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The Ultimate Benefits Package? One That Comes With The Power Of Choice

The Ultimate Benefits Package? One That Comes With The Power Of Choice

Forbesa day ago
Soni Basi, Ph.D., is a seasoned CHRO and has established her own consulting agency, POP HR.
Let's talk about menopause in the workplace.
Not the conversation you expected? In truth, conversations about how to deal with menopause in the workplace are as rare as workplace resources for those experiencing it.
But think about the message the absence of such considerations sends to individuals going through menopause. They may worry no one at work will empathize with their experience. Instead, they might choose to hide their symptoms, which can include depression, anxiety, sleep deprivation and cognitive impairment, all of which contribute to burnout. In the process, they likely spend more time and energy at work worrying about how to handle it themselves.
If we dig deeper, this conversation isn't really about menopause at all. It's about the critical link between choice, benefits and productivity.
A modern company with a large workforce of women may naturally think to offer maternity care benefits, and for good reason. But among that population, there might be some who would be more motivated by fertility or menopausal care. And then again, some employee motivations may be unrelated to healthcare.
When companies adapt their offerings to meet the diverse needs of their workforce, they announce to candidates, "I want employees to be able to show up as their whole selves without having to worry about external factors." Through highly personalized benefits, leaders also build higher-performing teams.
There's more than one side to healthcare.
I once worked at a company that offered mental health benefits, but had few conversations about it. Instead, workloads were heavy. Performance expectations were high. People were burning out, quitting and worse. Unsurprisingly, employee usage of mental health benefits was off the charts, more than any other offering. But it wasn't until leadership noticed that usage and made mental health an intentional part of the conversation that we were able to effectively address our workforce crisis.
Benefits are expensive, but higher usage leads to healthier employees and, ultimately, a healthier bottom line for the company. According to McKinsey and the World Economic Forum, "enhanced employee health and well-being could generate up to $11.7 trillion in global economic value." This would require organizations to offer traditional healthcare options, but also nontraditional benefits, like flexible schedules and mental health services.
In fact, the best healthcare options won't fit into a one-size-fits-all package. Most respondents in a 2023 CNBC/SurveyMonkey survey wanted fully paid healthcare premiums (51%), much more than those who wanted free food onsite (26%). Look closer, however, and Gen-Z workers felt dramatically different: free food (42%) was just as important as fully paid healthcare premiums (41%), with student loan repayments (34%) right behind them.
While their preferences may differ, employees care about benefits. More and more, I see candidates eager to understand a company's benefits before being hired. In 2025, Gallup reported that the percentage of employees who would take another job for better pay and benefits rose from 41% pre-pandemic to 54%.
