December 6th, 2010 by Toni Brayer, M.D. in Better Health Network, Health Policy, News, Research
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I’ve heard people say that healthcare is recession proof. Even when the economy is suffering, people still get sick and need service.
The current recession is entering the third year and it’s finally caught up to the healthcare industry. The latest Bureau of Labor Statistics reports that there were 16 mass hospital layoffs in October, up from 10 in September. Mass layoffs involve 50 or more employees and in the first 10 months of 2010, and 128 mass layoffs occurred. The Bureau projects 12,349 initial claims for unemployment benefits, which surpasses the number in 2009.
What causes mass layoffs? The recession and unemployment has reduced demand for elective procedures and reduced reimbursement from government programs (Medicare and Medicaid). Charity care has also increased and hospitals are adjusting to a lower bottom line by eliminating their most costly item: Employees. Read more »
*This blog post was originally published at EverythingHealth*
December 6th, 2010 by Glenn Laffel, M.D., Ph.D. in Better Health Network, Health Policy, News, Opinion
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Flush from their big win in the midterms, the Boehners are vowing to repeal and replace the Big O’s health reform law. They pose a legitimate threat, but an even larger one lies in the courts, where suits challenging the constitutionality of the law have been popping up like fireflies on a late August night.
In Virginia for example, Republican-appointed Federal District Court Judge Henry Hudson has indicated that the Individual Mandate — a key provision of the law that has been challenged in a suit filed in his court by the state’s Republican Attorney General — might not pass his sniff test.
Hudson said he’d rule on the matter this month. If he deems the provision to be unconstitutional, he might (it’s unlikely, but he might) enjoin the law altogether until higher courts rule on the matter. Holy Kazakhstan, Batman!
An official at Camp Obama, who spoke with the New York Times under the condition that his name not be WikiLeaked, acknowledged that Hudson’s thumbs appear to be pointing downward, indeed. Read more »
*This blog post was originally published at Pizaazz*
December 6th, 2010 by Michael Kirsch, M.D. in Better Health Network, Health Policy, Opinion
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In response to my recent post where I averred that the cigarette companies were treated as scapegoats, I have had several cyber and actual conversations about personal responsibility. I believe that folks should realize the consequences and the benefits of freely-made decisions.
While we want American society to be compassionate, we do not want to punish success and reward failure. Our goal is to do all that we can to maximize everyone’s success. We should be ready to assist those who need and deserve our private and governmental assistance, but personal effort and responsibility are necessary elements of these interventions.
In our gastrroenterology practice, when we see patients who are in financial difficulty, my physician partners and staff will do all that we can to help them. While it is not our policy to do colonoscopies for free, we will make whatever adjustments that are necessary to make sure that the patient receives necessary medical care. However, when patients who owe us money hang up on our calls, or express their view of medical entitlement with foul language, then we forward these accounts to a collection agency.
There is also a self-interest angle to supporting assistance for those in need: One day we may need a boost ourselves. Recall the concept of privatizing social security, a sound proposal that was vilified and snuffed out during George W. Bush’s presidency. Antagonism against this modest proposal was seasoned with a large measure of arrogance, a splash of hubris and a dash of paternalism. Read more »
*This blog post was originally published at MD Whistleblower*
December 6th, 2010 by Happy Hospitalist in Better Health Network, Health Policy, Opinion
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Looking for a great story about the state of hospital care in America? Look no further. The Health Care Blog has a great article by hospitalist Dr. Robert Wachter that sums it up nicely. It’s about money. Thats how hospitals get paid. That’s how everyone gets paid. It will always be about money. We don’t pay doctors, nurses, or administrators with smiley faces and candy canes. We pay them with cold hard cash. For example:
One of the physicians, an invasive cardiologist, stopped me in my tracks. “Actually, our hospital already provides a tremendous amount of support and feedback,” he said. “When I perform a catheterization or angioplasty, a hospital staff member watches the entire procedure, she sometimes suggests mid-course corrections, and as soon as I’m done she provides me detailed feedback on whether I met all the best practice standards.”
“Wow,” I said. “Your hospital is really taking quality seriously!”
“Oh,” he replied, mischievous smile on his face, “she’s not from the quality department. She’s from the billing department.”
The question should not be how do you get profit out of medicine. The question should be how do you get quality into profit. We need profit. The last thing you want in this country is universal VA health care. Trust me on that. Americans would never stand for it. But how do you get both? Read more »
*This blog post was originally published at The Happy Hospitalist*
December 6th, 2010 by EvanFalchukJD in Better Health Network, Health Policy, Opinion, True Stories
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It’s not often you get invited to the White House. I had my chance this week, when I was a guest at the White House’s Hanukkah party. Now, when I say “guest,” I mean I was a guest of the president — of Hadassah, that is.
My mother, Nancy Falchuk, is the president of one of the largest Jewish charitable organizations in the world, Hadassah. Her organization sponsors many different charitable activities, particularly related to healthcare (here she is in Jerusalem speaking at the ceremony lighting the walls of the Old City pink in honor of the Susan G. Komen Foundation.)
One of the terms she uses a lot is “healthcare diplomacy” — the idea that part of the solution to intractable problems of war and peace is building bridges through something that we all share — the need for healthcare. Her organization does incredible work to realize this mission. She has been a regular guest at this annual event at the White House. Read more »
*This blog post was originally published at See First Blog*
