Stanford Graduate Student Council Meeting
Wednesday April 17th 2013 at 6:00pm
GCC Nairobi Room
Chair: Michael Shaw; David Hsu
Voting Members Present:
H&S Natural Sciences: Michael Shaw
H&S Social Sciences: Roshan Shankar
Law: Johnny Giorgis for Camille Fletcher
Engineering: Ateeq Suria
At-Large: Hrishi Goel
At-Large: Nipun Sarin
At-Large: David Hsu
Earth Sciences: Sjoerd de Ridder
Engineering: Wendy Ni for Anne-Laure Cuvilliez
H&S Humanities: Adrienne Johnson
Business: Tiffany Abdullahi
Medicine: Eduardo Gonzalez
At-Large: Saad Bhamla
Voting Members Not Present:
At-Large: Puja Deverakonda
Education: Ernestine Fu
Other Members : Guzman Gonzalez Torres, Austin Hay, Fanuel Muindi, Leigh Stacy, Ira Friedman, Ron Albucher
5:45—6:00 Dinner and Conversation (All)
6:00—6:03 Welcome and Introductions (Michael Shaw & David Hsu)
6:03—6:05 Approve Minutes from 4-10-2013 (Roshan Shankar)
For the meeting on 4/10/2013, Johnny Giorgis was the proxy for Tiffany and not, Camille Fletcher. Minutes amended and passes by consensus.
6:05—6:10 VSO: Request (Funding Committee Recommendation) (Wendy Ni)
• Iberia, Spanish Association: $2200 ($2200)
- Fire on Fire ($1800) : $700 for drinks and $1100 for food
- Joint Event with the SGSA-Champions League Final: $400 for food
Requested and Recommended.
Passes by consensus.
6:10—6:45 Vaden and CAPS update: Discussions on international students and mental health (Dr Ira Friedman, Dr Ron Albucher)
Vaden Report is a health insurance report. Looking at benefit and costs next year, and the Affordable Care Act, and the impact the PPACA on the students and health insurance in the US.
Rob Albucher will talk about mental health and service utilization of international vs. domestic students conducted with Wendy and Sjoerd
The prospective picture for Cardinal Going Forward. Rates, benefits and contexts for Cardinal Care are discussed.
70% of graduate students are in Cardinal Care and current estimate is that 27% is in Cardinal Care.
Benefit plan and pre-packaged healthcare expenses in the premium which is mostly fully subsidized.
All RAs and TAs are getting 50% subsidy. Some departments and some schools fully cover it. Depends on individual or departmental fellowship.
Vaden Fee also qualifies.
Covering around 500+ dependents in the student dependent plan. Substantial number of people in the plan.
Key for the next year is that there will be a rate increase. There’s a 9.3% rate increase. Students must consider that in their budgets.
Why are the rates going up?
- Although this is an insured plan, payments are based on last year’s experience. Bid or accept renewals with the company. Closely reviewed by health benefits consultants. Vaden doesn’t make any money on this. It is based on actual cost and utilitization.
- Results of the Affordable Care Act and all its implementations and regulations. New benefits have been added. Pays a larger portion than most of the expenses when care is needed. Taking away of any lifetime maximums, addition of certain things like contraception at no pay, preventive vaccines like Hep B, HPV have been added and new taxes. It is long term affordable care. Employees, states and governments see that costs are going up. Somebody has to pick up the cost of healthcare for others.
Same story is true for the dependent plan. Number next year is 8.1% increase. Big chunk is due to the new requirements and benefits, and the other part is expenses.
Richer than this plan. Greater costs to be borne for student budget. There’s a slight change in the hospital outpatient visit. Change in the urgent care visit costs. Prescription drug pay has gone up and will be effective on September 1st 2013.
Undergrads don’t use services as much as graduate students. Undergraduates can buy alternatives in the open market. January 2014: there’s going to be health insurance exchanges.
Estimate of what fraction of total expenses that are covered? Affordable Care has standards: Platinum, Gold, Silver and Bronze. Students get Platinum Care. Coverage is the best and minimizes out-of-pocket. This doesn’t have deductibles.
