November 22nd, 2010 by RamonaBatesMD in Better Health Network, Health Policy, News, Opinion
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Do you recall the severe rationing of food and water the Chilean miners had to endure to survive? The rationing was done to stretch their limited resources. I would argue the state of Arizona’s new policy to not cover organ transplants for patients on Arizona Health Care Cost Containment System (AHCCCS) or their version of Medicaid is a similar form of rationing.
AHCCCS, as many Medicaid programs, is underfunded. They are trying to operate on a limited budget. Something has to give. Sadly in this case, many (NPR reports 98) had already been granted approval for organ transplants which they may not receive.
Francisco Felix, 32, who due to hepatitis-C needs a liver transplant, is reported to have made it to the operating room, prepped and ready for his life-saving liver transplant when doctors told him the state’s Medicaid plan wouldn’t cover the procedure. The liver he was to receive went to someone else. Read more »
*This blog post was originally published at Suture for a Living*
November 22nd, 2010 by Shadowfax in Better Health Network, Health Policy, News, Opinion
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Freshman Republican Congressman Andy Harris, who was elected on a promise to repeal the Patient Protection and Affordable Care Act (PPACA), is outraged that he’s going to go a whole month before his government-provided health insurance kicks in. From Politico:
A conservative Maryland physician elected to Congress on an anti-Obamacare platform surprised fellow freshmen at a Monday orientation session by demanding to know why his government-subsidized health care plan takes a month to kick in.
Republican Andy Harris, an anesthesiologist who defeated freshman Democrat Frank Kratovil on Maryland’s Eastern Shore, reacted incredulously when informed that federal law mandated that his government-subsidized health care policy would take effect on Feb. 1st –- 28 days after his Jan. 3rd swearing-in.
“He stood up and asked the two ladies who were answering questions why it had to take so long, what he would do without 28 days of health care,” said a congressional staffer who saw the exchange. The benefits session, held behind closed doors, drew about 250 freshman members, staffers and family members to the Capitol Visitors Center auditorium late Monday morning.”
All the more embarassing because he’s a doctor, for Pete’s sake. You’d think he’d have a better idea of how insurance works. Guess the dude’s never heard of COBRA. Also, it’s pretty standard that this is how enrollment happens. And it’s idiots like this that want to repeal the PPACA. Read more »
*This blog post was originally published at Movin' Meat*
November 15th, 2010 by GruntDoc in Better Health Network, Health Policy, Opinion
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From a recent post of the Retired Doc’s Thoughts blog entitled “What Are the Plans Of Don Berwick’s ‘Leaders With Plans?’“:
“I wonder which is worse: A medical leader recommending price controls out of ignorance of basic economics or being aware of the likely outcomes and mak[ing] that recommendation anyway?”
Wow. I’m speechless. Thanks to Retired Doc for getting this out in a cogent summary.
*This blog post was originally published at GruntDoc*
November 8th, 2010 by Happy Hospitalist in Better Health Network, Health Policy, Opinion
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Are you wondering about a glaring unintended consequence of healthcare reform? Read on to learn how everyone becomes a criminal.
By now you’ve all heard of the government reports of Medicare fraud being three times higher than 17 billion dollars a year previously thought. How you ask? Because an illegible doctor signature is considered fraud and Obama is out to make things right and transparent and accurate. You can pretty much count on every physician in this country being a fraudster.
But what about Medicaid? Does the same fraud problem exist with the Medicaid system? Probably, but you also have to worry about the patient abuse aspect as well. Here’s an angle of unintended consequences you may not have considered with healthcare reform by making pre-existing conditions a thing of the past.
I have been told Happy’s hospital has a handful of repeat offenders using their family member’s Medicaid card to get free healthcare services in the ER. Why is that possible and why would anyone let their family member use their insurance card? The question you should ask is not “why,” but “why not?” Why wouldn’t every family with Medicaid share their card? Read more »
*This blog post was originally published at The Happy Hospitalist*
November 8th, 2010 by DrRob in Better Health Network, Health Policy, Opinion
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“So, what do you think about the election?”
“So, what do you think about Obamacare?”
“What do you think about this healthcare situation?”
I get these questions throughout my day. My patients are mostly suburban and white, so their view is overall on the conservative side. Yet I have found that few see the results of the election as a hopeful sign for healthcare. I don’t either.
Anyone who reads this blog regularly knows that I am a “flaming moderate” when it comes to politics. I don’t have much faith in anyone who identifies too strongly with one party of the other. I am really angry with congress and their lack of gonads to work on really coming up with solutions. Interestingly, my patients, regardless of their political leaning, agree with much of what I say. Here are the things they all seem to agree with:
1. Congressional politics is hurting us. Members of congress (both sides are equally guilty) are more focused on what is good for their party than what is good for those who they represent. If a democrat is elected to this district, I expect him/her to represent all of the people in that district, not just the democrats (the same is obviously true for republicans). This doesn’t mean they must lose all of their ideology, but ideology should be a means, not an end. The reason to hold an ideology is to come to solutions to problems with that ideology as a vehicle. The goal is to help the people you represent through your ideology, not bang them over the head with it. Read more »
*This blog post was originally published at Musings of a Distractible Mind*
