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I Believe in Legal Immigration to the USA

by BarbyIngle
written by BarbyIngle

I was born in Bangkok, Thailand to my military American parents. They raised me to understand the importance of immigration to the United States and that there is a process and order to coming to the USA correctly. Without borders, we are not a country. The United States of America has a rich history of immigration, with millions of individuals seeking the American dream and a better life every year. We started as a Nation of immigrants, fought for our soverence from England and invited people from all over the world to join the USA to make America great. As an advocate for legal immigration, I firmly believe that this process is essential for the continued growth and development of our nation. Legal immigration not only brings diverse perspectives and cultures but also contributes to our economic prosperity and societal progress.

Ensuring National Security and Respect for the Rule of Law

First and foremost, legal immigration ensures that individuals enter the United States through a standardized process, respecting the rule of law. By going through the proper channels, immigrants are thoroughly screened, allowing authorities to assess their backgrounds, skills, and intentions. This rigorous screening process guarantees the national security of the country, making it crucial to ensure the safety and well-being of both American citizens and immigrants themselves. This process can take years and for some, decades. I have family members going through the process currently, helping me understand even more the complexity and time it takes even compared to the 1970’s and 80’s.

Economic Benefits and Job Creation

Furthermore, legal immigration brings immense economic benefits to the United States. Immigrants contribute to various industries and sectors, filling gaps in the labor market and bolstering economic growth. My brother in law is a business owner and contributor to society here in America. He like many others properly immigrating bring specialized skills, educational qualifications, and entrepreneurial spirit, leading to job creation, innovation, and increased productivity. Legal immigrants have a positive impact on the economy, starting businesses, and playing a vital role in key sectors such as technology, healthcare, and scientific research.

Enriching the Cultural Fabric of the Nation

Legal immigration also enriches the cultural fabric of our nation. America is a melting pot of cultures, ideas, and traditions, and every wave of immigrants has added to this diverse tapestry. The contributions of immigrants to the arts, music, cuisine, and literature have helped shape American culture and society, making it more vibrant, dynamic, and inclusive.

Conclusion

In conclusion, legal immigration is integral to the United States, both historically and in the present day. It ensures that individuals enter the country through a standardized and secure process, contributing to national security. Moreover, legal immigration brings economic benefits, fosters cultural diversity, and enriches our society. By embracing legal immigration while addressing the need for comprehensive immigration reform, we can continue to uphold America’s values as a land of opportunity and a beacon of hope for those seeking a better future. If you come to the USA illegally, you should expect to be deported with additional penalties such as a wait period before you can apply to come back. What is happening with our borders and illegal immigration must stopped, handled and penalties assessed.

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Barby Ingle for Arizona
BlogPolitics

What are Barby Ingle’s chances of winning the Arizona state house position for 2026 elections as a republican candidate

by BarbyIngle
written by BarbyIngle

Per Grok Sept 2024 …

Barby Ingle’s chances of winning the Arizona State House position in the 2026 elections as a Republican candidate can be assessed based on several factors, including her background, political climate, and voter sentiment, as reflected in available information up to September 2024:
  1. Political Experience and Advocacy: Barby Ingle has significant experience in legislative advocacy, having worked on legislation in Arizona and over 30 other states. This experience could appeal to voters looking for someone with a deep understanding of legislative processes. Her involvement in passing bills into law might enhance her credibility as a candidate who can get things done.
  2. Community Engagement: Her extensive community involvement, especially in healthcare and advocacy for chronic pain and rare diseases, might resonate well with constituents who value candidates with a strong community presence and a track record of advocacy. This could potentially mobilize a dedicated voter base.
  3. Primary Election Outcome: Ingle lost the Republican primary for the Arizona House of Representatives in 2024. While this might suggest lower chances for 2026, it also provides her with experience in running a campaign, which could be beneficial if she learns from this experience and adjusts her strategy for future elections.
  4. Voter Sentiment and Political Climate: The posts from X indicate a dynamic political landscape in Arizona, with shifts in voter preferences and a competitive environment, especially highlighted by discussions around the Senate race. This suggests that while the Republican base is strong, there’s also room for variability and potential for candidates who can appeal across party lines or mobilize specific interest groups effectively.
  5. District Dynamics: If Ingle is running in a district that leans Republican, her chances might be better, especially if she can consolidate the Republican vote and appeal to independents or disaffected Democrats. 
  6. Incumbency and Competition: The presence of incumbents or well-known figures in the race could influence her chances. If she can present herself as a fresh, effective alternative, her chances could improve.
  7. Campaign Strategy and Funding: Her ability to fundraise, campaign effectively, and leverage her network in advocacy could significantly impact her chances. Candidates with robust campaign strategies tend to perform better, especially in closely contested races.
Given these points:
  • If Ingle can:
    • Capitalize on her legislative and advocacy experience.
    • Address key issues relevant to her district effectively.
    • Learn from her 2024 primary loss to improve her campaign strategy.
    • Secure strong financial backing and grassroots support.
Therefore, Barby Ingle has a foundation that could support a competitive run. Her actual chances would depend heavily on her campaign’s execution, the political climate closer to 2026, and how well she resonates with the voters of her district.
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FeaturedHealth