Meanwhile, companies paying attention are already personalizing benefits. In Aon's 2024 U.S. Health Survey, 25% of employers reported plans to "increase flexibility and choice of benefits to better fit personal priorities," and 34% were exploring navigation apps using personal data to connect individuals to relevant options. Once technology companies integrate AI into those platforms, I think highly customized healthcare benefits will become table stakes.
Personalized perks align passion and mission.
Healthcare benefits are vital, but only a part of the picture. The top two drivers workers cited for accepting a new job in a 2022 Gallup survey were better pay (64%) and better work-life balance (61%). More interestingly, the third biggest factor for nearly six in ten respondents was "the ability to do what I do best."
Tapping into that passion requires an understanding of what really excites someone about their work. Then leaders can design organizational perks that speak the language of that individual's particular motivators.
It may sound obvious to say that satisfaction is the biggest driver of performance, but for the skeptical, recent research now backs this up (subscription required). Satisfaction comes from how motivated, valued and supported an employee feels day-to-day. Some get this through higher pay. But others crave praise, power, prestige or purpose.
Let's say a company offers healthcare and two perks: a spot bonus program and a points program earning products through an online retailer. They may consider this "good enough," but these offerings only cover employees motivated by their pocketbooks. Adding perk options that also tap into other motivators—a new title, more responsibility, a seat alongside leadership or a chance to give back to the community—would be more effective at driving widespread productivity.
Choice returns greater value.
Companies that spend money on benefits want them to be highly utilized, which is more likely when packages reflect their workforce's needs. Choice is key.
To change your current offering to an options approach, first, look externally. See what others are offering and where your competitors have an advantage. Then look internally at your own data around which benefits people are using (and not using), and see how that connects to your population, their ages and their experiences.
Finally, ask your people. Finding out what matters to them is the easiest way to understand their individual motivators. Until I ask people which reward they would choose given the choice, I might never learn that some would gladly exchange a week of PTO for a few days of paid volunteer work on company time. Knowing your employees is the best way to discover relevant benefits offerings they will want to use.
With choice and personalization, leaders can offer the most competitive rewards.
Does this mean highly customized healthcare? Yes. Does it mean additional organizational perks that drive individuals to go above and beyond? Also yes.
Just as compensation comes with bonuses and rate changes for merit and equity, perks and benefits can come with flexibility based on how people want to be rewarded. That process of personalization may look different for every company, but those that act first will lead the way.
Forbes Human Resources Council is an invitation-only organization for HR executives across all industries. Do I qualify?
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The 9 Best Sun Hats For Babies To Protect Them All Summer Long
The 9 Best Sun Hats For Babies To Protect Them All Summer Long