There’s a plan for a complete assessment of healthcare needs of Stanford campus.
Tiffany would be happy to mine at Vaden/Healthcare data to see if she can provide any insights. The idea of different levels of coverage is difficult to implement since there will be adverse selection. Social function of insurance is to have people protected.
Is there a reason that Stanford Staff and Faculty have different experiences than Stanford students with health insurance. The employee plan is regulated differently and the disease burden is higher.
Ron Albucher talks about mental health issues. He’s the Director at CAPS.
International student make 22% of total population. Made progress over time. Data from number at CAPS and sessions/visits. Participated in a broad campus study in 2010 called the Healthy Minds study. 2000+ students participated in that study. International students report less well being than US well-being overall.
Less awareness of campus mental health services. True for physical health services at Vaden as well. Affected by stigma than their US counterparts. In general, international students affected by more students.
Once they are in treatment, the variety and amounts of sessions all look pretty similar. Fewer people going through the system. If you look at mental illness systems, rates of symptoms are about the same. Culturual issues were not dealt with as well. Satellite office in the medical school and engineering school. Staff at all the on-campus community centers. This has gotten the faces out and over time there have been slight increases in utilization. Problems with how the system is working and at that time, 10% to 15% utilization rate. Ron is now also the co-chair of a task force for a Mental Health Initiative on campus.
CAPS issues are not acknowledged on campus and could be spread out through CA events. The CA program could grow and be better at doing these mental health events. Fanuel asks if there is enough data to break it down by one specific group. Certain cultures are much less open with these issues.
Wendy talks about peer counselling and requests an update on the same. Any student at Stanford has access to the Bridge. Bridge is primarily staffed by undergraduates. In order to qualify and be a peer counsellor, people need to do a core course taught by CAPS and then apply to get hours at the BRIDGE. Recently on the issue of diversity, there’s a core training that everyone must go through and then 5-6 1 credit courses which is supplemental to that training on different communities. This is an issue that has been discussed at Bridge. There should be campus wide initiatives to talk to people at the Medical School and see if psychiatrists or doctors in training would like to do something as a peer counsellor.
There is a Women in Science and Engineering discussion group which is moderated by a psychiatry resident. There is some professional help used, which could be a possible model.
Adrienne is curious if support groups have been offered to students. There is a procastrination group, group for eating disorders and a grief group. There have been groups for behavioral therapy. They sort of follow the same pattern: excitement, attendance and then it goes down.
Vaden needs a much better website with more personalized stories, images and Facebook page. Saad Bhamla volunteers to help them out with suggestions on the prototype. Eduardo suggests a compulsory training before students at Axess.
6:50—7:00 Update on VSO Receipt Audits (Wendy Ni)
Wendy was the internal auditor for the last 2 quarters. The receipt audits are done and looks at the types of problems found. Only processed reimbursements are in the audit.
113 reimbursements of around $35,000.
28 unique problems are in 38 reimbursements and 24 events are involved.
Amounts in dispute are around $4203.12 involved in total.
Mygroups is to blame at times.
10 problems are with reimbursed amounts exceeding normal accounts.
6 incorrect line items and 10 problems with no event funding application.
Financial Officer training needs to be improved.
There might be a possibility of a video that the Funding Committee might make a video on similar lines as Hrishi and Ateeq.
7:00—7:10 Advocacy Updates (All)
BBQ pit that was brought up has a preliminary design. $35,000 is the total cost but the GSC could fund upto $5-$10,000. David could bring back a breakdown.
Diversity Advocacy Committee has a Diversity Day where there’s a mixer. There’s a plan to do it every quarter. May 5th activity for Latino Graduate students in Science and Engineering.
President Hennseey gives his annual address to the Academic Council at the CEMEX Auditorium at 3.30 pm.
7:10—7:20 GSC Budget (David Hsu)
Budget has been put on previous notice.
Also, May 4th 2013 is the GSC retreat.
Wednesday April 24th, 6:00pm,
GCC Nairobi Room.
Special Guest: Vice Provost Patti Gumport