The Health Care Blog – Page 969 – Everything you always wanted to know about the Health Care system. But were afraid to ask.

Above the Fold

Speaking of ordinary folks …

Sep 25, 2008• 3

By Sarah Arnquist

PBS will air its film, "Critical Condition," at 9 p.m. Tuesday Sept. 30. Here’s what PBS says about the film:

What happens if you fall sick and are one of 47 million people in America without health insurance? "Critical Condition" by Roger Weisberg ("Waging a Living," P.O.V. 2006) puts a human face on the nation’s growing health care crisis by capturing the harrowing struggles of four critically ill Americans who discover that being uninsured can cost them their jobs, health, home, savings, even their lives. Filmed in vérité style, "Critical Condition" offers a moving and invaluable expose at a time when the nation is debating how to extend health insurance to all Americans.

Immediately after the film, Susan Dentzer, health correspondent for
"The NewsHour With Jim Lehrer," will moderate a discussion with
spokespersons for McCain and Obama and other health policy experts.

Study Shows Unpaid Medical Bills Put Families in Debt

Sep 25, 2008• 2

By Shuka Kalantari

While the federal government plans to bail out the financial sector with $700 billion of taxpayer dollars, a growing number of tax payers are grappling to get themselves out of debt from unpaid health care bills.

Yesterday’s New York Times discussed two studies released on Wednesday by the Kaiser Family Foundation and the Center for Studying Health System Change. The studies show that more and more American families have debt from health care.

"Premiums for employer-sponsored health insurance rose to $12,680 annually for family coverage this year – with employees on average paying $3,354 out of their paychecks to cover their share of the cost," said the Kaiser Family Foundation news release of the study.

Bill of Health — a Good move

Sep 24, 2008• 5

By Sarah Arnquist

Good Magazine has this interesting graphical representation of the problems facing health care in the U.S. Considering how complex health care is, I think it’s a great attempt to put lots of information visually on one page to provoke conversation. The visual aspect is key because few people have the patience or desire to read long diatribes.

Evidence of a Need for Change

Sep 24, 2008• 4

By THCB Staff

The Health Care Blog regular Michael Millenson wrote a great piece recently in Miller-McCune Magazine on the necessity of practicing more evidenced-based medicine, and why it’s not happening.

Here is a powerful snippet but it’s definitely worth checking out in its entirety.

Experts believe that a stunning 20 to 40 percent of the $2.4 trillion America spends on health care in 2008 will be wasted on misuse (including harmful and fatal errors), overuse (care that’s unnecessary) or underuse ( effective care that’s not provided). If you take a midrange figure — let’s say 30 percent — you end up with $720 billion in savings. That’s enough in health care savings to pay the cumulative costs of the Iraq war (about $560 billion by mid-September 2008) and still have enough cash left over to pay for universal health care and the entire federal education budget. If you simply sent out a rebate check, it would come to some $2,100 for every man, woman and child in the country.And that’s just one year of savings.The failure to follow best practice carries a price tag in human lives, too, and it is equally enormous. Providing appropriate, effective and safe care where we know how to do it — no “medical mysteries” included — could annually prevent the deaths of hundreds of thousands of Americans in and out of the hospital and millions of injuries.

Divying the pain

Sep 24, 2008

By Jim Jaffe

When campaigning politicians talk about reforming America’s health care system, they’re understandably quiet in identifying who will take the pain that will ultimately be allocated between the three basic groups involved –- patients, providers and payers.

If politicians ever get serious about reform, their big challenge will lie in finding a balance that at least two of these groups find tolerable. They’re not serious yet.

A new analysis this week by the Tax Policy Center confirms that, giving neither presidential campaign credit for doing anything to cap costs and sensibly concluding that the bottom line here is that insuring more people requires spending more money (Obama’s plan, it concludes spends more money more efficiently to insure many more people).

So the current spate of ads on the topic may seem a bit puzzling. Here’s how to decode them.