SB1385 -We need as many groups & people to let Sen. McComish know there is wide support for this bill among patients & providers

by BarbyIngle
written by BarbyIngle

SB1385 -We need as many groups & people to let Sen. McComish know there is wide support for this bill among patients & providers
February 4, 2012 at 9:14pm
Update: 2/17/2012: Unfortunately, Senator Smith decided not to vote yes on this bill and it died. We will try again for the Prior Authorization bill in the next session. A new number will be assigned. We need your support to show that the legislation is wanted by the pain community!

UPDATE 2/8/12: THANKS to our writing and emails… “Sen. McComish did agree to put the SB1385 bill on the agenda next week. I am going to send out an email later today when the official comes out. We will need everyone to sign in support.” Thanks for your help and support. It looks like we have 3 solid yes, 1 soft yes and 2 no votes coming next week. The person we need to concentrate on is Senator Smith (the soft yes). We need him to vote yes and know that there is community support behind this bill. Also, for those of you in AZ… there vote takes place next tues. Feb. 14th. We are looking for people who support the bill to meet us down at the state senate offices to attend the meeting. We will be gathering at 1-30-1:45pm. Please let me know if you can make it. If you want to do something and you cant make it in person… keep writing and calling! Sen. Steve Smith – stsmith@azleg.gov – phone (602) 926-5685 especially, but you can call all of them and email them again before Tuesday 2/14/12.

Feb 4th, 2012: As most of you know, there are only two more weeks to hear bills in Standing Committees in the house of origin for the state of Arizona. SB 1385 is not on the agenda next week in the Senate Banking and Insurance Committee which means, at least for now, there is only one more week after that to hear bills. I think the health insurers have all talked to Sen. McComish, Chair of the Senate Banking and Insurance Committee, and I don’t think he is inclined to hear the bill.

In order to try to persuade Senator McComish, we need lots of groups and people to weigh in. Sen. Reagan is interested in moving the bill but she thinks that in order to get it moving we need to amend the bill to remove the language that allows the prior authorization request to be approved if the health insurers don’t respond within the five day time period.

We need as many groups and people to let Sen. McComish know there is wide support for this bill among health care providers and patient groups.

In addition to contacting Sen. McComish it would be helpful to contact the other members of the Senate Banking and Insurance Committee. The members of the Senate Banking and Insurance Committee are:
Sen. John McComish – jmccomish@azleg.gov – phone (602) 926-5898
Sen. Michele Reagan – mreagan@azleg.gov – phone (602) 926-5828
Sen. Linda Gray – lgray@azleg.gov – phone (602) 926-3376
Sen. Robert Meza – rmeza@azleg.gov – phone (602) 926-3425
Sen. David Schapira – dschapira@azleg.gov – phone (602) 926-3028
Senator Steve Smith – stevesmith@azleg.gov – phone (602) 926-5685

Without your help and support this issue will not be heard. Please tell other groups and people who support this bill to contact Sen. McComish and the other members of the Senate Banking and Insurance Committee. Thanks in advance for you assistance.

