Getting a Health Bill Done—Special Interest Politics Versus Public Support

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It is becoming more and more clear to me that the White House health care strategy this fall is based upon a belief they have been very successful in neutralizing the health care special interests and have therefore prepared the way to a legislative victory.Each of the key stakeholders—doctors, hospitals,...
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Health Care Outlook Not Improving

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The next big test for a health care bill in 2009 (notice that I did not call it health care reform) will come in Senate Finance.The final vote in that committee will tell us a lot about whether the Democrats have any chance for 60 votes in the full Senate. So far, it does not look good.I have the greatest...
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The Proposed Health Insurance Company Taxes To Pay for Health Care––You Really Need to Know What “Loadings Available” Means

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The Congress has investigated about every conceivable way to tax people to pay for the health care proposals—a millionaire’s tax, bigger taxes on home mortgages and charitable contributions, and a couple of dozen more ideas.Now Congress looks to be the most interested in taxing insurance companies...
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What Voters Really Think About Evidence-Based Health Care

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I want to call you attention to an important survey done by the California-based Campaign for Effective Care. They surveyed California voters on their understanding of evidence-based medicine.The bad news is that patients think their health care treatment is generally evidence-based even though that...
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"Please Don't Call It Health Reform"

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Readers of this blog already know of my disappointment in what the White House and many in Congress are calling "health care reform."So, I was happy to see Alain Enthoven's recent KHN op-ed.Here is a small portion of it:"Once again the President did not put forth serious proposals to reduce the growth...
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Curb Your Enthusiasm! Health Care Will Still Be Very Hard to Do

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I guess all of us in the health care debate are a bit bipolar. From lots of folks thinking health care reform was in critical condition a couple weeks ago we’ve now gone to lots of reports extolling a newfound optimism in the wake of the President’s impressive speech this week.Don’t interpret this...
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The Obama Administration––What Will They Do Next?

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How’d you like to be a fly on the wall in those White House health care meetings this week?It looks to me like they have two choices—neither attractive to them:1. Full Speed Ahead, Damn the Torpedoes – This might also be called the Pelosi Option for the Speaker’s intransigence for compromise. Just...
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Will Republicans Be Spoilers Or Problem Solvers on Health Care Reform?

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by BRIAN KLEPPER and DAVID C. KIBBEIn theory Congress' return next week from recess could offer a new beginning to the health care reform process, giving everyone a chance to take a deep breath and recalibrate the components of change.Nine months into the wrangling around a new Administration, the...
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