. Bred for performance & calving ease. Call John Schieffer 605-661-8531 or Marnie Schieffer 402-388-4532. Treating the Crisis By Rep. Kristi Noem Late into the evening on July 22, 2015, a young woman arrived in the Emergency Room of the Indian Health Service hospital in Rosebud. She was having contractions – each, about two and a half minutes apart. The baby was coming. Still, nursing staff allowed the young woman to leave and use the restroom. Minutes later, her boyfriend started yelling from the bathroom. He needed a doctor. The baby had been born on the floor. The infant was not initially breathing. His color was “dusky.” Once a nurse entered the bathroom, the baby was scooped up and run into a nearby room where they were able to start his breathing. It’s a horrifying story, as told in a recent government review of the hospital. What’s more – it’s happened before. I’ve heard stories like this over and over again from tribal members I’ve met with. For years, federal reports have documented shocking cases of mismanagement and poorly delivered care. There have been instances where medical staff saw patients while intoxicated, evidence of Indian Health Service (or IHS) employees stealing thousands of narcotics from the hospital pharmacy, and a time when a man known to have tuberculosis, which is highly contagious, was allowed to interact unsupervised with other patients. IHS was left to make improvements on its own. They were given funding increases almost every year and yet, the agency produced increasingly poor care to South Dakota’s tribal communities. Enough is enough. This month, I led a bipartisan group of lawmakers in introducing comprehensive reform legislation. The Helping Ensure Accountability, Leadership, and Transparency in Tribal Healthcare Act (which we call the HEALTTH ACT) offers critical structural changes to how IHS operates, addressing both medical and administrative challenges. Currently, IHS is empowered to make choices about hospital contracts without input from the tribes it serves or independent Polled Yearling Charolais Bulls. Bloodlines of Milestone Rampage, Forefront, Natey Bear. 78lb. average birth weight. No creep feed. Good disposition. Reasonably priced. 605-387-5366. 605-951-4728. Sim-angus bulls for sale. From years of production records. Good quality. Semen tested. Julian and David Canaday, Bloomfield, NE. Call 402373-2294 or cell 712-898-6426. healthcare experts. My bill would change that and allow for a partnership among these three groups to better ensure contracts are designed to serve those they’re intended to help. I’ve also taken on the Purchased/Referred Care Program, which is the program that pays for care tribal members can’t receive directly at an IHS hospital or clinic. To protect taxpayers, this program has limited funds. But the money is distributed according to an outdated formula that doesn’t consider things like geography or population, leaving some areas with surpluses while others are unable to pay the bills. Through my legislation, we require IHS to make changes so the formula is based on factors that impact access to care, finally matching support with need. Additionally, because IHS currently pays a premium for these outside services, I’ve included provisions to help drive down prices and stretch every Purchased/Referred Care dollar further. It’s also been an incredible challenge to recruit competent medical staff and hospital leadership. These hospitals are typically in remote areas and the incentives to move there just haven’t been offered. My legislation tries to make hiring a bit easier, while also giving additional help to medical professionals and administrators for things like paying back their student loans. Critical accountability requirements are also included to make sure we can better monitor what is happening at IHS facilities in crisis. The government is required by treaty to provide healthcare to tribal communities, but IHS has failed to uphold that duty. As it stands today, the Emergency Department at Rosebud is shut down until it can be made safe enough to see patients again. IHS facilities in Pine Ridge, Rosebud, and Rapid City are in jeopardy as well. Lives have been lost because of what’s happening. Big adjustments urgently need to be made, but I’m committed to working together on agencylevel changes and my legislative reforms to ensure tribal members finally receive the care their families need. We’ve Spotted Arrrrre you advertising in the Broadcaster? Read A better way to buy, sell or rent! Connect with area landlords, renters, home buyers and home sellers with the Broadcaster classifieds! bp Since 1934 Watch the “treasure” pile up when you advertise