For me, one of the more amazing things about this health care debate is the way the press and many advocates of health care reform have accepted the notion that the fiscal objective should be to pass a health care bill that is "deficit neutral."With health care costs unsustainable, why is that an appropriate...
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Bob Bennett Wants to Turn "Control of Our Health Insurance System Over to the Government"–-Say What?
That’s what the Club for Growth is saying about Senator Bob Bennett’s health care proposals.Apparently, the Club for Growth has a reading comprehension problem. Or, are they just trying to twist the truth about the Utah Republican's health care efforts? The Wyden-Bennett Healthy Americans Act has to...
The Health Reform Bills Would Be Great For the Business Of Health Care
Have you noticed how none of the big health care business special interests is running any negative health care reform ads? Why should they when each is poised to gain billions of dollars from it?As President Barack Obama has said many times, any health care bill that costs about $1 trillion would...
Health Care Reforms Deeper Problems
by BRIAN KLEPPER and DAVID C. KIBBENote: We were asked by Northeast Florida's regional newspaper, the Florida Times-Union, to write a piece for lay audiences distilling our thoughts on what's behind the reform curtain. This piece published this week and, while we doubt much of it will be news to this...
There Will Not Be Health Care Reform in 2009 Without Republican Leadership
I will suggest that there is an opportunity for the Republicans to score a huge political and policy win. It can be done in a bipartisan way and it can be done in a way that does not sell out the core principles that either Republicans or Democrats believe in.It would require a new effort—a clean sheet—this...
Splitting the Bills? The Democratic Leadership and the White House Staff Really Need a Vacation
The latest word is that the Democratic leadership and the White House see a “60% chance” they will split their health care bill into two parts—one a budget bill that would be eligible for the 51-vote Senate rule and the other the operational non-budget portions that will need 60 votes. This...
The Obama Admistration Would Do Well to Read the Senate Rules and the Polls
The latest reports are that the White House is getting ready to ditch any thoughts about a bipartisan health care bill and just ram the Democratic bills through the Senate with bare majorities. Readers of this blog know that I don’t think it is ever possible to ram anything so big as health care...
Co-Ops Are the Single Dumbest Idea I Have Heard in the Health Care Debate in Twenty Years
This is a repost from June 23--sort of like regifting...I am sure you have heard the story about the committee that was charged with designing a horse but, because of the bureaucratic ways of the committee process, instead ended up creating a camel.We will not see a Medicare-like public health plan...
The Other National Universal Systems of Care Are Not Our Problem
You can't have an American health care debate without plenty of trashing of single payer systems elsewhere.I am not a single-payer advocate. I believe it is simplistic to think that if we just had one and eliminated the duplicate expenses multiple payers bring with them everything would be OK.I think...
Are Democrats Getting Ready to Ditch the Public Option? But They Would Still Be Challenged by the Trillion Dollar Price Tag
It looks to me like the popular objections to a health care bill being expressed by voters this month are concentrated in two primary areas:A concern about “government control of the health care system”—mostly around the public plan option.The trillion-dollar cost of a health care bill at a time deficits...
You Call This a Health Care Debate?
Any of us who do health care policy full time might as well take the rest of the month off and let the demagogues bent on scarring the American people just get it all out. I swear it is getting worse by the hour. Then maybe we can get back to a rational debate.The British Health System's National Institute...
Why the Democrats Are On Their Way To Blowing Health Care –Again
There will be a pretty long list of answers to this question but I will give you what I consider to be the number one reason.The Democrats chose partisanship over bipartisanship.There has been a school of thought in this town, of which I have strongly agreed with on this blog, that the only way you...
Insurance Companies Say They Can't Compete With a Public Option--But FedEx and UPS Do Pretty Well Against the Post Office--What's the Difference?
The Post Office doesn’t get to unilaterally fix the cost of all of the things it buys that go into its services--Medicare and Medicaid do.What critics of the public health plan option often fear is that, like Medicare, a public option health plan would be able to unilaterally set what it pays doctors,...
This Health Care Reform Debate is Really Starting to Scare Me—What if We Were Having a Real One?
The recent stridency of this health care debate has led me to wonder what if the Democrats were proposing real health care reform?The Democratic health care bills are hardly more than expansions of the health insurance entitlement paid for by largely insignificant cuts to existing spending and lots...
The Bigger the Lie
I come from a corporate background.A longtime ago a chief marketing officer introduced me to the term, “The Big Lie.” Apparently, this also applies to politics.As he put it, in not a complementary way, the bigger the lie that is told the easier it is to believe.Sarah Palin has been practicing Big Lie...
Health Insurance Reform or Health Care Reform? The President Gets It Right!
Advocates of the health care bills now pending in Congress, led by the President, have been calling for health care reform. They argue that our health care system is unsustainable as it is. Not only do we need to create a system of universal coverage but also we need to do it in a way that is sustainable,...
The Public Plan Option: Litmus Tests Are Never a Good Sign
Before now, I can think of only one “litmus test” in American politics—abortion.That is an issue that simply polarizes the nation—and our political system. On a good day, people on one side or the other just agree to disagree and move on.But I think we are seeing another litmus test issue emerge—the...
Never Give Up!
At the rate this crazy health care reform debate is going it could well come full circle and back to twelve Senators who still think they have a good idea--if everyone else would stop digging in on what they can't agree on.This from a Washington Post op-ed they co-authored this week:As 12 U.S. senators...
Leave the Town Halls Alone!
Apparently, conservative activists are attempting to disrupt town hall meetings being held by Democratic members of Congress to discuss the health care bills.I can tell you from conversations I have had with members of Congress that these town hall meetings are VERY important to representatives and...
Finally, A Reasonable Plan for Certification of EHR Technologies
by DAVID C. KIBBE and BRIAN KLEPPERA caution to readers: This post is about methods for certifying Electronic Health Record (EHR) technologies used by physicians, medical practices, and hospitals who hope to qualify for federal incentive payments under the so-called HITECH portion of the American Recovery...
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