Category Archives: Health Care Reform Legislation

The Toll of Prolonging Life

 > In the "trenches" at the bedside of dying patients, a former Air Force officer turned nurse practitioner sees wasted health care dollars, as well as human suffering akin to torture. read more
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Proust on Treating Chronic Disease

 > How to control the astronomical costs of treating chronic diseases is a modern economic and political problem. But when to limit treatment is an enduring literary one. read more
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The (Unfortunate) Economic Logic of Technological Progress

 > A new report confirms that technological progress and innovation inherently nurture cost inflation. But Obama's health care reform proposal skirts this difficult problem. read more
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Do Wellness Incentives Work?

 > Financial incentives have been shown to improve some health-related behaviors, but not others, raising questions about the ability of workplace wellness programs to reduce health care costs. read more
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America's Physician Shortage: Lessons from Lincoln

 > Verbal propaganda has created a schism between primary care physicians and specialists, and it is impeding solutions to the nation’s physician shortage. read more
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How to Expand Primary Care

 > To extend health coverage to the uninsured, the nation must increase the number of primary care physicians. Both bills in Congress contain provisions for doing this, but they are unlikely to have much effect, and powerful forces are working against them. read more
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Controlling Costs: Do As Business Does

 > Running Medicare like a business, with a strong CEO and a tightly managed budget, could help it stay solvent. A provision in the Senate health care reform bill for an Independent Payment Advisory Board may provide the opening to make that happen. read more
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Projected Costs of Chronic Diseases

 > Seventy-six percent of Medicare spending is on patients with five or more chronic diseases. Here are the projected costs of seven of them. read more
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Wellness Programs: A Threat to Fairness and Affordable Care

 > A provision in the Senate bill could cost individuals an extra $2,412 for not participating in workplace wellness programs --or an additional $6,688 for people with family coverage. Low-paid employees would be disproportionately affected. read more
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Expensive Procedures Can be Cost Effective, Too

 > Is $300,000 too much to pay for cancer surgery? Not necessarily. Some less expensive widely used interventions, like statins for high cholesterol, may cost more to save a year of life. read more
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