Quote of the Day
PNHP's Senior Health Policy Fellow Don McCanne, M.D. writes a daily health policy update, taking an excerpt or quote from a health care news story or analysis on the Internet and commenting on its significance to the single-payer health care reform movement. PNHP posts Dr. McCanne's listserv here; to subscribe to the listserv, please visit the Quote of the Day the mailing list website.
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Posted on Friday, November 20, 2009As currently implemented, health information technology (HIT) has no significant impact on administrative efficiency or overall costs, even in the "100 Most Wired" hospitals. Members of Congress should quit pretending that expanding HIT will produce savings that will help pay for the increased spending called for in their legislation.
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Posted on Thursday, November 19, 2009In their just released 2009 report on employer-sponsored health benefit programs Mercer seems to be celebrating the fact that this year employers have held the line on benefit cost increases. Is their optimism warranted?
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Posted on Wednesday, November 18, 2009For socially conscious health care reform advocates, the primary goal of reform is to see that every individual receives the health care that he or she needs, But what has really driven the reform process has been the concern over the very high costs of health care that have challenged individuals, employers and the stewards of our government health programs.
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Posted on Tuesday, November 17, 2009Uninsured trauma patients are more likely to die than insured patients in spite of the fact that treatment is mandated by law. This study did not explain the reasons for the differences.
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Posted on Monday, November 16, 2009Peter Hussey and his colleagues at RAND, in their NEJM article, try to make the case that a "bundled payment" approach would be one of the most promising options for controlling health care spending. The Prometheus model of bundled payment, described the other NEJM article cited above, would shift the risk for preventable costs from the payer to the providers of health care services.
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Posted on Friday, November 13, 2009
How about that! A conservative Republican who has decided that single payer is the best way to go. Wow!
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Posted on Thursday, November 12, 2009From the very start, the two most important goals for reform allegedly were to cover everyone and to control health care costs. But the precondition that reform be based on an expansion of private health plans within our dysfunctional, fragmented financing system immediately eliminated universal coverage as a goal. It proved to be impossible to balance all of the variables in this dysfunctional system to ensure that everyone would be covered. So they gave up.
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Posted on Tuesday, November 10, 2009How can we continue to support a fragmented, dysfunctional financing system that allows some of our veterans (not to mention tens of thousands of others of us) to die merely because we have placed a higher priority on nurturing the private insurance industry than we have on improving access for everyone through a more effective health care financing system? Our veterans. How can we let them down like this?
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Posted on Monday, November 9, 2009eHealth is ready to become the nation's broker for private health insurance. Watching the two minute video at the "Ready to Connect" link above will demonstrate just how ambitious their plans are.
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Posted on Friday, November 6, 2009The fact that single payer got so far along in the House is a testament to the strength of our single payer movement. The huge number of calls by single payer advocates in support of single payer and the Weiner amendment in recent days have been noted by several members of Congress.
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Posted on Thursday, November 5, 2009There is no person more qualified to discuss health system design than William Hsiao.
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Posted on Wednesday, November 4, 2009Of the many flaws in the very expensive and highly inefficient model of health care reform that Congress has selected, one of the more important is the financial impact that it will have on middle- and upper-middle income individuals and families. Let's look at the example of a family of four with a very good income: $102,100.
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Posted on Tuesday, November 3, 2009Drew Altman is a very intelligent and very well informed advocate of a health care system that works well for all of us. His only handicap is that, as President and CEO of the Henry J. Kaiser Family Foundation, he must maintain his reputation as a highly credible but impartial voice on health care reform. That requires diligently negotiating his way through the minefield of Washington politics.
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Posted on Monday, November 2, 2009The version of the House health care reform bill released last week would further expand Medicaid eligibility to individuals with incomes up to 150 percent of the federal poverty level. This expansion was prompted by the self-imposed requirement to avoid any deficit spending as a result of this legislation. It will cost the government less to enroll these individuals in Medicaid than it would cost to provide them with subsidies to purchase private health plans.
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Posted on Thursday, October 29, 2009What happened to that public option that the liberals promised us when they decided not to try to enact the golden standard of a single payer national health program? You know, that government program, like Medicare, designed to be less expensive, more efficient and more equitable, and that each of us could choose in place of private health plans. Really, what happened to it?
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Posted on Wednesday, October 28, 2009What the... !?
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Posted on Tuesday, October 27, 2009I'll be brief because I want to make only one very simple point: An ethical health care system is designed to take care of patients. What could be more obvious? If the health care system is doing its job in taking care of patients then the health care system itself is being taken care of. Special interests legitimately involved in health care delivery will do just fine.
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Posted on Monday, October 26, 2009The best private insurance available today - employer-sponsored health plans - have an actuarial value of 80%. That means that the insurance pays 80% of the covered costs of health care and patients are responsible for the other 20%. Patients also are usually responsible for out-of-network services and for services and products that are not benefits of the plans.
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Posted on Sunday, October 25, 2009In simple accounting terms, profit represents the difference between gross revenues and the cost of producing and marketing the products or services sold. So what is the product that the private insurers are selling us? Administrative services.
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Posted on Tuesday, October 20, 2009The five reform bills passed by House and Senate committees will not control health care costs, and yet these are to be merged into one bill - that will not control health care costs.




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