Friday, January 7, 2011

Quotage

Paul Levy, in his resignation letter made public earlier this morning. I highlight this not to foreground any such events that may have led to the apology, but rather to underscore how elegantly his apology is communicated:
“Over the last nine years, I have certainly made mistakes of degree, emphasis, and judgment."

Steven Pearlstein on H.R. 2’s inaptly (ineptly?) named title, Repealing the Job-Killing Health Care Law Act:
"What's particularly noteworthy about this fixation with 'job killing' is that it stands in such contrast to the complete lack of concern about policies that kill people rather than jobs."
More next Friday.

Wednesday, January 5, 2011

Reflective Reads

Creative thoughts - Mr. Laszewski has an interesting take on the individual mandate spotlighted at Kaiser Health News.

For me, the individual mandate is really a non-negotiable; however, Mr. Laszewski's is the first true "practical" compromise I've seen that tactfully addresses a viable substitution to the mandate:

"A compromise could make guarantee issue health insurance entirely voluntary. If it is purchased when the consumer is first eligible -- such as when the exchanges are first available or at the time of a new job -- the consumer would not be subjected to underwriting or preexisting condition rules... But if they didn't purchase coverage when they were first eligible, any preexisting condition would be subject to a two-year waiting period."

Cool tool - Freeware Genius is featuring a free optical character recognition program that converts images to text in multiple languages. Having spent several years as a technical writer, this piqued my interest as a noteworthy find.

Data visualization - Beautifully compiled maps of American dialects such as this pristine example always tend to bring out the nostalgic linguist in me.

Saturday, August 22, 2009

Marginalization, the Demonization of the Other, and the Health Care Debate

Images should never be used to polarize, terrorize, and evoke hate. But often they are. Why? Because this is effective politics.

There is a very interesting post with some insight on this topic up at Mudflats (Tiptoeing Through the Muck of Alaskan Politics).

As always, there is a liberal slant, so caveat emptor.

Thursday, June 4, 2009

Public vs. Private Insurance

I found this tidbit quite some time ago - apologies for not posting it sooner.
"Public and private insurance have distinct strengths and distinct weaknesses. Private insurance is generally more dynamic and flexible than public insurance, but at the same time less stable and more administratively complex and costly. Public insurance is better at spreading risks broadly—given the extreme concentration of medical costs, private plans inevitably have incentives to “cherry-pick” healthier patients—but this advantage carries with it the potential cost of a lesser capacity to adapt rapidly to changing technology or the distinctive personal circumstances of individuals. Thus, a public-private hybrid can provide an important check on both the public and private sectors, ensuring flexibility and stability, market accountability and democratic accountability, inclusive social protection and private innovation—in short, a broadened range of good, meaningful choices."
This comes by way of Jacob S. Hacker, Professor of Political Science at U.C. Berkeley (a title he holds among many others). The rest of his paper is excellent; a must read if you are in favor of (or simply curious about) the benefits that a Public Plan will afford.

Friday, May 22, 2009

Failth-based Health Reform Initiatives

Picked this one up from the Kaiser Daily Health Policy Report, and thought I'd pass along:
Faith-based groups Faithful America and Cover All Families have launched a campaign on Christian radio stations advocating for health care reform, the Wall Street Journal's "Washington Wire" reports. The ads, titled "Abundant Life," feature a voice saying, "All Americans should be able to get the care they need for their families, when they need it. God desires abundant life for all people. It's time we step up, ask our politicians to move the debate forward, so we can get the reform we desperately need." The campaign also urges listeners to contact their congressional representatives about health care reform. The ads are running in seven states -- Arkansas, Colorado, Florida, Indiana, Louisiana, Missouri and Nebraska -- which have "representatives and senators who may well determine the fate of health reform," according to CAF (Mundy, "Washington Wire," Wall Street Journal, 5/21).
Those of you reform-minded liberals may have some unlikely allies in your fight. Keep this in mind.

Thursday, May 14, 2009

Do Your Eyes & Ears a Favor...

Today, I had the absolute pleasure of listening to the Senate Committee on Health, Education, Labor, and Pensions' Executive Hearing on Delivery Reform: The Roles of Primary and Specialty Care in Innovative New Delivery Models.

The recorded webcast is available here, and the entire 126 minutes is well worth the watch.

Tuesday, May 12, 2009

Proposals to Provide Affordable Coverage to All Americans: A Synopsis

I've finally managed to work my way through the Senate Finance Committee's paper on policy options to expand coverage. This is, as Ezra Klein notes, the guidebook that the Committee will use when building its bill. For our purposes, I've highlighted 20 of what I feel to be the key proposals on the table:
  1. Merge the individual and small group markets, so as to better distribute risk
  2. Grandfather current coverage plans available, so that citizens may keep their current coverage if they so choose
  3. Create one or more national insurance exchange(s)
  4. Mandate health insurers offer a bare minimum of four standard coverage options: high, medium, low, and lowest
  5. Provide tax credits and assist with continuation of COBRA coverage for low income tax individuals and certain small employers
  6. Establish a public plan (either Medicare-like, TPA, or state-run)
  7. Expand Medicaid access and coverage (e.g. income eligibility up to 150% FPL, elimination of face-to-face interview entry requirements, include drug coverage as a mandatory benefit, expand Medicaid coverage in U.S. territories)
  8. Increase CHIP income eligibility to 275% FPL
  9. Change the Federal Medicaid Assistance Percentage (FMAP) formula to more efficiently distribute funds to needier states
  10. Establish at CMS an Office of Coordination for Dually Eligible Beneficiaries, to more effectively manage the disproportionate use of care
  11. Reduce or phase-out the Medicare Disability Waiting Period
  12. Temporary Medicare Buy-In for individuals aged 55-64.
  13. Establish an individual mandate, effective 1/1/2013 (at the latest)
  14. Perhaps establish an employer mandate -- not yet definitive
  15. Encourage development of a personalized prevention plan and routine wellness visit for all Medicare beneficiaries
  16. Remove or limit Medicare & Medicaid beneficiary cost sharing for all preventive services (e.g. no copayment or deductible)
  17. Establish additional grants to states for the prevention of chronic disease and encouragement of healthy lifestyles
  18. Employer wellness credits
  19. Bolster Medicaid HCBS (Home & Community Based Services) program and shift focus away from institutional LTC
  20. Establish new requirements for data collection and public reporting
Those are the big ones.