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<font size="+2" face="Calibri"><i><b>April 30</b></i></font><font
size="+2" face="Calibri"><i><b>, 2024</b></i></font><font
face="Calibri"><br>
</font><br>
<i>[ Understanding a carbon tax -- explanation meeting ]</i><br>
<b>Carbon Pricing</b><br>
ToSaveTheWorld<br>
<a class="moz-txt-link-freetext" href="https://www.youtube.com/watch?v=7UsMlXplNuU">https://www.youtube.com/watch?v=7UsMlXplNuU</a><br>
<p><br>
</p>
<p><br>
</p>
[ HEALTHWATCH Oregon style - ]<br>
<b>Oregon Medicaid patients get air conditioning, mini fridges as
climate change drives health concerns</b><br>
healthwatch<br>
By Samantha Young<br>
<br>
April 29, 2024 / KFF Health News<br>
Oregon is shipping air conditioners, air purifiers and power banks
to some of its most vulnerable residents, a first-in-the-nation
experiment to use Medicaid money to prevent the potentially deadly
health effects of extreme heat, wildfire smoke and other
climate-related disasters.<br>
<br>
The equipment, which started going out in March, expands a Biden
administration strategy to move Medicaid beyond traditional medical
care and into the realm of social services.<br>
<br>
At least 20 states, including California, Massachusetts and
Washington, already direct billions of Medicaid dollars into
programs such as helping homeless people get housing and preparing
healthy meals for people with diabetes, according to KFF. Oregon is
the first to use Medicaid money explicitly for climate-related
costs, part of its five-year, $1.1 billion effort to address social
needs, which also includes housing and nutrition benefits.<br>
<br>
State and federal health officials hope to show that taxpayer money
and lives can be saved when investments are made before disaster
strikes.<br>
<br>
"Climate change is a health care issue," so helping Oregon's poorest
and sickest residents prepare for potentially dangerous heat,
drought, and other extreme weather makes sense, said Health and
Human Services Secretary Xavier Becerra on a visit to Sacramento,
California, in early April.<br>
<br>
Becerra said the Biden administration wants states to experiment
with how best to improve patient health, whether by keeping someone
housed instead of homeless, or reducing their exposure to heat with
an air conditioner.<br>
<br>
But Medicaid's expansion into social services may duplicate existing
housing and nutrition programs offered by other federal agencies,
while some needy Americans can't get essential medical care, said
Gary Alexander, director of the Medicaid and Health Safety Net
Reform Initiative at the Paragon Health Institute.<br>
<br>
"There are 600,000 or 700,000 intellectually disabled people in the
United States waiting for Medicaid services. They're on a waitlist,"
said Alexander, who oversaw state health agencies in Pennsylvania
and Rhode Island. "Meanwhile Medicaid has money for housing and food
and air conditioners for recipients. Seems to me that we should
serve the intellectually disabled first before we get into all of
these new areas."<br>
<br>
Scientists and public health officials say climate change poses a
growing health risk. More frequent and intense floods, droughts,
wildfires, extreme temperatures, and storms cause more deaths,
cardiovascular disease from poor air quality, and other problems,
according to the federal government's Fifth National Climate
Assessment...<br>
- -<br>
The mounting health effects disproportionately hit low-income
Americans and people of color, who are often covered by Medicaid,
the state-federal health insurance program for low-income people.<br>
<br>
Most of the 102 Oregonians who died during the deadly heat dome that
settled over the Pacific Northwest in 2021 "were elderly, isolated
and living with low incomes," according to a report by the Oregon
Health Authority, which administers the state's Medicaid program,
with about 1.4 million enrollees. The OHA's analysis of urgent care
and emergency room use from May through September of 2021 and 2022
found that 60% of heat-related illness visits were from residents of
areas with a median household income below $50,000.<br>
<br>
"In the last 10-plus years, the amount of fires and smoke events and
excessive heat events that we've had has shown the disproportionate
impact of those events on those with lower incomes," said Dave
Baden, the OHA's deputy director for programs and policy.<br>
<br>
And, because dangerously high temperatures aren't common in Oregon,
many residents don't have air conditioning in their homes.<br>
<br>
Traditionally, states hit by natural disasters and public health
emergencies have asked the federal government for permission to
spend Medicaid dollars on back-up power, air filters and other
equipment to help victims recover. But those requests came after the
fact, following federal emergency declarations.<br>
.<br>
Oregon wants to be proactive and pay for equipment that will help an
estimated 200,000 residents manage their health at home before
extreme weather or climate-related disaster hits, Baden said. In
addition to air conditioning units, the program will pay for mini
fridges to keep medications cold, portable power supplies to run
ventilators and other medical devices during outages, space heaters
for winter and air filters to improve air quality during wildfire
season...<br>
- -<br>
The cost savings are clear to Kaiser Permanente. After the 2021 heat
wave, it sent air conditioners to 81 patients in Oregon and
southwest Washington whose health conditions might get worse in
extreme heat, said Catherine Potter, community health consultant at
the health system. The following year, Kaiser Permanente estimated
it had prevented $42,000 in heat-related ER visits and $400,000 in
hospital admissions, she said.<br>
<br>
"We didn't used to have extreme heat like this, and we do now," said
Potter, who has lived in the temperate Portland area for 30 years.