in the 201 W Cherry Vermillion, SD and Recycle! Phone: (605) 624-4429 Fax: (605) 624-2696 Hartington Tree LLC TREE TRIMMING, REMOVALS & TRANSPLANTING TREES FOR SALE EVERGREEN • SHADE • ORNAMENTAL Yankton 605-260-1490 Hartington 402-254-6710 Serving Southeast SD & Northeast NE for 20 Years Kent & Kyle Hochstein • Licensed Arborists www.hartingtontree.com Decker Roo?ng & Construction Doing Business as DGD Construction LLC • Quality New Steel Siding and Roofs • New Metal, Windows and Sliding Doors • Post Frame Building Construction • Shingling and Remodeling • Hog Confinement Reroofs Family Owned and Operated David Decker Call: 605-214-5910 or 605-214-2546 29222 Riverview Avenue, Centerville SD Auction House Notice of Sale of Surplus Property Auction will be held for an approximate 32 feet X 50 feet (1600 sq.ft) house that has been constructed by the Career and Technical Education students of Vermillion High School under the supervision of an instructor. Only bids of $49,000.00 or greater will be considered. The auction will be held at 7:00 p.m. on Wednesday, June 15, 2016, at the CTE Building at Vermillion High School at 1001 E. Main Street, Vermillion, South Dakota. Individuals having questions about the house may contact Mark Froke, superintendent, 605-677-7000 Broadcaster Press 201 W Cherry Vermillion 624-4429 Carpentry, Install Doors, Windows & Siding, Refinishing, Drywall, Ceramic Tile & Decks Affordable Care Act dramatically improved health insurance coverage for people living in rural areas WASHINGTON, D.C. – Today, the U.S. Department of Health and Human Services released an analysis of how the Affordable Care Act has benefited rural America. The findings, which examine independent studies and other data, show that health coverage in rural counties increased by 8.0 percentage points between late 2013 and early 2015, and the share of rural Americans unable to afford needed care dropped by almost six percentage points. “The Affordable Care Act has helped millions of people in rural areas access quality, affordable health coverage,” said Secretary Sylvia M. Burwell. “As someone from rural America, I know how important these gains in coverage and access to care are to communities like my hometown of Hinton, West Virginia.” Despite being disproportionately likely to live in states that have not expanded Medicaid, rural Americans have seen coverage gains under the Affordable Act on par with residents of cities because they have benefited from the Health Insurance Marketplace and tax credits that keep coverage affordable, from other coverage reforms such as the elimination of exclusions based on pre-existing conditions. The new analysis documents the success of the Health Insurance Marketplace in particular in expanding coverage and access to care in rural areas. In the HealthCare.gov states alone, 1.7 million rural Americans purchased coverage through the Marketplace for 2016, comprising nearly 1 in 5 plan selections. This represents an 11 percent increase from 2015, greater than the overall increase in Marketplace enrollment. The Affordable Care Act also helped ensure that Marketplace plans remained affordable for rural households. For the almost 9 in 10 rural consumers who are eligible for premium tax credits, the average premium increased only 4 percent, or $5 per month, between 2015 and 2016, despite headlines suggesting double digit increases. Rural Americans, like residents of metropolitan areas, have also experienced improved access to care as the ACA’s major coverage provisions took effect. For example, among rural individuals, the share without access to a personal physician dropped 3.4 percentage points, and the share unable to afford needed care dropped 5.9 percentage points. Even more progress could be made in improving coverage and access to care for rural communities if the remaining 19 states choose to expand. Nearly two thirds of the rural uninsured (versus 51 percent of uninsured residents of non-metropolitan areas) live in states that have not yet expanded Medicaid at the end of 2015. To read today’s report, visit: https://aspe.hhs.gov/pdfreport/impact-affordable-care-act-coverage-expansion-ruraland-urban-populations HUGE Heart Whispers of the late Barb Schnider is going out of Business 50% off on Saturday June 18th 8:00am-5:00pm 75% off on Sunday June 19th 10:00am-4:00pm 44888 305th Street Volin SD (2 miles West of Volin) There will be Furniture, Trash to Treasure Items, Porcelain stove 1920’s? can be converted, Unique crafts and Collectables, Vintage Clothing and MUCH MUCH MORE!!! Estate Sale Coming Soon!!! If you are a collector and love old things and making them new this is the place you want to be!!