Pundit Wire

Category Archives: Health

Obamacare Prescription: Keep Calm and Carry On

President Obama signing the Affordable Care Act There’s growing angst in the health reform community that Obamacare is not succeeding as it should. Perhaps that’s nothing more than a response to the growing popularity of immigration and tax reform.

The basic premise of the complaint, as I understand it, is that the infrastructure is not as far along as some would like, which may lead to confusion when major elements become effective next year, that Americans remain ambivalent about the bill because they don’t know what it does for them and that this lack of enthusiasm – coupled with continued GOP opposition – will yield a bad result in Congressional elections next year.

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Adding Doctors Inflates Bills Without Aiding Health

Congresspeople Schwartz and Schock While much of Washington worries about how to constrain Medicare costs, two contrarian legislators want the program to spend $1 billion more annually to fund residency training for new doctors.

Their plan responds to a projected physician shortage. There’s heated debate about whether there will be a physician deficit in the future and, if so, how to best respond. There’s less debate about whether increasing the physician supply will increase our medical bills. It’s intuitive. More doctors will not only bill more so they can make an adequate living, but will order more tests and referrals. Normal economic logic that increased supply drives prices down doesn’t work in medicine.

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The Language of Deflecting Blame

David Nicholson Last week here I looked at British Prime Minister David Cameron’s verbal manoeuvrings around apologising (or not) for the massacre perpetrated by British colonial troops in Amritsar in India in 1919. Most observers concluded that he struck a respectful and appropriate tone in what he said and did.

In 2010 British Minister for Europe David Lidington had to tackle a similar but rather more recent problem: what, if anything, should the British government do now about British army complicity in massacres committed by Tito’s communists of hundreds of thousands of their fellow Yugoslav citizens back in 1945?

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Means-Tested Medicare Accelerates Down Track

Sample Medicare Card Rich people have paid more for Medicare coverage since the program began in 1966. Subsequent changes have regularly increased the extra amount those with high incomes must pay for coverage. That history often seems totally forgotten in today’s Medicare reform debate about whether the program should be means-tested so as to require upper-income people to pay more.

In fact, that’s been a basic component of the program from the start, which makes the current debate so distracting and confusing. The real question is how much extra the rich should pay.

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Recasting the Medical Morality Play

Doctor and patient Many Americans have an unhelpful habit of viewing the health reform debate as a morality play where those who treat us, usually doctors and hospitals, are viewed as the good guys and those who pay for those services, generally insurance companies or government programs like Medicare, are seen as villains.

When a physician suggests another test, we assume that they’re trying to be helpful rather than merely increase their income. When an insurer refuses to pay for a test proven unreliable or has a less expensive alternative, we assume that the decision comes from heartless profit-maximizing bean counters.

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Attention Surgery Shoppers

Surgery If you’re an uninsured New Yorker shopping for a hip replacement, the going rate in Manhattan is $18,260. If that sounds steep and you’re willing to try medical tourism, the rate drops to $7,500 in Boston, $7,099 in Baltimore or $6,399 in Washington.

If you’re willing to go further afield, there are seeming bargains available elsewhere including these:

  • Portland, Oregon: $4,366
  • Tampa, Florida: $3,039
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Maybe We Don’t Have a Spending Problem After All

Boehner & Obama House Speaker John Boehner recently confided in an interview that what astonished him most during his marathon negotiations with President Obama on avoiding the fiscal cliff was when Mr. Obama said to him, “We don’t have a spending problem.”

When I read that, I was reduced to sputtering indignation: “We don’t have a spending problem??!! What planet is that man living on??!!”

And yet, just a couple of days later, I read a column by Matt Steinglass in the January 8 issue of the Economist that made me realize that Mr. Obama was entirely right. We don’t have a spending problem; we have a tax problem.

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Government Responds to Sandy with “HUGS” and Kisses

Official White House Photo by Pete Souza The White House
Office of the Press Secretary

FOR IMMEDIATE RELEASE
November 19, 2012

Ongoing Response to Hurricane Sandy

“OPERATION HUGS” UNVEILED

On his third trip to New York City since Hurricane Sandy made landfall, President Barack Obama announced a new federal program, Operation HUGS, to ensure an immediate response following any natural or man-caused disaster.

Operation HUGS (Holistic Ubiquitous Government Services) is a joint partnership between FEMA, the United States Coast Guard, and the U.S. Army Corps of Engineers. Within 24 hours of a disaster, a senior government official will be safely escorted and placed in the impact zone to interact with citizens.

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