"If we can prevent these adverse impacts, we should be preventing
them especially for people that are going to be most affected."<br>
<a class="moz-txt-link-freetext" href="https://www.cbsnews.com/news/medicaid-climate-change-oregon-air-conditioning-mini-fridges-power-banks/">https://www.cbsnews.com/news/medicaid-climate-change-oregon-air-conditioning-mini-fridges-power-banks/</a><br>
<br>
<p><br>
</p>
<i>[ no surprise here ]</i><br>
<b>Big Meat and Dairy Companies Have Spent Millions Lobbying Against
Climate Action, a New Study Finds</b><br>
The companies have been slow to make emissions reductions pledges,
and have worked to undercut climate and environmental legislation.<br>
By Georgina Gustin<br>
April 2, 2021<br>
<a class="moz-txt-link-freetext"
href="https://insideclimatenews.org/news/02042021/meat-dairy-lobby-climate-action">https://insideclimatenews.org/news/02042021/meat-dairy-lobby-climate-action</a><br>
<br>
<p><br>
</p>
<p><i>[ Experiment from National Weather Service - save the link ]</i><br>
<b>National Weather Service NWS HeatRisk</b><br>
National Oceanic and Atmospheric Administration<br>
Identifying Potential Heat Risks in the Seven Day Forecast<br>
The NWS HeatRisk is an experimental color-numeric-based index that
provides a forecast risk of heat-related impacts to occur over a
24-hour period. HeatRisk takes into consideration:<br>
How unusual the heat is for the time of the year<br>
The duration of the heat including both daytime and nighttime
temperatures<br>
If those temperatures pose an elevated risk of heat-related
impacts based on data from the CDC<br>
This index is supplementary to official NWS heat products and is
meant to provide risk guidance for those decision makers and
heat-sensitive populations who need to take actions at levels
that may be below current NWS heat product levels.<br>
<a class="moz-txt-link-freetext"
href="https://www.wpc.ncep.noaa.gov/heatrisk/">https://www.wpc.ncep.noaa.gov/heatrisk/</a><br>
</p>
<p>- -</p>
<table class="table table-bordered"
style="box-sizing: border-box; caption-side: bottom; border-collapse: collapse; flex-shrink: 0; max-width: 100%; padding-right: calc(var(--bs-gutter-x) * .5); padding-left: calc(var(--bs-gutter-x) * .5); margin-top: var(--bs-gutter-y); --bs-table-color-type: initial; --bs-table-bg-type: initial; --bs-table-color-state: initial; --bs-table-bg-state: initial; --bs-table-color: tranparent !important; --bs-table-bg: tranparent !important; --bs-table-border-color: var(--bs-border-color); --bs-table-accent-bg: transparent; --bs-table-striped-color: var(--bs-emphasis-color); --bs-table-striped-bg: rgba(var(--bs-emphasis-color-rgb), 0.05); --bs-table-active-color: var(--bs-emphasis-color); --bs-table-active-bg: rgba(var(--bs-emphasis-color-rgb), 0.1); --bs-table-hover-color: var(--bs-emphasis-color); --bs-table-hover-bg: rgba(var(--bs-emphasis-color-rgb), 0.075); margin-bottom: 1rem; vertical-align: top; border: 1px solid rgb(153, 153, 153); color: rgb(33, 37, 41); font-family: Roboto, sans-serif; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; text-align: start; text-transform: none; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; background-color: rgb(255, 255, 255); text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; font-size: 0.9em;"
width="635" height="776">
<tbody
style="box-sizing: border-box; border-color: inherit; border-style: solid; border-width: 0px; vertical-align: inherit;">
<tr class="active"
style="box-sizing: border-box; border-color: inherit; border-style: solid; border-width: var(--bs-border-width) 0;">
<th
