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Friday, December 18, 2009

Health Care Should Be Driven by Mission, Not Money

Philip Caper
M.D., Codman Group (Founding Chairman)

As health care reform legislation enters a critical phase in Congress, it's important to keep our eye on the ball — elements essential to the success of any reform effort. In order to define those elements, we must have a clear understanding of the nature of the pathology in our dysfunctional health care system.

Modern high-tech health care is a right of the residents of most wealthy countries in the world - except the United States. America is exceptional in this regard. It is also exceptional in being the only wealthy nation where health care is considered to be a business.

To read the full article, click here.

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Posted on December 18, 2009  |  Write the first comment
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Friday, December 18, 2009

The Heart of Power: Health and Politics in the Oval Office

A Book Review by Philip Caper, M.D.

In many ways, the new book by David Blumenthal and James Morone is a fine dissertation on the role of the presidency and a succession of American presidents, stretching back to FDR, in the formulation of health care policy in the United States. But it does not address a central question. What are the barriers to reform of the American health-care system? Why has it been so difficult for American politicians to create a statutory right to health care for Americans - a right that every other affluent democracy created years ago?

To read a PDF of the full review, click here.

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Posted on December 18, 2009  |  Write the first comment
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Thursday, October 15, 2009

Can the Time Value of Money Save Long Term Care?

John Cutler
Senior Policy Analyst, United States Office of Personnel Management

Often left behind instead of going to the dance, long term care may finally see its opening in health care reform. Until now, few reform proposals bothered with long term care (LTC) in spite of the fact that a much greater share of the population is at risk compared with the scope of the “uninsured” for general health care. In addition, social insurance advocates and private insurance supporters often were in an uneasy alliance around how to approach any LTC reform, further hindering chances to address it. But with the reform of health care likely this year, LTC supporters have, for the most part, coalesced around Senator Kennedy’s CLASS Act as the most likely ticket to the dance.

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Posted on October 15, 2009  |  Write the first comment
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Tuesday, September 22, 2009

Recent Changes in Dutch Health Insurance

Kieke Okma
Adjunct Associate Professor of Health Policy and Management, New York University

In 2006 the Netherlands implemented a new health insurance system that requires all citizens to buy health insurance from a regulated insurance company of their choice; insurers must accept all applicants; the government subsidizes children and low-income families. Recent Changes in Dutch Health Insurance analyzes the new Dutch system and considers whether it might serve as a model for the U.S. The working paper emphasizes some of the major differences between the Netherlands and the U.S., including the extensive role of the Dutch government in regulating the health sector and the egalitarian tradition in Dutch social policies.

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Posted on September 22, 2009  |  Write the first comment
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Monday, September 21, 2009

Designing Administrative Organizations for Health Reform

Paul N. Van de Water
Senior Fellow, Center on Budget and Policy Priorities

Many proposals for expanding health coverage involve the creation of organizations to produce information on comparative effectiveness, make coverage decisions, manage the marketplace for health insurance, or offer a public health insurance plan. Designing Administrative Organizations for Health Reform describes proposals to create new entities or agencies as part of a reformed health coverage system, catalogs the major types of federal executive agencies and non-governmental entities, and considers some of the issues involved in choosing an appropriate organizational design. It concludes that organizations that use governmental powers and funds and make public policy need to be accountable as well as effective.

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Posted on September 21, 2009  |  Write the first comment
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