Forbes

time19 minutes ago

  • Forbes

The 9 Best Sun Hats For Babies To Protect Them All Summer Long

While the best way to avoid sun exposure is to stay in the shade and out of the sun, sometimes that's not easy, especially for busy families. If shade isn't an option, protective clothing like sun hats, UPF baby swimsuits and sunscreen work in tandem to protect against dangerous ultraviolet rays since 'the smallest kids have the thinnest skin,' says Dr. Nanette Silverberg, chief of pediatric dermatology for the Mount Sinai Health System in New York. This means UV rays penetrate deeper, faster when they're not wearing good sun protection. 'Sun hats really do work,' she adds, noting that the best sun hats for babies offer a 'wide brim' all around or a front brim with a long flap that covers the neck. 'Both of them protect that really soft skin on the neck, but also the ears, which are hard to sunscreen.' The best baby sun hats include a wide rim to protect little faces, ears and necks from sun exposure. ... More Illustration: Forbes / Photos: Retailers 'Protective clothing or covering is the best way to protect them from direct sunlight, from ultraviolet radiation" explains Dr. Helen Shin, the section chief for pediatric dermatology at Joseph M. Sanzari Children's Hospital at Hackensack University Medical Center in New Jersey. "When you have exposure to ultraviolet radiation, it does cause damage,' she says—damage that can lead to bad sunburns, premature aging and an increased risk of skin cancer. After speaking to both experts, considering my own experience fitting sun hats onto my three kids' heads and polling Forbes Vetted parents for their picks, we've pulled together the best sun hats for babies just in time for the intense summer sun. Best Sun Hat For Babies Overall: Green Sprouts UPF 50 Eco Flap Hat Best Budget Sun Hat For Babies: Carter's Reversible Swim Hat Best Wide Brim Sun Hat For Babies : Jan & Jul Cotton Bucket Sun Hat Best Beach Sun Hat For Babies : Sunday Afternoons Infant SunSprout Hat Best Sun Hat For Younger Babies: SwimZip Sun Hat With Neck Flap Best Sun Hat For Toddlers: RuffleButts UPF50 Sun Protective Hat Best Sun Hat For Babies For Swimming: Flap Happy UPF 50 Swim Hat Most Stylish Sun Hat For Babies: Pehr Bucket Hat Sustainable Amazon Green Sprouts UPF 50 Eco Flap Hat UPF Rating: 50 UPF | Sizes: 0-6M to 4T | Adjustable: Yes | Chin strap: Yes | Colorways: Nine With protection for ears, neck and the face, this Green Sprouts UPF Eco Flap sun hat was my go-to for years, through three children. It was also the top pick for my two other baby and kids gear colleagues here at Forbes Vetted—we have nine children between us. The true magic of this hat, which might appear flimsy at first, is that the recycled polyester fabric makes it exceedingly lightweight so your baby or toddler (it fits sizes up to 4T) might not even notice they're wearing it, making it easier for you to keep it on their head longer. It never bothered my otherwise fussy kids, and the little chin strap kept it on even in the wind. It's breathable, washable and folds completely flat, making it easy to stick into a pocket, purse or beach bag. Tighten or loosen the adjustable elastic band around their head, so it can fit littles with larger- than-average or petite heads. Carter's Carter's Reversible Swim Hat UPF Rating: 50 UPF | Sizes: 0 to 24M | Adjustable: No | Chin strap: Yes | Colorways: Four | Certifications: Oeko-Tex Standard 100 This reversible baby sun hat from baby clothing giant Carter's offers a generous brim on all sides, so your little one's face is fully protected—and it's usually on sale for around $10. It comes in a variety of cute prints and can be flipped to suit their current style. Reviewers promise that the chin strap keeps the hat in place, and I appreciate that the UPF 50 fabric is also Oeko-Tex Standard 100 certified, meaning its fabric has been tested and proven free of a number of potentially harmful substances. The brand's boy version of this hat has a slightly smaller brim in the bucket hat style of 2.5 inches, but that's still a generous amount of shade. Sustainable Patagonia Patagonia Baby Block-The-Sun Hat UPF Rating: 40 UPF | Sizes: 0-3M to 2T-5T | Adjustable: No | Chin strap: Yes | Colorways: Five | Certifications: Fair Trade, NetPlus 100% recycled fabric The sturdy, six-panel Patagonia Baby Block-The-Sun Hat protects both their face and neck with a generous front brim and extended back panel, as well as a UPF of 40. While it isn't adjustable, it does include a variety of sizes from newborn to 5T, so you can get the right fit, and the little chin strap can be tightened or loosened to keep it on. Alexis Caldwell, the vice president of business development and partnerships at Forbes Vetted, loves this Patagonia sun hat for her little one during hot Texas pool days. 