style="box-sizing: border-box; text-align: center; border-color: inherit; border-style: solid; border-width: 0 var(--bs-border-width); padding: 0.5rem; color: var(--bs-table-color-state,var(--bs-table-color-type,var(--bs-table-color))); background-color: var(--bs-table-bg); box-shadow: inset 0 0 0 9999px var(--bs-table-bg-state,var(--bs-table-bg-type,var(--bs-table-accent-bg))); width: 80px;">Category</th>
<th
style="box-sizing: border-box; text-align: center; border-color: inherit; border-style: solid; border-width: 0 var(--bs-border-width); padding: 0.5rem; color: var(--bs-table-color-state,var(--bs-table-color-type,var(--bs-table-color))); background-color: var(--bs-table-bg); box-shadow: inset 0 0 0 9999px var(--bs-table-bg-state,var(--bs-table-bg-type,var(--bs-table-accent-bg)));">Risk
of Heat-Related Impacts</th>
</tr>
<tr id="legend-0" class="hr_green"
style="box-sizing: border-box; border-color: inherit; border-style: solid; border-width: var(--bs-border-width) 0; background-color: rgb(232, 249, 231); color: rgb(0, 0, 0); text-align: center;">
<td
style="box-sizing: border-box; border-color: inherit; border-style: solid; border-width: 0 var(--bs-border-width); padding: 0.5rem; color: var(--bs-table-color-state,var(--bs-table-color-type,var(--bs-table-color))); background-color: var(--bs-table-bg); box-shadow: inset 0 0 0 9999px var(--bs-table-bg-state,var(--bs-table-bg-type,var(--bs-table-accent-bg)));">Green<br
style="box-sizing: border-box;">
0</td>
<td
style="box-sizing: border-box; border-color: inherit; border-style: solid; border-width: 0 var(--bs-border-width); padding: 0.5rem; color: var(--bs-table-color-state,var(--bs-table-color-type,var(--bs-table-color))); background-color: var(--bs-table-bg); box-shadow: inset 0 0 0 9999px var(--bs-table-bg-state,var(--bs-table-bg-type,var(--bs-table-accent-bg)));">Little
to no risk from expected heat.</td>
</tr>
<tr id="legend-1" class="hr_yellow"
style="box-sizing: border-box; border-color: inherit; border-style: solid; border-width: var(--bs-border-width) 0; background-color: rgb(244, 242, 87); color: rgb(0, 0, 0); text-align: center;">
<td
style="box-sizing: border-box; border-color: inherit; border-style: solid; border-width: 0 var(--bs-border-width); padding: 0.5rem; color: var(--bs-table-color-state,var(--bs-table-color-type,var(--bs-table-color))); background-color: var(--bs-table-bg); box-shadow: inset 0 0 0 9999px var(--bs-table-bg-state,var(--bs-table-bg-type,var(--bs-table-accent-bg)));">Yellow<br
style="box-sizing: border-box;">
1</td>
<td
style="box-sizing: border-box; border-color: inherit; border-style: solid; border-width: 0 var(--bs-border-width); padding: 0.5rem; color: var(--bs-table-color-state,var(--bs-table-color-type,var(--bs-table-color))); background-color: var(--bs-table-bg); box-shadow: inset 0 0 0 9999px var(--bs-table-bg-state,var(--bs-table-bg-type,var(--bs-table-accent-bg)));">Minor
- This level of heat affects primarily those individuals
extremely sensitive to heat, especially when outdoors
without effective cooling and/or adequate hydration.</td>
</tr>
<tr id="legend-2" class="hr_orange"
style="box-sizing: border-box; border-color: inherit; border-style: solid; border-width: var(--bs-border-width) 0; background-color: rgb(246, 150, 50); color: rgb(0, 0, 0); text-align: center;">
<td
style="box-sizing: border-box; border-color: inherit; border-style: solid; border-width: 0 var(--bs-border-width); padding: 0.5rem; color: var(--bs-table-color-state,var(--bs-table-color-type,var(--bs-table-color))); background-color: var(--bs-table-bg); box-shadow: inset 0 0 0 9999px var(--bs-table-bg-state,var(--bs-table-bg-type,var(--bs-table-accent-bg)));">Orange<br
style="box-sizing: border-box;">
2</td>
<td
