Archive | Healthcare Reform

Can Low -Tech Medical Breakthroughs Save Obamacare?

What’s Peanut Butter Got to Do With Obamacare? I tweeted this morning about a report of how a young medical researcher at the University of Florida demonstrated that a peanut butter test of patients experiencing cognitive decline was able to help predict Alzheimer’s Disease. This low-tech breakthrough got more retweets than usual, which prompted me […]

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Medicare-For-All: Our Sick Healthcare System Requires Radical Surgery

Medicare-For-All a Distant Hope As we near the major phase of Obamacare’s implementation in 2014, there’s no shortage of carping critics from the right hell-bent on stymieing it at every turn. This despite early signs that it’s working to lower insurance premiums in states that have embraced it. What does this political intransigence in the […]

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Can Bipartisan Healthcare Solutions Survive the Obamacare Backlash?

Hyper-Partisan Politics Surrounding Obamacare Suggest Not The latest issue of The New England Journal of Medicine has an interesting post-Obamacare report from the Bipartisan Policy Center. It’s optimistically entitled “Prescription for Patient-Centered Care and Cost Containment”. It’s optimistic because of the initial favorable responses it’s received from both sides of the political aisle. Its authors […]

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Wishful Thinking On Healthcare Reform

Healthcare Reform Won’t Come From Within  America’s doctors are being exhorted to assume healthcare reform leadership roles in expediting payment reforms and system transparency. In considering why I find this so unlikely, I remembered a tactless comment I made back in  my days as a regional health planner when presenting my case to a state […]

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Medical Uncertainty & Patient Engagement

Medical Lessons From The Trenches So I got the lab results for that colonoscopy exam I discussed in last week’s post (see “Navigating Medical Uncertainty – Disease, Un-ease & Uncertainty“). And while they weren’t a completely clean bill of health, they could have been much worse as well. Having gone on the record about this […]

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Obamacare Overlooks “Soft Fraud” in American Healthcare

Obamacare Should Outlaw Doctor-Owned Services Obamacare remains a heated topic in this year’s election cycle, second only to “the economy and jobs” according to a report  this week in The New Journal of Medicine. But both Obamacare and the Republican alternative proposed by Governor Romney miss the boat on what may be America’s most crucial […]

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Medical Malpractice – What Obamacare Misses

Capping Damages Isn’t Reform Medical malpractice in America remains a thorny and contentious issue, made no less so by its virtual exclusion from the Affordable Care Act (ACA, or Obamacare) governing healthcare reform in America. Which is why I was glad to see the former head of President Obama’s Office of Management and Budget, Peter […]

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pile of bodies from medical mistakes

Healthcare Reform: Is Access Enough? – Part 3

Healthcare Reform: Be Careful What You Wish For Healthcare reform in America is driven largely by the estimate that 44,000 Americans die every year due to lack of health insurance. Appalling as that number is, it pales in comparison to the carnage – largely concealed and unrecognized by the public – of those dying from […]

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Healthcare Reform: Is Access Enough? – Part 2

Healthcare Reform: Overlooking the Obvious We don’t need to look abroad for models for effective healthcare reform. Nor is Massachusetts a valid prototype, as it fails to address the delivery of medical care. Instead, we have a homegrown solution that shines: the Veterans Administration’s health system. It’s a model for how to turn around a […]

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