'She doesn't constantly pull it off like with all other hats, and it dries super fast,' she says. It was crafted in a Fair Trade factory from recycled fishing nets and includes a durable water repellent for water resistance at the beach, pool or in the rain. Patagonia also says it does not include 'any intentional PFAs.' Woman-Owned UPF Rating: 50 UPF | Sizes: 0-6M to 5 to 12 years (XL) | Adjustable: Yes | Chin strap: Yes | Colorways: 41 | Certifications: Woman and AAPI-Owned Jan & Jul makes a variety of sun hats, including this fully adjustable, UPF 50-rated cotton bucket hat. The 360-degree brim is stiff, not floppy, and both the chin strap and the adjustable drawstring at the crown of the head can be tightened or loosened to get the right fit, offering parents longevity with the sizing. My youngest still finds this hat comfortable at age 6, and I like that the stiffer brim keeps the hat out of her face during more active play. The cotton is naturally more breathable than some other fabrics, and Jan & Jul says the UPF rating does not rely on any chemicals, dyes, solutions, PFAS or fluorocarbons. It comes in dozens of prints, colors and styles. Jan & Jul is a woman-founded Canadian children's brand that focuses on outdoor gear like rain boots, sneakers and swimwear. Sustainable Amazon Sunday Afternoons Infant SunSprout Hat UPF Rating: 50 UPF | Sizes: 0-6M and 12-24M (infants version); Small to large (ages 1-12 years) | Adjustable: No | Chin strap: Yes | Colorways: Eight (infants); 19 (Kids Play Hat) | Certifications: Bluesign, recycled fabrics, Climate Neutral Certified company, Lifetime Guarantee This family-founded Oregon outdoor gear brand makes excellent—and surprisingly affordable—sun hats for all ages. The Sunday Afternoons Infant SunSprout Hat is made just for babes with a 2-inch flexible brim and a 4.25 inch 'neck cape.' The recycled polyester fabric is lightweight and moisture-wicking, making it ideal for beach days, providing your child with shade and a breathable, quick-drying hat. The chinstrap includes a quick release safety feature. It's extremely packable—or 'crushable,' as the brand describes it. Once they outgrow the infant sizing, they can upgrade to the Sunday Afternoons Kids Play Hat. Woman-Owned UPF Rating: 50 UPF | Sizes: 0-6M to 2-8Y | Adjustable: Yes | Chin strap: No | Colorways: 13 | Certifications: Skin Cancer Foundation Seal Designed by another well-regarded UV clothing brand founded by a skin cancer survivor and a mother, I like this SwimZip Sun Hat for young babies because it offers generous head, neck and face protection and stays securely on their head without much fuss, thanks to its snug-fit design. It adjusts at the back of the head rather than with tie straps, making it easy to fit and comfortable for little ones. The lightweight, breathable and quick-drying sun hat comes in 13 colors, including several highly visible shades. It also floats and offers UPF 50 protection. Just be aware of the small mesh panels on the sides of the hat just above the ears and select another hat if your young child is still bald or has just a bit of light hair. Nordstrom RuffleButts UPF50 Sun Protective Hat UPF Rating: 50 UPF | Sizes: 0-6M to 2T to 4T | Adjustable: Yes | Chin strap: Yes | Colorways: 10 This extra-lightweight and soft Rufflebutts sun hat offers an extra wide brim all around, adjustable sizing and tie straps. The UPF 50 rating provides an added layer of protection. Like our best overall pick, it's easy to toss into the beach bag or diaper bag to ensure you always have a sun hat on hand, because it folds down compactly. It comes in nearly a dozen lovely shades and is 100% polyester. Be sure to keep a close eye on the long tie straps with very young babies—but those straps make it easier to keep on your toddler's head. Another woman-founded brand, Rufflebutts is best known for its ruffled diaper covers and swimwear bottoms. Woman-Owned UPF Rating: 50 UPF | Sizes: Small to XXL | Adjustable: No | Chin strap: No | Colorways: Seven | Certifications: Made from recycled materials Made from Repreve, a recycled material, plus nylon, this swim hat from Flap Happy is rated UPF 50 with a neck flap, plus a wide front brim and coverage for their ears. It's ready for pool or beachtime and can float. Toss it right into the washing machine on a delicate cold cycle after your outing to keep it clean. While there aren't tie straps, elastic keeps it snug on their head even in the pool. Flap Happy, founded by a Southern California mom of four, makes dozens of types of sun hats if you're searching for something else, as well as UPF