Monthly Archive for October, 2010

It’s the Price, Stupid! Or Not!

Happy Haloween

Happy Halloween

It’s the Price Stupid is the title of a seminal paper in Health Affairs that concluded that the United States pays more for health care and receives less than in other developed countries.

It is also a theme resurrected by Alec MacGillis in a Washington Post article last week.

The argument goes like this.   The United States pays more for health care than anywhere else on the planet, as much as 50% more than the average for other developed countries.

Yet we get fewer services;  fewer physician visits, fewer hospital admissions, fewer days in the hospitals.     It doesn’t take a Ph.D. statistician to conclude that we are paying too much per unit of care.

But does health care reform fix it?

To MacGillis cost controls means price control. Continue reading ‘It’s the Price, Stupid! Or Not!’

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Comming Soon! Fast seconds!

“A fast second”

How much longer?

How much longer?

I might have chosen the word “quick”.  But it is a great quote.

In June I wrote:

After the insurance exchanges are up and running, I predict that one of the big private employer plans, bowing to competitive pressures and other “economic realities”, will pull the plug on its employer sponsored health care plan.  That will start a mass exodus that will topple the private employer sponsored market in a very short time.

Ricardo Alonso-Zaldivar wrote today in Capital Hill Blue about the threat to employer provided health insurance:

“I don’t think you are going to hear anybody publicly say ‘We’ve made a decision to drop insurance,’ ” said Paul Keckley, executive director of the Deloitte Center for Health Solutions. “What we are hearing in our meetings is, ‘We don’t want to be the first one to drop benefits, but we would be the fast second.’ We are hearing that a lot.” Deloitte is a major accounting and consulting firm.

When everyone is trying to be a “fast second” that becomes a mass exodus.

Alonzo-Zaldivar even cites the Democratic Governor of Tennessee as supporting the logic of employers dropping their health plans.

That health care could be decoupled from employment is a good thing.  That everyone could be thrown on an individual insurance market is not.

The warning bells are sounding.

Photo credit:  FLICKR
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Judges, Political Pull, and COBRA

Federal judge threatens health care reform

Thursday, a federal judge in Florida ruled that a law suit by 20 states could advance. The decision by the Reagan appointed judge did not rule on the merits of the arguments, only that the states had standing to proceed.

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The judge dismissed most of the states’ arguments but allowed the case to proceed to present arguments on two important parts of the Patient Protection and Affordable Care Act, the individual mandate and the expansion of Medicaid.

At least one commentary argued that the court’s reasoning, to use the judge’s own words, used a bit of “alice-in-wonderland” logic to criticize the tax/penalty for failure to comply with the individual mandate.

By another reading, the court is dramatically overreaching. It is imposing consistency and truth demands on Congress, requiring members to articulate their political claims in the same terms that the institution articulates its constitutional claims in court. While, as the court says, there’s no precedent for upholding a tax law that was justified on the basis of a penalty, there seems to be no precedent the other way, either.

The Wall Street Journal Law Blog offers some additional comments on the Florida decision. Continue reading ‘Judges, Political Pull, and COBRA’

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Firefighting and Health Care

Firefighters in Tennessee watch a house burn down because the owner didn’t pay his protection fee.YouTube Preview Image

And Glenn Beck laughs!

Sick people die because they don’t have the money for health insurance.

And the Tea Party cheers!

Is this America?

If you listen to Glenn Beck, my favorite chipmunk in jackboots, you might think that America was founded on the principle of every man for himself.  To Glenn Beck and his tea fogger followers, that is what the founding fathers fought for. Continue reading ‘Firefighting and Health Care’

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One Nation Rally

October 2, 2010

For Jobs, Education and Single Payer Health Care

Pictures speak

One Nation Rally

For more click here

Photo credits:  JL McGee

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