style="box-sizing: border-box; border-color: inherit; border-style: solid; border-width: 0 var(--bs-border-width); padding: 0.5rem; color: var(--bs-table-color-state,var(--bs-table-color-type,var(--bs-table-color))); background-color: var(--bs-table-bg); box-shadow: inset 0 0 0 9999px var(--bs-table-bg-state,var(--bs-table-bg-type,var(--bs-table-accent-bg)));">Moderate
- This level of heat affects most individuals sensitive to
heat, especially those without effective cooling and/or
adequate hydration. Impacts possible in some health systems
and in heat-sensitive industries.</td>
</tr>
<tr id="legend-3" class="hr_red"
style="box-sizing: border-box; border-color: inherit; border-style: solid; border-width: var(--bs-border-width) 0; background-color: rgb(226, 47, 51); color: rgb(255, 255, 255); text-align: center;">
<td
style="box-sizing: border-box; border-color: inherit; border-style: solid; border-width: 0 var(--bs-border-width); padding: 0.5rem; color: var(--bs-table-color-state,var(--bs-table-color-type,var(--bs-table-color))); background-color: var(--bs-table-bg); box-shadow: inset 0 0 0 9999px var(--bs-table-bg-state,var(--bs-table-bg-type,var(--bs-table-accent-bg)));">Red<br
style="box-sizing: border-box;">
3</td>
<td
style="box-sizing: border-box; border-color: inherit; border-style: solid; border-width: 0 var(--bs-border-width); padding: 0.5rem; color: var(--bs-table-color-state,var(--bs-table-color-type,var(--bs-table-color))); background-color: var(--bs-table-bg); box-shadow: inset 0 0 0 9999px var(--bs-table-bg-state,var(--bs-table-bg-type,var(--bs-table-accent-bg)));">Major
- This level of heat affects anyone without effective
cooling and/or adequate hydration. Impacts likely in some
health systems, heat-sensitive industries and
infrastructure.</td>
</tr>
<tr id="legend-4" class="hr_magenta"
style="box-sizing: border-box; border-color: inherit; border-style: solid; border-width: var(--bs-border-width) 0; background-color: rgb(122, 14, 127); color: rgb(255, 255, 255); text-align: center;">
<td
style="box-sizing: border-box; border-color: inherit; border-style: solid; border-width: 0 var(--bs-border-width); padding: 0.5rem; color: var(--bs-table-color-state,var(--bs-table-color-type,var(--bs-table-color))); background-color: var(--bs-table-bg); box-shadow: inset 0 0 0 9999px var(--bs-table-bg-state,var(--bs-table-bg-type,var(--bs-table-accent-bg)));">Magenta<br
style="box-sizing: border-box;">
4</td>
<td
style="box-sizing: border-box; border-color: inherit; border-style: solid; border-width: 0 var(--bs-border-width); padding: 0.5rem; color: var(--bs-table-color-state,var(--bs-table-color-type,var(--bs-table-color))); background-color: var(--bs-table-bg); box-shadow: inset 0 0 0 9999px var(--bs-table-bg-state,var(--bs-table-bg-type,var(--bs-table-accent-bg)));">Extreme
- This level of rare and/or long-duration extreme heat with
little to no overnight relief affects anyone without
effective cooling and/or adequate hydration. Impacts likely
in most health systems, heat-sensitive industries and
infrastructure.</td>
</tr>
</tbody>
</table>
<p>- -<br>
</p>
<p>[ PDF <a class="moz-txt-link-freetext"
href="https://www.wpc.ncep.noaa.gov/heatrisk/pdf/HeatRisk-v2.5-Overview.pdf">https://www.wpc.ncep.noaa.gov/heatrisk/pdf/HeatRisk-v2.5-Overview.pdf</a>
]<br>
</p>
<p><b>HeatRisk - Overview (PDF)</b><br>
The experimental National Weather Service (NWS) HeatRisk is a
color-numeric-based index that provides a forecast of the
potential level of risk for heat-related impacts to occur over a
24-hour period. That level of risk is illustrated by a
color/number along with identifying the groups potentially most at
risk at that level. Each HeatRisk level is also accompanied by
recommendations for heat protection and can serve as a useful tool
for planning for upcoming heat and its associated potential risk.