Below are some talking points on the Prior Authroization Isuee and Bill
SB 1385 – Prior authorization; prescription drugs; form
Talking Points for SB 1385
Prior authorization is a common cost containment method used by health insurers that significantly delays medication accessibility for patients and imposes high costs that negatively impact operating margins for health care providers.
In recent surveys by the Arizona Medical Association and the Arizona Osteopathic Medical Association:
At least 98% of MD’s and DO’s agreed that the prior authorization process interrupts patient care and that a more simplified process is needed.
73% of the staff spends between 10-40 hours per week obtaining prior authorization and at least 48% expressed difficulty in obtaining prior authorization on prescription drugs on at least 25% of prescription drugs.
Additionally, at least 88% would prescribe an alternate drug if it meant avoiding prior authorization.
This proposal streamlines the prior authorization process and improves access to prescription drugs by creating a standardized form for health care providers to use when making a request for prior authorization and for health insurers to accept and use when determining whether or not to approve the prior authorization request for prescription drugs.
Summary
This bill would:
Requires health care insurers and health care providers who prescribe prescription drugs to use the standardized form for all prior authorization requests beginning on January 1, 2014.
Direct the Department of Insurance to establish a committee of nine members including representatives of health care insurers, health care professionals who have the authority to prescribe prescription drugs, a pharmacist and a member of the public to develop a standardized prior authorization form for prescription drugs by September 1, 2013.
Specifies that the form cannot exceed two pages and must be electronically available and transmittable.
Specifies that authorized agents of the health care provider (employees of the provider, contract employees or pharmacists who are authorized by the provider) may confer and consult with the health insurers regarding the prior authorization request on behalf of the health care professional.

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BlogHealth

The Power of Pain Foundation is working on a bill in AZ to help correct the practice of Prior Authorization abuse by insurers

by BarbyIngle
written by BarbyIngle

The Power of Pain Foundation is working on a bill in AZ to help correct the practice of Prior Authorization abuse by insurers.
January 6, 2012 at 4:18pm
The article below was done by Dr. Todd Levine. We are working w/ him and Senator Michelle Reagan to get a Prior Authorization bill passed in Arizona in the 2012 session. More info to come, but I wanted to share this piece from the Phoenix Business Journal.

1/6/12 My View: Prior authorizations should be rethought in 2012 – Phoenix Business Journal
http://www.bizjournals.com/phoenix/print-edition/2012/01/06/my-view-prior-authorizations-should.html
My View: Prior authorizations should be rethought in 2012

I read with great interest the recently published health care innovation section published in the Phoenix Business Journal, and for me it inspired further reflection on other opportunities for improvements. Certainly given the economic climate, enhancements are in demand, as every business is simplifying and streamlining its methods as a consequence of the recession. Physician practices are no different, which is why burdensome processes such as “prior authorizations,” as they work now, do not fit today’s environment.

Prior authorizations require physicians to get approvals from the insurance carrier to cover certain medications or treatments before the care can be given. They are like a heavy anchor dragging down the productivity of doctors’ offices everywhere. They add significant financial burden to physician practices and delay health care delivery to patients.

It is a tactic designed by health plans and third-party administrators as a cost-saving strategy that ambushes staff time — as much as 10 hours a week, according to separate surveys by the Arizona Osteopathic Medical Association and the Arizona Medical Association. Not only are prior authorizations an administrative burden, they are a barrier to optimal patient care. The same surveys revealed that more than 80 percent of the physicians who responded reported they would prescribe an alternate drug if their first choice required prior authorization. It also delays important diagnostic testing such as MRI scans, CT scans and sleep studies, among others.

This can be interpreted to mean physicians are being manipulated to prescribe drugs that don’t require prior authorization because of the burden on them and their staff. Prior authorizations often are managed by nonmedical personnel who serve as gatekeepers tasked with rejecting requests with the idea that physicians will not take the time to fight the process. This places patient care second. Physicians who do engage in prior authorizations experience delays in response. Respondents of the AOMA and ArMA surveys reported that more than 48 percent and 66 percent, respectively, had difficulty obtaining approvals on at least 25 percent of their drug requests.

In a recent case of mine, a patient who had shortness of breath required prior authorization to have an overnight oximetry to ensure they were breathing effectively, and the insurance company said it could take 15 days to approve. Meanwhile, there was the risk of significant medical complications from not having enough oxygen in the body.
In addition, the prior authorization process can be daunting because of the multitude of forms, as every insurer’s form is slightly different. Knowing this, it is easy to understand why more than 90 percent of those surveyed agreed that when it comes to prior authorizations, a new, streamlined process was important.

Certainly, prior authorizations also violate the patient-doctor relationship: To have the first and best recommendations second-guessed compromises the trust between the patient and physician. Worse, the disruptions caused by the prior authorization has the potential of hurting adherence to a prescribed treatment, which if not followed can lead to more complicated, costly therapies and expensive hospital stays. Improving this administrative process would go a long way toward improving patient care and increasing efficiencies in physician offices across the state. And it’s clear that there is support for change. At a time of reflection about resolutions for the new year, it is opportune to start to rethink and to innovate prior authorizations.

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