Tag Archives: healthcare

States should not wait for Congress to fix healthcare

Source: Heartland Institute
by Matthew Glans

"Congress has failed to pass a replacement of the Patient Protection and Affordable Care Act, and Obamacare’s collapse is inevitable. To protect their citizens, state lawmakers should take the lead in passing free-market health care reforms. One of the best ways they can accomplish this is by applying for a Section 1115 waiver from the Department of Health and Human Services. If approved, these waivers give states greater flexibility in how they manage their Medicaid programs." (11/15/17)


One step forward, but many more to go for telemedicine

Source: Cato Institute
by Shirley Svorny

"The Centers for Medicare and Medicaid Services recently released its final rule for the 2018 Medicare Physician Fee Schedule, including an increase in Medicare coverage for select telehealth services. CMS indicates that its aim is to transform 'access to Medicare telehealth services by paying for more services and making it easier for providers to bill for these services.' This is good for Medicare beneficiaries, and a promising step for the burgeoning practice of telemedicine. But a major obstacle remains: state physician licensing laws restrict the practice of interstate telemedicine." (11/15/17)


This one weird trick could improve medical care

Source: Reason
by A Barton Hinkle

"Say you want to open a new grocery store. You do the market research, scout a location, develop a business plan, line up investors, get all the local zoning and other permits you need, and figure you have a decent shot. Then the state says you have to jump through one more hoop. You have to prove that the area actually needs a new grocery store. Oh, and one more thing: The other grocery stores nearby will have an opportunity to sound off on the question, too. Any bets on what they'll say? This, roughly, is how Virginia controls the amount of medical care available to its citizens. The Certificate of Public Need (COPN) system was created by congressional mandate many years ago. Some states repealed their COPN programs after Congress lifted the mandate. Virginia didn't." (10/25/17)


Why do hospitals have to beg for permission to save lives?

Source: Heartland Institute
by Matthew Glans

"North Carolina has long been one of the nation’s leaders in providing medical care, and the Duke University Health System is seeking to expand the state’s reputation by building an $88 million cancer-treatment therapy center that would offer an innovative new treatment to the people of North Carolina and beyond. However, before Duke — or any other hospital, for that matter — can begin building its facility, it needs to get permission from a state-run board under North Carolina’s certificate of need (CON) law. North Carolina is one of 35 states that limit the ability of health care providers to expand their businesses through certificate of need, an obstructive and unnecessary approval process." (10/23/17)


Schumer says all 48 Senate Democrats are on board with healthcare deal

Source: NBC News

"Senate Minority Leader Chuck Schumer said Sunday morning that 'all 48 Democrats' in the Senate are on board with the health care deal negotiated between Senators Lamar Alexander, R-Tenn., and Patty Murray, D-Wash. … After numerous attempts at repealing and replacing the Affordable Care Act failed to pass Congress, the two leaders of the Senate’s Health, Education, Labor and Pensions Committee, Sen. Alexander and Sen. Murray, started creating an outline for legislation that’s aimed at stabilizing the health insurance markets. … Alexander announced 12 Republican co-sponsors to the bill this week, and McConnell, the Senate Majority Leader, told CNN on Sunday that he would allow votes on the legislation if he felt President Trump was behind it." (10/23/17)


Trump signs executive order on healthcare

Source: Chicago Sun-Times

"Frustrated by health care failures in Congress, President Donald Trump directed his administration Thursday to rewrite some federal insurance rules as a beginning of renewed efforts to undermine 'Obamacare,' the program he's promised to kill. 'With these actions, we are moving toward lower costs and more options in the health care market,' Trump said before signing his directive in the Oval Office. Trump said he will continue to pressure Congress to repeal and replace former President Barack Obama's Affordable Care Act. Some experts said the White House plan could undermine coverage on the ACA's insurance marketplaces, particularly for people with health problems. That would happen if healthy people flock to lower-cost plans with limited benefits." (10/12/17)


"Direct care" could help ease medical costs

Source: Cato Institute
by Jeffrey A Singer

"People every day consider cost/benefit when they purchase shelter, food, cars, computers, smartphones, etc. They ask detailed questions and expect satisfactory answers. Not so when it comes to healthcare decisions. The public uncritically accepts screening, early detection and early treatment as always worthwhile. The public also accepts that having insurance is a critical part of staying healthy. Yet insurance is supposed to protect against unforeseen, high-cost, catastrophic events. As a result of years of tax and regulatory policy, health insurance has morphed into a form of prepaid healthcare, covering predictable, foreseen, pre-existing and routine 'maintenance' events in addition to the catastrophic and unforeseen. Hospitals, labs, pharmacies and providers negotiate fees with a third-party payer, not the consumer. Consumers are left out of the loop, along with consumer-driven market forces." (09/29/17)


European or American healthcare system?

Source: The Anarchist Shemale

"The question about socialized medicine can easily be boiled down to one simple question: Would you rather have an expensive cancer cure now, or a free [sic] cancer cure in eighty years? Despite fears that the United States is going to lose its technological and biotechnological edge, the numbers are in, and there’s actually been a 7% increase in the recent years. Beyond that, the United States alone is responsible for forty percent of all biomedical research papers. In fact, the United States produces more medical research papers than the next five countries combined. One might be inclined to think that this is only possible if the United States is producing junk papers, yet this also is proven untrue by the numbers. American research papers are the most cited by an enormous margin, far outstripping even the 40% production line." (09/25/17)


Healthcare is so expensive because you don't pay for it yourself

Source: Heartland Institute
by Greg Scandlen

"Almost everyone involved in health care will tell you that the greatest problem in our system is that we pay on a fee-for-service basis. Almost everyone is wrong. The logic is obvious: paying a fee for a service encourages providers to get more fees by providing more services. Ergo, we consume too much and spend too much. Ipso facto, getting rid of fee-for-service would result in fewer services and less spending. Case closed. Well, maybe not. In fact, almost everything we do in the course of our economic lives, we do on a fee-for-service basis. When we go to the movies, get our oil changed, have our roof replaced, buy a computer, get a haircut, hire a babysitter, buy a steak dinner, get someone to do our taxes or defend us in a suit, we do it on a fee-for-service basis. None of it is particularly inflationary. … What is unique about health care is not fee-for-service, but third-party payment. Only in health care is someone else picking up the tab for our spending." (09/18/17)


Why single payer will only make healthcare more expensive

Source: Heartland Institute
by Scott Ehrlich

"Why do single-payer health care supporters treat it like an unassailable good? Even if you can point to a place like Denmark, with 5 million people and little ethnic diversity, why do people think we can transport that into a country of 330 million ethnically diverse individuals with the same results? After all, we couldn't even get Americans to buy into the infinitely easier metric system, but they are going to enjoy higher taxes to pay for rationed health care? I'm not here to bash single-payer because it's European. I'm also not a fan of socialism in principle, but if there is a way to provide better care at a cheaper price, then I'd be all for it, even if that would make me an awful libertarian. But the arguments I hear for single-payer nationwide are full of ridiculous extrapolations, economically illiterate assumptions, and pie in the sky dreams of willing, abundant, qualified providers to treat these hundreds of millions of patients. I'm willing to listen, but the arguments need to be better." (08/03/17)