Politico: Memo To Congress, White House: Get Serious On Debt
The president deserves credit for putting forward Medicare savings in his budget and offering further entitlement savings in the negotiations, but he and his fellow Democrats must be willing to do more to reform our entitlement programs. ... For health savings, we'll have to look at everything from increasing premiums for well-off beneficiaries to reducing reimbursements to providers and drug companies to modernizing cost-sharing rules to tort reform. We will also need to reorient incentives to change the delivery of care and make adjustments to reflect the aging of society. In short, it will require taking on favored and well-entrenched constituencies across the health care system (Erskine Bowles and Alan Simpson, 2/14).
The New York Times: Health Care's Good News
Most of the recent talk about health care spending has been pretty bleak. Just take a look at the Rate Review Tool on Healthcare.gov and you'll know why. Major insurers are proposing painful, double-digit premium increases in 2013. In California, Anthem Blue Cross, Blue Shield of California and Aetna all announced rate increases of 20 percent or higher for some of their customers. Many are taking this as a sign that, despite its intentions, the health care reform law is failing and costs are going up as a result. But there is something bigger going on here, though commentators may not be shouting about it. Health care spending is still going up, but the rate at which it grows year to year has actually been declining for about a decade now (Ezekiel J. Emanuel, 2/14).
The New York Times Economix blog: Health Care As An Economic Stabilizer
From a macroeconomic perspective, the health care sector has functioned for some time as the main economic locomotive pulling the economy along. In the last two decades, it has created more jobs on a net basis than any other sector. Oddly, not much is made of the job-creating ability of the health care sector in political debate over health policy, in contrast to discussions of military spending, where employment always ranks high among the arguments against cuts (Uwe E. Reinhardt, 2/15).
The New England Journal of Medicine: The Oregon ACO Experiment -; Bold Design, Challenging Execution
(Accountable Care Organizations) are expected to contain costs through improvements in health care delivery and realignment of financial incentives, but their effectiveness remains unproved, and there are reasons for concern that they may fail. Oregon has embarked on an ambitious program centered on the ACO model, which aims to change Medicaid financing and health care delivery. The Oregon experiment highlights both the bold vision of ACO-based health care reform and the potential challenges to executing that vision. Failure of the Oregon experiment would not only jeopardize health care for vulnerable Oregonians but also call into question the viability of central tenets of the ACA (Dr. Eric C. Stecker, 2/13).
The Wall Street Journal: Why The NHS Keeps Failing Britain
In February 2003 Gordon Brown, then Britain's chancellor, declared that "in health care, we know that the consumer is not sovereign." A decade later, the final report of the public inquiry into the failings of the Mid-Staffordshire NHS Trust between 2005 and 2009 has revealed the consequences-;what happens when the patient is not sovereign but subject. The Mid-Staffs story, according to inquiry chairman Robert Francis, is one of "appalling and unnecessary suffering of hundreds of people" (Rupert Darwall, 2/14).
The New York Times: Suicide Made Easier
The current gun control debate is focused, not surprisingly, on the carnage from rapid-firing assault weapons, like the one used in the Connecticut school massacre. But beneath the surface lies a disturbing reality: nearly two-thirds of the 30,000 gun deaths each year are not the work of deranged mass shooters but the suicides of troubled individuals with easy access to firearms, often in quiet family homes (2/14).
Boston Globe: Linsky Starts A Conversation On Guns And Public Health
A new bill from state Representative David Linsky, a Democrat from Natick, is a good way to launch a serious debate, because it takes many cues from the public health field. Rather than simply attempt to ban certain weapons, it tries to influence the behavior of gun owners. For instance, Linsky's bill would require gun owners to purchase liability insurance, with rates that could vary depending on the type of weapon and storage situation. Gun owners fear that the state could use such a mandate as a stealth way to outlaw guns, by making insurance too costly to obtain. Indeed, the premiums should be based only on a rational accounting of the risks presented by gun ownership (2/15).