swimwear. Woman-Owned UPF Rating: 50 UPF | Sizes: 0-6M to 4T to 6T | Adjustable: Chin strap is adjustable | Chin strap: Yes (in infant sizes) | Colorways: Six | Certifications: Organic cotton This sweet Pehr bucket hat is made of 100% organic cotton and offers a wide brim on all sides. The infant sizes include an adjustable chin strap to keep it secure while a hidden elastic at the back provides a snug fit. It's reversible, so you can flip it to whichever side suits their outfit of the day. The prints and stripes come in six options, all subtle and stylish, like the Life Aquatic sea life print, Marigold stripes and classic Ink Blue stripes. The mom- and woman-founded baby clothing brand champions its sustainable approach that includes organic cotton, AZO-free dyes and ethical manufacturing. The Forbes Vetted team of editors and writers regularly reviews and tests a variety of kids and baby gear , including everything from baby clothes to travel strollers . We spend hours researching and interviewing experts to find the best and safest items for kids and families—and then testing and using these products in real life. Author Rose Gordon Sala is the deputy editor who oversees the kids and baby gear section of Forbes Vetted. She has 20 years of journalism experience and has been a parent for a dozen years, fitting sun hats onto her babies' heads for as many years at the Jersey Shore, on hikes and ball games and just for strolls around the neighborhood. Her children have worn three of the sun hats in this story, as well as several others. The editor of this story, Esther Carlstone, is an experienced parenting editor and mother to three children who she is raising in sunny Southern California. Her children regularly wore the Green Sprouts sun hat as babies and toddlers. Sala interviewed two experienced pediatric dermatologists for this story to ensure we selected the best, most protective sun hats as possible and to glean their feedback on how else to keep little ones safe from dangerous UV rays. She spoke to: Dr. Helen Shin , the section chief for pediatric dermatology at Joseph M. Sanzari Children's Hospital at Hackensack University Medical Center in New Jersey, and Dr. Nanette B. Silverberg , chief of pediatric dermatology for the Mount Sinai Health System in New York. A sun hat is one layer of sun protection for babies and kids that's recommended by the American Academy of Pediatrics (AAP). We read through these guidelines ahead of reporting this story to ensure we were selecting the best sun hats. When selecting sun hats, we favored those with the widest brims as recommended by the two pediatric dermatologists who we interviewed for this story and according to AAP guidelines. We included sun hats tested and recommended firsthand by Forbes Vetted writers, editors and other parents on the team as long as they met the first guidance to seek out a wide brim. We evaluated the sun hats for other favorable attributes and considered whether the hat was made with a lightweight, comfortable fabric, the overall cost as it related to features, the inclusion of UPF, chin straps, closures and how well the hats stay on, as well as whether or not you could adjust the fit and, of course, styles and aesthetics. Only sun hats with favorable reviews or a firsthand staff recommendation were included here. What To Look For In The Best Sun Hats For Babies Both pediatric dermatologists interviewed for this story enthusiastically recommended a wide brim sun hat to protect the thinner, more delicate skin of young babies who also struggle with temperature regulation in the early weeks, as well avoiding the sun altogether. 'It's very much important to really avoid heavy sun exposure in younger kids,' says Silverberg. 'Sun protection, hats, sunglasses, swim shirts, sunblock and avoiding the midday sun. So a combination of activities and choices that are positive to protect the skin.' Wide Brim The AAP makes a recommendation that you look for a wide brim hat 'with an all-around 3-inch brim to shield the face, ears, and back of the neck.' I found many baby sun hats have an advertised bill of just under 3-inches, but came close. Both experts interviewed favor wide brim hats with some neck and ear protection, as well to keep more of children's sensitive skin covered, especially over baseball hats. Material A tight weave or a UPF rating of 30 to 50 is the best material to seek out in a sun hat. While a thicker hat might offer the best sun protection, your baby might prefer something lighter and more comfortable on their skin, so you might seek out a lighter weight material with a UPF rating. You might have to try a few hats to see which one your child tolerates best, because if they won't wear it, it isn't worth it. One dermatologist also cautioned us to avoid mesh, which might be added for breathability, but that can potentially let that ultraviolet in. Another suggested darker colors for better protection. UPF Rating A UPF rating stands for ultraviolet protection factor (UPF). However, Dr. Shin points out that you don't need to spend extra money on UPF clothing if the weave of the fabric is tight enough and you select a darker color. However, a UPF rating might ease your decision. 