Based on the NWS high resolution national gridded forecast
database, a daily HeatRisk value is calculated for each location
from the current date through seven days in the future.<br>
<br>
HeatRisk serves as another NWS tool that can be used to protect
lives and property from the potential risks of excessive heat,
being especially useful for those who are more easily affected by
heat or those who provide support to those communities of
heat-vulnerable individuals. We know that weather extremes
generally affect historically underserved vulnerable communities
the most, and HeatRisk ensures that communities have the right
information at the right time to be better prepared for upcoming
heat events. HeatRisk has been available in the Western United
States since 2014 and was expanded across the contiguous United
States in 2024.<br>
<br>
<b>Who is most susceptable to heat?</b><br>
Extreme heat can make everyone uncomfortable, but heat commonly
affects certain groups, typically identified as heat-sensitive or
heat-vulnerable, at lower thresholds than other populations. These
groups face a higher risk of heat-related illness and negative
impacts than others. Some of these groups include:<br>
<br>
<b>The elderly and the very young</b><br>
People experiencing homelessness<br>
Those on certain medications and/or those with pre-existing
conditions which make them more sensitive to heat (your doctor can
let you know if this is you)<br>
Those working outdoors -- especially new workers, temporary
workers, or those returning to work after a week or more off,
along with workers working indoors in a non-cooled space<br>
Those exercising or doing strenuous activities outdoors during the
heat of the day - especially those not used to the level of heat
expected, those who are not drinking enough fluids, or those new
to that type of activity<br>
Those without a reliable source of cooling and/or hydration - this
includes otherwise healthy individuals who are attending outdoor
activities and are exposed to the heat and may not recognize the
early symptoms of heat stress<br>
Those not acclimated to the level of heat expected - especially
those who are new to a much warmer climate<br>
Those sensitive to poor air quality, which can be exacerbated by
heat waves<br>
Those living in low income communities<br>
Some economic sectors are also affected by increasing levels of
heat, such as energy and transportation<br>
Why is this different from the Heat Index, Wet Bulb Globe
Temperature, or official NWS Heat Products?<br>
The NWS has multiple tools to assess the potential for increased
heat stress due to extreme temperatures. Each tool can inform the
issuance of NWS official heat watches, warnings, and advisories.
