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Thursday, April 7, 2011

Health Care Reform Articles - April 7, 2011

April 6, 2011

Medicine on the Move







Sometimes you really do want to tell the medical profession to just make up its mind.
We got word this week that estrogen therapy, which was bad, is good again. Possibly. In some cases.
This was not quite as confusing as the news last year that calcium supplements, which used to be very good, are now possibly bad. Although maybe not. And the jury’s still out.
Or the recent federal study that suggested women be told to stop checking their breasts for lumps. Or the recommendations on when to get a mammogram, which seem to fluctuate between every five years and every five minutes.
We certainly want everyone to keep doing studies. But it’s very difficult to be a civilian in the world of science.http://www.nytimes.com/2011/04/07/opinion/07collins.html?hp=&pagewanted=print


April 7, 2011

Virginia Lawmakers Limit Insurers’ Abortion Coverage




RICHMOND, Va. — Lawmakers in Virginia approved an amendment Wednesday that would ban private insurance plans from covering abortions if they participate in a state health care exchange under President Obama’s new health care law.
The amendment, proposed by Gov. Bob McDonnell and passed by both the State House and Senate on Wednesday, states that no insurance plan sold as part of the state health care exchange could cover abortionexcept in cases of rape, incest and danger to the mother’s life.


Op-Ed

Doyle McManus: The choice between low taxes vs. Medicare benefits

Rep. Paul Ryan's budget proposal makes it clear that you have to make a choice: low taxes or guaranteed Medicare coverage.

Doyle McManus
April 7, 2011
Rep. Paul D. Ryan (R-Wis.), chairman of the House Budget Committee, won praise from his fellow Republicans this week for proposing a federal budget that would reduce the deficit by slashing spending in almost every domestic program.

Some of the praise was exaggerated; Ryan's plan has holes in it, just like President Obama's budget. Ryan proposes an overhaul of the tax code, but doesn't offer any specifics except for lower tax rates. It doesn't suggest any fixes for Social Security, even though he says fixes are needed.

But on one major point, Ryan has done a great service. He has made it clear that if you're serious about cutting the federal deficit, you have to make a choice: low taxes or guaranteed Medicare coverage. You can't have both.



Medical errors in hospitals go undetected, study suggests

By Eryn Brown, Los Angeles Times
5:30 AM PDT, April 7, 2011
A 1999 study from the Institute of Medicine reported that avoidable medical errors contributed to tens of thousands of deaths in U.S. hospitals each year.

A dozen years later, quality of care remains a problem, according to a new study.

In the April issue of the journal Health Affairs, which focuses on medical error, a team of researchers affiliated with the Institute for Healthcare Improvement, a think tank in Cambridge, Mass., report that the number of "adverse events" in hospitals -- injuries caused by medical error rather than patients' underlying conditions -- might be 10 times greater than previously measured.
http://www.latimes.com/health/boostershots/la-heb-hospital-errors-20110407,0,1298247,print.story



Is GOP Medicare Ploy a Gift, or a Trap?

How Democrats could win the battle—but lose the war—on entitlements.


Wednesday, April 6, 2011

Health Care Reform Articles - April 6, 2011

Senate Passes Change to Health Law












WASHINGTON (AP) — Congress sent the White House its first rollback of the new health care law on Tuesday, a bipartisan repeal of a tax reporting requirement that was widely unpopular with businesses.


April 5, 2011

The Budget Battles: The Threat to Medicaid and Medicare



Representative Paul Ryan’s proposals to reform Medicare and Medicaid are mostly an effort to shift the burden to beneficiaries and the states. They have very little reform in them.
They certainly won’t solve the two most pressing problems in the nation’s health care system: the relentlessly rising cost of care and the shamefully high number of uninsured Americans — now hovering around 50 million. Mr. Ryan is also determined to repeal the new health care reform law. Never mind that the law would make real progress on both fronts, covering more than 30 million of the uninsured and pushing to make health care delivery more efficient and effective and less costly.

EDITORIAL

The Budget Battles: Republicans Maneuver Toward a Shutdown


Monday, April 4, 2011

Health Care Reform Articles - April 5, 2011



Vermont to Improve Health Reform With Single Payer Plan



April 4, 2011

Drugs’ Cost and Safety Fuel a Fight




After weeks of controversy, federal health officials announced last week that they would not stop pharmacies from making a cheaper alternative to a costly drug given to prevent premature birth. And separately, they investigated the deaths of nine Alabama hospital patients who received a nutritional supplement contaminated with bacteria.
The two events seemed unrelated, but both revolved around a century-old struggle between pharmacists and the government over who is best equipped to safeguard the nation’s drug supply. And both raise questions about what price the country is willing to pay for that protection. It is the drug industry equivalent of the battle between food trucks and restaurants.


The supply of dollars and the demand for healthcare


Just about any discussion of how to slow the growth of healthcare costs boils down to a question of rationing. So it will be too with the proposed Medicare and Medicaid changes that House Budget Committee Chairman Paul Ryan (R-Wis.) plans to include in the fiscal 2012 budget proposal he unveils this week. But Ryan thinks about the healthcare cost problem in a different way than many folks in Washington do, so his version of rationing will trigger a different kind of debate.



The end of progressive government?

