November 8th, 2010 by DavidHarlow in Better Health Network, Health Policy, News, Opinion, Video
No Comments »
Like Tom Friedman, who lampooned some of this year’s unreasonable campaign rhetoric in a recent column, I, too, would be in favor of reality-based political campaigns, but that seemed to be too much to ask for this year. Instead of truth, we now have truthiness.
The joke news shows (and their joke political rallies) seemed to be more popular than the evening news. (I wish Jon Stewart and his 200,000 fans on the Washington Mall last weekend had stayed home, canvassing for their candidates of choice.) Fact-checkers told us that many political ads this season were in the “barely true” or “pants on fire” zones according to the Truth-O-Meter. But in the end, the buzzwords seem to have worked their magic, and many “insiders” are out, and “outsiders” are in.
The angry and the impatient on the campaign trail have, in some cases, adopted the line from the movie Network: “I’m mad as hell, and I’m not going to take this anymore,” perhaps forgetting that while that line garnered the Howard Beale character strong ratings, network bosses arranged for his on-air assassination when his ratings fell.
The Utopia tune below, “Swing to the Right,” comes to you from the Ronald Reagan era, and perhaps we are seeing the generational swing of the pendulum back to the right. It does seem to happen every 30 years or so. But don’t blame me — I’m from Massachusetts (home to a Democratic sweep on the recent election night).
The last two years have seen a tremendous amount of change in Washington. The question of the moment, of course, is: How will the election results affect implementation of healthcare reform? Read more »
*This blog post was originally published at HealthBlawg :: David Harlow's Health Care Law Blog*
November 7th, 2010 by GruntDoc in Better Health Network, Health Policy, News, Opinion
No Comments »
Via the Texas Tribune:
Some Republican lawmakers — still reveling in Tuesday’s statewide election sweep — are proposing an unprecedented solution to the state’s estimated $25 billion budget shortfall: dropping out of the federal Medicaid program.
Hmmm. Welcome to entitlement reality, Texas-style. Currently 20 billion a year and going to go up with expanded eligibility, the article does say the Feds pay 60 percent, but doesn’t say: 1) It’s temporary, then the Federal contribution goes down or away, and 2) The Federal component doesn’t come from magical money fairies — it’s money taken from taxpayers then funneled back into a particular program.
Medicaid is not loved or respected in medicine. Decreasing reimbursements coupled to increasing requirements mean it’s at a minimum inefficient for both patients and providers.
I’m not against kicking Medicaid to the curb, PROVIDED the state has some kind of replacement program — which I’m not sanguine about.
*This blog post was originally published at GruntDoc*
November 2nd, 2010 by DrRob in Better Health Network, Health Policy, News, Opinion
1 Comment »
The top vote-getting answer on my poll about what people feel about the election: Different lunatics, same asylum. We are getting jaded by our system. Being the “flaming moderate” that I am, I find it hard to hear the substance of the rhetoric on either side, just the shrillness and rancor of the voices.
From the physician’s perspective, it is very hard to know who to favor in this election. The democrats seem to love lawyers and hate tort reform, and they also favor an expansion of government. The republicans love big businesses and “free market,” accepting the bad behavior of insurance and drug companies as “the market working itself out.” They both seem hell-bent on sticking it to the other party at the expense of getting anything done — and this in a time of crisis for our industry.
The results of this playground brawl between the two gangs of bullies is that all of us wimpy kids (the ones without power) end up lying bloody in the dirt. Here are the facts as I see them about healthcare in our country:
1. It costs far too much. The top item on the agenda needs to be cost control. The only way to control cost is to stop paying for things that are unnecessary or for which there is a cheaper alternative. I know that’s not simple as it sounds, but so much of the discussion is about coverage and how things are paid, while the real issue is not who pays, it’s what and how much gets paid. Read more »
*This blog post was originally published at Musings of a Distractible Mind*
November 2nd, 2010 by JenniferKearneyStrouse in Better Health Network, Health Policy, News
No Comments »
All eyes are on today’s mid-term elections and how they’ll play out across the country. The results are likely to affect the recently enacted healthcare reform legislation, Politico reports. Although repealing the legislation would be difficult, Republicans may be able to challenge its implementation if they gain control of the House. Attempts to modify the law could require a delicate balance since, as noted by the Washington Post‘s Ezra Klein, some of its provisions, such as coverage for dependents age 26 and younger, are individually popular.
Reuters has published a Q&A on what the election results could mean for the healthcare reform law. The Wall Street Journal is asking readers to weigh in on whether the legislation is affecting their votes. (Politico, Washington Post, Reuters, Wall Street Journal)
*This blog post was originally published at ACP Internist*
November 2nd, 2010 by John Mandrola, M.D. in Better Health Network, Health Policy, Humor, Opinion
No Comments »
Have you ever thought: “What if I won an election and was put in charge of an administration?”
Halloween weekend seemed the perfect time for considering the fantasy (or some would argue the horror) of a DrJohnM administration. (Let it be known, I have some leadership experience: I lead local group rides with some success. A community organizer of sorts.) But for the sake of college-like dreaming, let’s consider government under my realm.
First off, clearly the present-day political costumes would have to change. There would be a ban on suits, ties (MRSA-spreading), and uncomfortable shoes. People think better if they are dressed in comfy clothes. It works for Google.
Of course, since I am a practicing doctor, a focus of my administration would be on healthcare reform. And like our current president, I would also have “expert” panels — only my “fix healthcare” panel would look very different. To illustrate these phenotypical differences, let’s consider some of my panel’s inclusion and exclusion criteria.
Panel exclusions:
Anyone with a 4.0 GPA. You are out. Sorry, there are plenty of other think tanks for you, in pretty cool places too, like Cambridge, Ann Arbor, and Palo Alto. A very wise retired urologist once told me that B students nearly always make better doctors, and surely those who tried other things in life (besides the classroom) will make better real-life decisions. Read more »
*This blog post was originally published at Dr John M*
