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John McCain and The Politics of The Uninsured

John McCain spoke about health care in Tampa on Tuesday and tried to
answer many of the questions that have been raised about his health
care reform plan.

The most pressing question is how would people with preexisting
conditions get health care coverage in his plan? The worry is that his
plan emphasizes tax incentives for consumers to purchase coverage in
the individual health insurance market that relies so heavily on
upfront medical underwriting.

Here is how his website explained his answer to that question:

John
McCain Will Work With States To Establish A Guaranteed Access Plan. As
President, John McCain will work with governors to develop a best
practice model that states can follow – a Guaranteed Access Plan or GAP
– that would reflect the best experience of the states to ensure these
patients have access to health coverage. One approach would establish a
nonprofit corporation that would contract with insurers to cover
patients who have been denied insurance and could join with other state
plans to enlarge pools and lower overhead costs. There would be
reasonable limits on premiums, and assistance would be available for
Americans below a certain income level.

I am frankly amazed he offered this as a "solution."

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Around the Web in 60 Seconds (Or Less)

Highly Credible Poll of the Day: Seven percent of Americans marry for health insurance

WSJ Health Blog:  In wake of celebrity snooping cases UCLA officials say "new system will make employees list their connection to the patient
and will warn them if they’re entering “an especially protected chart."

Calif. Gov will try to push through health care plan in Sacramento after defeat last year. Schwarzenegger to AP: "We’ll try again. We will continue on, keeping
the stakeholders together, fine-tuning it and seeing if we can improve
on it since we have the time now, then be back again. We feel very
confident
."

Relatives of U.S. victims testify to Congress in tainted heparin case.

FDA: Contamination "probably intentional."

National Review: "incident exposes the ugly little secret about drug importation as a
means to lower the cost of medicine. Substandard and counterfeit drugs
proliferate in many countries in Africa, Asia, and elsewhere."

Surrendered to the void: LSD inventor Albert Hoffman dead at the age of 102

NIH Joins Newly Formed International Cancer Genome Consortium

Washington Post: Two Research Teams Reverse Congenital Blindness Using Genetically Altered Viruses

Seattle Times: Targeted Genetics Introduces Gene Therapy

Washington Post: Mining Cancer with Nano Gold in Maryland

MedPage: Pretty Pictures – French Develop Next-Gen, Graphical Medical Communications System

Open Call to MedBloggers- Join Blogging Against Disablism Day May 1st

Healthcare stocks. What’s the prognosis?

Health Plans vs. Banks – Who is trusted more?

People trust health insurance companies to hold their health spending information more than they trust banks, according to a survey from Medavante.

In Cure the Confusion: The Consumer Experience of Online Healthcare, Medavante found that consumers perceived that health plans have less bias than financial institutions. Yet, 80 million Americans bank online.

Still, trust in online banking is eroding. Earlier this month, Bankrate’s survey asserted that Americans are very concerned about identity theft. This is beginning to impact their online behavior with banks.

This is a new finding. Other data sources assert that consumers lack trust in health plans when it comes to data. Forrester’s recent research discovered that consumers don’t necessarily trust health plans to keep personal health information private.Furthermore, Bruce Temkin’s excellent Customer Experience Index work at Forrester found that health plans rank in last place in customer experiences. With the growing role consumers are playing in personal health financing, banks are launching an initiative to play a major role in managing personal health information. The Medical Banking Project (MBP) was founded in 2001 as a rallying point for financial services institutions who were carving out a role in health care. Since then, the MBP has grown its membership and mission beyond driving paper out of health care. Its sights are set on "medical banking convergence:" the integration of medical information with health financial data.

But will consumers slow this convergence given their potential concerns about banks managing health information found by Medavante?

Jane’s Hot Points: It is possible that consumer trust has eroded in banks’ handling of personal information given more press and concern about identity theft, privacy gaffes, and potentially, the impact of the sub-prime mortgage crisis on the consumer psyche. At the same time, Medavante’s poll shows that consumers may have more trust in health plans — which would be big news for the industry.

McCain starting to talk about health care

This morning John McCain’s team will be talking about health care. There are some interesting ideas in McCain’s plan, which is the Bush tax deduction idea morphed into a tax credit, plus changes in Medicare payments. The best quick explanation is from our friends at ICYou.