By E.J. Dionne Jr., Sunday, April , 7:53 PM

So far, our nation’s budget debate has been a desultory affair focused on whether a small slice of the federal government’s outlays should be cut by $33 billion or $61 billion, or whatever.
But Americans are about to learn how much is at stake in our larger budget fight, how radical the new conservatives in Washington are, and the extent to which some politicians would transfer even more resources from the have-nots and have-a-littles to the have-a-lots.
And you wonder: Will President Obama welcome the responsibility of engaging the country in this big argument, or will he shrink from it? Will his political advisers remain robotically obsessed with poll results about the 2012 election, or will they embrace Obama’s historic obligation — and opportunity — to win the most important struggle over the role of government since the New Deal?



April 4, 2011

G.O.P. Blueprint Would Remake Health Policy




WASHINGTON — The proposal to be unveiled by House Republicans on Tuesday to rein in the long-term costs of Medicaid and Medicare represents a fundamental rethinking of how the two programs work, an ambitious effort by conservatives to address the nation’s fiscal challenges, and a huge political risk.


City, town health plans most costly, report says

By Sean P. Murphy
Globe Staff / April 5, 2011
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Health insurance plans to cover city and town employees cost 37 percent more than similar plans for workers at private companies, mostly because municipal employees pay minimal copayments or deductibles when they get care, according to a new statewide survey.

http://www.boston.com/lifestyle/health/articles/2011/04/05/city_town_health_care_plans_most_costly_report_says/


Steward bringing Lowell hospital into fold

But doctors, rival bidder object to Saints Medical acquisition




2013: last date for exchange laws
By: J. Lester Feder
April 5, 2011 11:46 AM EDT
While lawsuits and a potential government shutdown create a lot of uncertainty for implementing health reform, CCIIO Director Steve Larsen and NAIC’s Brian Webb said that implementation is proceeding on track during Tuesday’s Pro Health event hosted by David Nather at the Newseum.
http://dyn.politico.com/printstory.cfm?uuid=03B0A793-6E28-4F07-BF4D-79076EBAC249




Understanding Rep. Ryan's Plan For Medicare

APR 04, 2011
House Budget Committee Chairman Paul Ryan, R-Wis., left many details to Congress when he unveiled Tuesday his plan to make major changes to Medicare as part of a fiscal 2012 budget resolution. He says his overall objective is to convert Medicare into a premium support program for which the government will spend a specific amount for beneficiaries' care, a fundamental shift from the current fee-for-service program. Backers of premium support say it is similar to the health insurance program for federal workers but others say it may not meet seniors’ needs. Insurers are eager for the additional business but wonder if payments will be adequate to cover the cost of care. Here is a guide to some of the issues and questions raised by Ryan's plan, which faces enormous political hurdles given expected Democratic opposition. 



Sunday, April 3, 2011

Health Care Reform Articles - April 3, 2011

pril 2, 2011

Tipping the Odds for a Maker of Heart Devices






Las Vegas is a city of few sure bets. But there are overwhelming odds on one thing — the brand of heart device that patients at a major hospital get.
Within the last few years, a little known company called Biotronik has cornered the market on pacemakers and defibrillators at the University Medical Center of Southern Nevada, Last year, 250 of the 263 patients, or 95 percent, who had a heart device implanted at the hospital center got one made by Biotronik.
The company’s hold at the hospital center is all the more striking because its implants were not used there before 2008, and its national share of the heart-device market barely exceeds 5 percent, according to industry estimates.


BUY THE HEALTH CARE LAW? YES | LAURENCE TRIBE

Congress can compel action due to public necessity

By Laurence Tribe
April 3, 2011
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THERE’S PLENTY to be said as a policy matter both for and against the Affordable Care Act, but it’s beyond reasonable debate that it complies fully with the Constitution. Few doubt that most of its provisions, including those requiring health insurers to cover people regardless of preexisting conditions or current illness, fall squarely within Congress’s power under the Commerce Clause. The one provision whose constitutionality is questioned is the individual mandate, the requirement that everyone who can afford to do so buy health insurance unless otherwise covered by an employer or by another federal program like Medicare.
http://www.boston.com/bostonglobe/editorial_opinion/oped/articles/2011/04/03/congress_can_compel_action_due_to_public_necessity/


Your health care dollars at work!!!:

Complex health-care law turns into payday for consultants

By Bara Vaida, Saturday, April , 7:00 PM

For months, said Washington health-care attorney Rene Quashie, his phone has been “ringing off the hook,” with hospital and doctor clients wanting advice on how to reorganize themselves to get new Medicare bonuses under the health-care law. Handling such questions, said Quashie, an associate with the firm Drinker Biddle & Reath, is sure to be “a growth area” for his firm.
And a lucrative one.



Mitt's health care defense
By: Kasie Hunt
April 2, 2011 04:43 PM EDT
LAS VEGAS — Mitt Romney directly addressed the Obama administration’s backhanded plaudits of his Massachusetts health care law Saturday, defending the law's controversial individual mandate for the first time and promising that it wouldn't impede an aggressive attack on the president and his health care policy.

"I will take [President Barack Obama] head on and aggressively if I'm the nominee," Romney told about 150 members of the Republican Jewish Coalition in town for their winter meeting.

Romney came to talk about foreign policy. But the crowd wanted to ask him about health care — and Romney's responses left him sounding more like a presidential candidate than at any time since his last campaign ended in 2008.
http://dyn.politico.com/printstory.cfm?uuid=17F4FC05-9244-3AB3-4166C2957144F9CA




How Healthy Is Your County? A Few Miles Can Make a Big Difference