Health reform prospects in the wake of Black Sunday

Sep 23, 2008• 20

By Jane Sarasohn-Kahn

"Opening up the health insurance market to more vigorous nationwide competition, as we have done over the last decade in banking, would provide more choices of innovative products less burdened by the worst excesses of state-based regulation," said John McCain to a reporter in an interview in Contingencies magazine. The article is titled: "Better Care at Lower Cost for Every American."

This isn’t a Photo-shopped, made-up comment. See page 30 of the publication, the last paragraph in the left hand-column which continues into the right side.

Contingencies is the magazine of the American Academy of Actuaries. These are those sober professionals who, according to their mission statement, "put a price tag on risk." They do that through evaluating the likelihood of future events, and, in their words, "designing creative ways to reduce the likelihood of undesirable events."

Health care expansion? Forget about it

Sep 23, 2008• 2

By Jeff Goldsmith

Thoughbubble

"Jane has missed the most obvious implication of the implosion: the
bailout will use up the fiscal margin for any subsidized solution to
health reform. There will simply be no extra dollars in the federal
budget for the uninsured for many years. Obama’s health reform plan,
which relied on new taxes, is dead as a doornail unless he is willing
to push the budget deficit into Argentinian territory, or finance it
from savings inside existing health spending or health related tax
subsidies. Even the existing base of health spending will probably have
to be re-examined. Stay tuned for a more detailed analysis."

Addressable Health 2.0 market opportunities

Sep 23, 2008

By Vijay Goel

Last week was an interesting one in Health 2.0, most notably for the disagreement on the direction of Health 2.0 that turned personal between Matthew Holt and Dmitriy Kruglyak.

Also, Fard Johnmar summed up nicely the potential steps going forward where the empowering/ democratizing models of health 2.0 meet real profit-sustaining enterprise.

–Medical Decisions: This includes decisions about what medications physicians should prescribe and how to manage end of life care cost effectively.

–Information Sharing: Providing valuable health data and education to consumers, providers, payers and others.

–Medical Technology: Tools that help prolong lives, reduce administrative costs and meet emerging health needs.

–Funding: Ensuring scarce health resources are allocated effectively and finding ways to stop breaking the health care budget.

Around the Web in 60 Seconds (Or Less)

Sep 23, 2008

New surgery technique uses the somebody’s existing openings to allow for scarless surgery, the Washington Post reports. The new experimental procedure takes "minimally invasive to a new level."

Microsoft plans to buy back another $40 billion of its own stock — the single largest buyback in U.S. history, the Associated Press reports. Analysts say the move is an attempt to use spare cash to boost its share price.

What were they thinking? The Wall Street Journal Health Blog reports that employees at the University of New Mexico Hospital were fired after posting pictures of patients on MySpace.

Expanding health coverage isn’t enough if there are no doctors to see you. The Boston Globe reports that patients are waiting longer than ever to see a primary care doctor. What’s that you say about the awful Canadian wait times?

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Health Affairs makes an apPaul(y)ing choice

Sep 22, 2008• 10

By Matthew Holt

Health Affairs ran a couple of partisan analyses last week. Joseph Antos, of AEI, Gail Wilensky, former Bush 41 HCFA administrator, and Hans Kuttner labeled the Obama plan as excessive tax and spend socialized gulag regulation.

In the other analysis, four liberal academic wonks — Thomas Buchmueller, Sherry A. Glied, Anne Royalty, and Katherine Swartz — derided the McCain plan as the counter-productive ravings of a right wing nutjob. OK so they didn’t exactly say that, but you get the message. No surprises here.

The McCain plan is so far out of the mainstream that, when Bush proposed something very similar in 2006, he could not even get it introduced into a Republican-controlled Congress. Obama’s plan is a wishwashy centrist Democrat plan that doesn’t even pretend to get to real universal coverage and ignores the fact that the vast majority of Democrats prefer a straight single-payer plan (and so does he when scratched hard!).

So who does Health Affairs chooses to create a middling compromise between these two?