'The idea is that they either contain chemicals that block light or they're an extremely tight weave that prevents UV light from coming through,' adds Silverberg. 'There are a variety of benefits for that. It's not just sun protection. They do tend to be fairly cool as garments go.' She points out that a rating of 30 is good but 50 is even better. Chin Strap Or Not For many parents, the biggest challenge is keeping the hat on their child's hat. 'Babies are very quick to just take the hat off,' says Shin. A chin strap, whether it ties or closes with Velcro, can offer a bit of a deterrent to kids prone to shucking it off. So can an adjustable band that goes around the head or sometimes just a bit of elastic in the headband can keep it snugger on a child's head. Shin cautions parents to keep a close eye on babies wearing a sun hat with straps or ties and to supervise them closely. 'You don't want them to be too long," she says, noting they could pose a possible risk. Should Babies Wear Hats In The Sun? Yes, experts agree that babies should wear sun hats. Shin recommends that babies 'always' wear a wide-brim hat to avoid sun damage. Silverberg points out that all ages can benefit from protective clothing in the sun, but that parents should be aware of another motivating factor. 'Most kids learn sun protection by modeling from their parents,' she says. 'If you want your kid to wear a sun hat, you should be wearing the sun hat, too. If you want your kid to wear the swim shirt, you should be wearing it too.' What Kind Of Hat Is Best For A Baby? Both experts and the AAP recommend wide-brimmed hats for babies, especially those that offer coverage for the face, neck and ears. Neither pediatric dermatologist loved baseball caps, but said they're better than nothing thanks to the tight weave. Where they fall short is lacking that 360-degree protection. 'You're not really getting complete facial protection, just the front,' says Silverberg. Your baby's sun hat doesn't need a UPF factor, but this could help if you can't evaluate how tight the weave is on your own. Be aware of long, dangling straps that could pose a danger to young babies, as well as mesh that could let some sun into those areas. What Kind Of Hat Do Doctors Recommend For UV Light? ​​'You don't have to buy clothing that is labeled with a UPF factor,' says Shin. 'Tighter-knit clothing and darker colors are going to give you more protection.' Also consider how much of the face and body the hat is covering—anything that is exposed to the sun needs sunscreen applied and reapplied, she says. Still, a UPF rating does serve as a good guide to how well the hat or the piece of clothing will prevent the sun reaching your child. Look for clothing rated at a 30 or 50 UPF for even better protection. The Skin Cancer Foundation explains how to select the most protective clothing. How Can I Protect My Baby From The Sun? While both experts interviewed for this story do recommend sun hats and other protective clothing for babies—and adults—they both also cautioned that a hat alone won't be enough and should be accompanied by additional layers of protection at all ages. These layers include seeking out shade, avoiding the sun during the hottest parts of the day and applying UPF 30 or 50 sunscreen. (The AAP now says that babies under the age of 6 months old should stay in the shade and out of the sun, but that small exposed areas should be covered in sunscreen.) 'We talk a lot about shade and clothing that protects and sunscreen as options for sun protection—and they're best done together,' says Silverberg. 'You want to start your day with sunscreen for protection and plan on shade and avoiding the midday sun.' 'My number one recommendation is always to try to stay in the shade,' says Shin. 'That could be under a tree, under an awning, a stroller umbrella... I usually recommend shade first and then second is protective clothing like a wide brim hat that covers the front and the back, because the baseball hat alone would only cover the front. We always recommend sunglasses… [and] sunscreen on all exposed areas. Try not to be outside when the sun is the strongest. That's usually between 10:00 and 3:00.' More Baby And Kids Summer Gear To Shop