Matthew Holt

Election no big deal for health industries

McCain to talk about healthcare costs this week …

Mccain

Health industry executives have few reasons to worry about the so
called health care reforms, or health insurance industry reforms, being
proposed by the presidential candidates.

Sen. John McCain, the presumptive GOP presidential nominee, is focusing his attention on heath care cost containment this
week, but a report in yesterday’s Wall Street Journal shows that he
doesn’t understand the problems any better than Senators Clinton and
Obama. Americans need regulatory changes (no laws are “reforms") that
make health insurance something consumers can use to protect themselves
against catastrophic losses and let individuals buy their policies
directly from insurers instead of buying policies selected by their
employers. And consumers should pay for their primary care and
preventive care services out of their pockets, or, at the least, buy
unbundled insurance for those services instead of buying bundled
insurance that is unaffordable for so many.

The real question is how much could a President McCain do about
health insurance costs with a Congress controlled by Democrats, and
would he pay much attention to the problem if it were clear that
Congress would mark his proposals dead on arrival?

Fortunately, the presidential candidates’ wild and undeliverable
promises of comprehensive health insurance reforms and universal health
insurance are being questioned by Congressional Democrats
as well as by the policy wonks quoted by the wsj.com. No wonder health
industry executives aren’t worried about who’s elected in the fall.
They apparently have decided it won’t make a difference for them or
their stocks.

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The State of Employer-Sponsored Coverage – Brian Klepper

A detailed new study from the Economics Policy Institute confirms what many of us suspect but haven’t had the data to easily nail down. This weightily-titled report by Jared Bernstein and Heidi Shierholz A Decade of Decline: The Erosion of Employer-Provided Health Care in the United States and California, 1995-2006 – provides more granular information about the enrollment dynamics over time in employer-sponsored health coverage than we’ve seen in a while. Based on an analysis of the March 2007 Current Population Survey, the numbers reported here are mostly in sync with (but deeper than) similar studies that have attempted to size the enrollment and erosion characteristics of the employer-sponsored coverage market. Strap yourself in; this isn’t pretty.There are two important points here. The first is that, in the six years between 2000-2006, the percentage of American workers with employer-sponsored coverage fell from 51.1 to 48.8 percent, a 2.3 percent absolute or 4.5 percent relative drop. 6.4 million workers (and presumably, another 7.6 million of their family members) lost their health coverage in the process. These losses exceeded gains made between 1995-2000, when the percentage of workers with coverage rose from 49.6 to 51.1 percent. 

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Ron Paul on health reform: shrink government

Ronpaul
If elected president, U.S. Rep. Ron Paul, R-Texas, promises to shrink the government’s role in health care. Government intervention, he says, is the cause of today’s high costs, inefficiencies and lack of personal responsibility.

“We can hardly expect more government to cure our current health care woes,” says the Texas OB-GYN’s Web site. “As with all goods and services, medical care is best delivered by the free market, with competition and financial incentives keeping costs down.”

Here’s the outline of Paul’s health reform plan:

  • Making all medical expenses tax deductible.
  • Eliminating federal regulations that discourage small businesses from providing coverage.
  • Giving doctors the freedom to collectively negotiate with insurance companies and drive down the cost of medical care.
  • Making every American eligible for a Health Savings Account (HSA), and removing the requirement that individuals must obtain a high-deductible insurance policy before opening an HSA.
  • Reform licensure requirements so that pharmacists and nurses can perform some basic functions to increase access to care and lower costs.
  • By removing federal regulations, encouraging competition, and presenting real choices, we can make our health care system the envy of the world once again.

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The Genetic Discrimination Bill Shows Us Just How Hard Health Care Reform Can Be

About 1990, I was a member of something called the Task Force on Genetic Testing at the then Health Insurance Association of America (HIAA). The health insurance industry realized that, with the Human Genome Project in its early stages, we weren’t far away from genetics being a part of everyday health care and the Orwellian implications on us as insurance underwriters were not lost.

The task was to think about all of this and develop an industry policy for dealing with it. Here’s the headline: In 1990, there was no disagreement among the many insurance executives on the panel that it should never be the insurance industry’s policy to use genetic information to underwrite or otherwise use the information in a way that disadvantaged the people we either insured or could insure.

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