Part of my frustration, as I watch the current health care debate, is realizing that most of those charged with reforming our economy simply do not understand the health care system. This holds true from the House of Representatives up to the Presidency.
The health care sector is one sixth of the US economy. Those making decisions need to be educated about how this behemoth works. What are the cost drivers? Where are the inefficiencies? What are the relationships between interest groups—such as the pharmaceutical, medical device, hospital and insurance lobbies—and legislators in Washington, DC? Read the rest of this entry »
The Republican Congress has been doing its best to bring down the Affordable Care Act (Obamacare) and replace it with the cruel joke that would be known as “Trumpcare.” Despite the fact that only 17% of the public supports the Republican proposals, the GOP is still trying to burn the ACA to the ground.
It is in this environment that Dr. Elisabeth Rosenthal’s new book–AnAmerican Sickness–has arrived. The timing could not be better!Read the rest of this entry »
The Republicans have failed to “repeal and replace” the Affordable Care Act (ACA). They stated this would be their first order of business upon coming into power. Although they will surely continue their efforts, it is unlikely that they will succeed.
The American Health Care Act (AHCA) was written, presented, lobbied for and rejected within the first 60 days of Donald Trump’s presidency. For eight years, the Republicans had made “repeal and replace Obamacare” their rallying cry. Yet even with control of both the executive and legislative branches of the Congress, Republicans were unable to pass what was to be their “signature” piece of legislation. It died a messy death in the House of Representatives.
The rushed and poorly thought out bill was defeated by the Democrats as well as by the Freedom Caucus, the ultra-conservative wing of the Republican Party.
The bill’s defeat was a victory for the Democratic party, but also for America. The Affordable Care Act (ACA)—an important step on the path towards universal health care coverage for all Americans—was, for the time being, preserved.Read the rest of this entry »
The first order of business for Donald Trump and the Republican party was to “repeal and replace” the Affordable Care Act (ACA), commonly known as Obamacare.
Obamacare was the signature piece of legislation of President Obama’s eight years in office. In terms of historical significance, it has been compared to Social Security and Medicare. It was a big leap–and a messy one.Read the rest of this entry »
“Digital natives” are those young women and men who have been raised from childhood on computers. We see them everywhere: Toddlers in strollers playing with iPhones, pre-teens on iPads in restaurants, strategically distracted to allow their parents to eat in peace; Junior High and High School kids doing schoolwork on laptops in the classroom or at home, sitting or lying in bed.
For the digital native, the computer is an extension of his or her body. By the time they enter pre-school, many can navigate apps. Ten-year olds can program software. Adolescents live their social lives on tiny screens. Most of the digital native’s life runs through this digital medium.
The recent announcement that Aetna would be pulling out of a large number of the Affordable Care Act (ACA or Obamacare) exchanges, affirms a fundamental truth about health care and insurance in our country. Business and health care do not mix.
The ultimate goal of health care is to heal patients. The goal of private industry, based upon shareholder mandate, is to generate profits.Read the rest of this entry »
Here is a radio interview I did with Michael Finney, KGO TV (Channel 7) consumer news reporter, on the direction I see health care moving in this country. We talked, among other things, about the differences, and similarities, between Bernie and Hillary on how we get to universal coverage. I explained to Michael how the changes in the health care system over the last several years have deeply impacted providers; about how most people have no idea about the reimbursement cuts most doctors have had to take; and more. So check it out and feel free to let me know your thoughts on this subject.
As a health care provider, I have followed his year’s democratic presidential race with great interest. One major policy difference between Bernie Sanders and Hillary Clinton is that Bernie is pushing for a single payer model and Hillary wants to “build” on the Affordable Care Act that was passed under President Obama.
In the world of wellness, the New Year is a business opportunity. The health industry can’t help but take advantage of the many people looking for salves, supplements, and “booty busting” exercises to make you, the best new you. And while eating nutritious foods, exercising regularly, and de-cluttering your house are certainly of value, they can also be distractions; one-off actions focused on symptoms rather than deeper forces at play.
Rather than seeing our health concerns accurately–as linked to our own mind/bodies and the world around us–we often tend to look beyond ourselves for explanations and solutions. It is important for us to understand why we see the world in the ways that we do. Otherwise we will seek answers that are of limited scope and value.Read the rest of this entry »