Each of these tools integrate various weather parameters to
provide a deeper level of information beyond what the actual air
temperature can tell you. Because of that, each tool provides a
different perspective and should be used appropriately to get the
best understanding of the risk from an excessive heat event.<br>
<br>
The biggest difference between the HeatRisk approach and other
approaches is that the HeatRisk identifies unusual heat (defined
as the warmest 5% of temperatures) specifically for a particular
date and location, resulting in daily thresholds that are unique
for each location and date. This allows the approach to better
account for acclimation (many of us become “used to the heat” and
so our thresholds change) and the variation in climatology that we
know exists across most regions of the United States. HeatRisk
uses a high-resolution gridded climatology to put the forecast
into context and also incorporates heat-health data from the CDC
to influence the local thresholds and inform the approach.<br>
<br>
While the heat index is a valuable component toward understanding
heat risk for people, there just are not an adequate number of
stations across the country, particularly in the West, that report
hourly humidity values for a long enough period of years to
develop a high resolution gridded climatology needed for an
approach like HeatRisk. Additionally, in most approaches to heat
index warning criteria, the impacts of excessively warm nights are
not considered, nor are the impacts from heat over the entire 24
hour period. To get around those limitations, HeatRisk utilizes
both the high and low temperatures for a location and compares
them to historical values at that location to classify those
temperatures that are in the top 5% and above levels identified by
the CDC heat-health data as excessive for that climate. The
approach also leverages well-known relationships between
temperature and dew point to approximate the important role of
humidity. So, the HeatRisk approach does factor in humidity, but
in a more general sense. Because of these important differences in
approaches, HeatRisk’s 24-hour based output will differ somewhat
from specifically calculated heat index values.<br>
<br>
The Wet Bulb Globe Temperature (WBGT) is another useful index that
measures heat stress in direct sunlight, taking many factors into
account. If you work or exercise in direct sunlight, this can be a
good index to monitor. Like HeatRisk, it also is a multi-color
numeric index that provides precautionary actions that can be
taken at the various predicted values. While useful for the active
person conducting strenuous activities in direct sunlight, WBGT
may be less useful as a universal measure for heat risk,
especially for the heat-sensitive whose thresholds are much lower,
for the homebound without effective cooling methods where the
impacts of accumulated heat inside buildings is important, and the
output (in degrees of temperature) can be confusing as they are
cooler than the Heat Index (also in degrees of temperature). It
also can be quite challenging to accurately predict WBGT beyond
the next day or two due to the many factors that need to be
accounted for on the local scale.<br>
<br>
As mentioned earlier, HeatRisk is an experimental product, which
means that there is no guarantee of timely availability and
changes may occur without advance notice. The NWS's heat watches,
advisories, and warnings remain the official heat products from
the NWS. Forecasts of HeatRisk, WBGT, and Heat Index are available
to supplement these official NWS heat products and one or more of
these may be particularly suited for a person’s particular needs.<br>
<br>
As the newest addition to the suite of heat-related tools the NWS
provides, HeatRisk provides additional information that can be
used to better identify those days of the year when heat may be at
levels that pose a risk to certain populations or economic
sectors. For groups who are heat-sensitive, their individual
levels of action may be below NWS established heat criteria which
are established to warn the entire general population to specific
action. Additionally, while methodologies for specific heat
product criteria can be different from one NWS office to another,
a goal of HeatRisk service is to explore applying a scientific and
consistent methodology nationally to provide potential risk from
upcoming heat in a uniform manner with output available for any
level of heat, not just for the most extreme heat events, over the
entire seven day forecast period.<br>
</p>
<p><a class="moz-txt-link-freetext"
href="https://www.wpc.ncep.noaa.gov/heatrisk/pdf/HeatRisk-v2.5-Overview.pdf">https://www.wpc.ncep.noaa.gov/heatrisk/pdf/HeatRisk-v2.5-Overview.pdf</a><br>
</p>
<p><br>
</p>
<p><br>
</p>
<font face="Calibri"><i>[The news archive - is he still alive? ]</i></font><br>
<font face="Calibri"> <font size="+2"><i><b>April 30, 2001 </b></i></font>
</font><br>
<font face="Calibri"> </font> April 30, 2001: Speaking in Toronto
at an annual meeting of the Associated Press, Vice President Dick
Cheney asserts, "Conservation may be a sign of personal virtue, but
it is not a sufficient basis for a sound, comprehensive energy
policy."<br>
<a class="moz-txt-link-freetext"
href="http://usatoday30.usatoday.com/news/washington/2001-05-01-cheney-usat.htm">http://usatoday30.usatoday.com/news/washington/2001-05-01-cheney-usat.htm</a><br>
<br>
<p><font face="Calibri"> <br>
</font></p>
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