Trump's ‘Big Beautiful Bill' Would Leave Millions Without Health Insurance
Trump's ‘Big Beautiful Bill' Would Leave Millions Without Health Insurance

WIRED

time30 minutes ago

  • WIRED

Trump's ‘Big Beautiful Bill' Would Leave Millions Without Health Insurance

Jul 3, 2025 12:57 PM Nearly 12 million people could lose health care coverage if the bill gets passed and signed by Trump, while hospitals would be hit hard by Medicaid cuts. Photograph:Senate Republicans on Tuesday passed President Donald Trump's sprawling tax and spending package, known as the 'One Big Beautiful Bill,' paving the way for a major overhaul of the country's Medicaid program. If passed by the House, which could happen before the July 4 holiday, millions of people stand to lose their health insurance. The number of people without health insurance in the United States nearly halved from 2013 to 2023, falling from around 14 percent to a record low of less than 8 percent, largely driven by coverage expansion under the Affordable Care Act. That rate has held relatively steady over the past few years, with around 26 million people in the US currently without health insurance. But the Republican budget bill making its way through Congress would likely cause those numbers to surge, adding millions of people to the rolls of the uninsured. A review from the end of June by the nonpartisan Congressional Budget Office estimates cuts of nearly $1 trillion from the Medicaid program and a loss of coverage for almost 12 million Americans by 2034 under the Senate version of the bill. (The legislation could still undergo last-minute changes before being passed.) 'Cuts to federal health care spending of this magnitude are likely to have consequences for hospitals, and could lead some to lay off staff, offer fewer services, or close altogether. On top of that, with nearly 12 million people projected to lose health insurance, many would have a harder time affording needed care,' says Zack Levison, a health policy expert at KFF, a nonpartisan health policy research, polling, and news organization. The White House says the cuts will help root out 'waste, fraud, and abuse in government programs to preserve and protect them for those who rely most on them.' One of the ways the bill would restrict access to coverage is by imposing a work requirement to enroll in Medicaid, which provides health coverage for 72 million low-income and disabled Americans. There has never been a federal work requirement for people to receive Medicaid benefits—only assessments of a person's income and disability status—and the majority of adults in the program are already working or looking for work. Under the bill, adults would be required to work or volunteer 80 hours a month to qualify for enrollment. Disabled and pregnant individuals would qualify for exemptions, and the Senate-passed version would allow parents with children under the age of 14 to apply for exemptions. The House version would have allowed all parents of dependent children to do so. Deborah Greenhouse, a pediatrician in South Carolina and spokesperson for the American Academy of Pediatrics, worries about parents navigating the new exemption system. 'This bill will be catastrophic for children with Medicaid,' she says. It could impose bureaucratic red tape for those who do qualify for exemptions, and some parents may not be able to meet the work requirement if they have older children with special needs. The bill would also require states to determine Medicaid eligibility redeterminations at least every 6 months, instead of the current annual check. It means individuals would need to reapply to the program more often to make sure they remain eligible, which could be a hurdle to non-English speakers, people with low literacy, and others. Another way the GOP plan would limit access to coverage is by making it harder to buy health plans through the insurance marketplaces established by the Affordable Care Act. The bill shortens the open enrollment period by a month and also doesn't allow plans to be automatically renewed. Policyholders would instead be required to update certain personal information in order to retain coverage. In a letter to the Senate, Rick Pollack, president and CEO of the American Hospital Association, says the loss of coverage resulting from the bill 'will result in additional uncompensated care for hospitals and health systems, which will affect their ability to serve all patients.' The GOP's plan would also limit a mechanism states use to help fund their Medicaid programs, called provider taxes, which are levied on hospitals, nursing homes, and other health care providers. Medicaid is jointly funded by the federal government and states, with the federal government paying for a certain percentage of state Medicaid expenditures. Higher provider taxes increase state Medicaid spending, which often results in increased federal reimbursement. The Paragon Institute, a conservative health think tank, has called the practice 'legalized money laundering.' The Congressional Budget Office expects that states would need to modify their Medicaid programs by taking measures such as reducing provider payment rates, reducing the scope or amount of certain health care services, and reducing Medicaid enrollment. Jake Haselswerdt, associate professor of government and public affairs at the University of Missouri, who studies Medicaid and the Affordable Care Act, says the bill will have broad implications for the Medicaid program. 'States are basically going to have to figure out other ways to pay for the things they've been paying for,' he says.

Illinois veteran bestowed military honors nearly a decade after death
Illinois veteran bestowed military honors nearly a decade after death

Yahoo

time35 minutes ago

  • Yahoo

Illinois veteran bestowed military honors nearly a decade after death

CHICAGO — Standing near the gravestone for the relative he never met, Mark Bailey accepted the crisply folded American flag from the Army officer, hugged it to his chest and closed his eyes. Though the person he called his aunt — born Reba Caroline Bailey — had been estranged, missing for decades and died in 2015 as an unidentified ward of the state, he felt connection and a sense of closure. 'I want to let Reba know we're part of the circle and part of the family,' he said. Mark Bailey was among dozens of attendees at an unusual funeral service with military honors this week for an Illinois veteran with memory problems so severe that they died an unnamed person. The ceremony became possible because of an extraordinary cold case investigation that identified the 75-year-old postmortem. Investigators unearthed the mystery of how the Women's Army Corps veteran ended up homeless in Chicago with few recollections of their own life, aside from identifying as a man named Seven. 'I never knew I had this family member,' said Mark Bailey's 19-year-old son Cole, who also drove from central Illinois for the service. 'It's nice to know I have somebody that's been found and isn't lost anymore.' Since the investigation's conclusion, the numbered cement cylinder that marked the unidentified grave has been replaced with a rectangular plague with a cross that reads: 'Reba Caroline Bailey, PFC US Army.' The case of Seven Doe, the name appearing in some official records, came to Cook County Sheriff Tom Dart's office in 2023. The unidentified body belonged to a person who died of natural causes in an assisted living facility. They were a ward of the state, unable to remember a legal name or family. The cause of death was heart disease with diabetes and dementia as contributing factors and the body was buried in a section for unclaimed people at Mount Olivet Catholic Cemetery on Chicago's Far South Side. The medical examiner marked it as the 4,985th case of the year and put the number on the headstone. In 2023, investigators ran fingerprints taken postmortem and found a 1961 Army record for the veteran, formerly of Danville, about 140 miles (225.31 kilometers) south of Chicago. The search for close living relatives came up short; five siblings and an ex-husband had all died. The family members they did locate had only heard stories of a relative who had disappeared. After making the identification, detectives ordered a new headstone with the same name on military records. It was quietly installed last year. Commander Jason Moran, who oversees the sheriff's missing persons unit, said it was rewarding to make sure the identified veteran got the benefit of a funeral with military honors. 'It's just a privilege to be able to help families and really close the story,' said Moran, whose work on other high-profile cold cases has gained notoriety. Several generations of the Bailey family have told stories about what happened to their missing relative since leaving the military to get married. They've wondered about the possibility of children or their relative's gender identity. Some believe that there was a family dispute but the stories about its origins vary from the decision to join the military to sexual orientation. Family members tried to find their missing relative over the years, including Amanda Ingram, who would have been a great-niece. She maintains a meticulous family tree with Census records and photos. 'It's amazing how somebody can just disappear like that and not know what happened,' Ingram said this week. 'I'm pretty sure we're never going to know the details.' On a winter day in the late 1970s, a person wearing a military-style jacket and aviator cap was curled up on the porch of St. Francis Catholic Worker House in Chicago. Residents who stayed there at the time told The Associated Press that the person asked to be called Seven, spoke in the third person and identified as a man. Seven quickly became the house cook. The meals drew crowds to the neighborhood where several homeless advocacy groups operated, according to former residents' accounts. Investigators have tried to explain the memory loss and floated theories about brain damage related to a 1950 car accident that killed Bailey's mother or to military service. That included stints at Fort Ord in California, a polluted former Army base, and Fort McClellan in Alabama, formerly used for chemical weapons training, and where the federal government has acknowledged potential exposure to toxins. Neither family, investigators nor residents of the worker house figured out the meaning behind the name Seven. Ingram, who lives in Alabama, couldn't make the ceremony this week. But she asked volunteers from an Illinois chapter of Daughters of the American Revolution to attend on her behalf. 'Everybody who comes to visit that cemetery will pass by it and know who she was,' said Ingram, whose detailed family trees include records using Bailey's birth name. Mark Bailey said he and his son wanted to bring something to the service that would honor both parts of their long-lost relative's life. They had heard their relative had an affinity for the Cubs and looked for a jersey with the number '7' on it, but settled on a blue team cap. They set it on the headstone. The service held Tuesday included prayers, a 21-gun salute and a bugler playing taps — a chilling, 24-note salute that is traditionally played at funerals of U.S. military veterans. Attendees included Cook County sheriff's investigators and Archdiocese of Chicago staff. 'I just wish the rest of them could be identified as well,' Mark Bailey told those attending while pointing to the rows of unidentified graves. Dart, the Cook County sheriff, said the ceremony left him nearly speechless, saying the Illinois veteran deserved military honors and a flag from the U.S. president 'instead of being forgotten and left as an anonymous number somewhere.' Relatives said they planned to eventually display the flag at the American Legion in Potomac, near where the Bailey family has roots. Mark Bailey said the acknowledgement of military service was particularly meaningful with so many veterans in the extended family. He hoped the memory would stay with his son Cole, who plans to enlist. 'For him, it'll be something he'll have forever,' he said.

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