Pulling it Together: Small $ for HIV Prevention July 28, 2009 Perspective It’s no secret that the response to the HIV epidemic domestically has not kept pace with the response to the global epidemic. And in an earlier column called America Has Gone Quiet on HIV/AIDS I wrote about the growing complacency towards the domestic epidemic revealed in our recent survey of…
Pulling it Together: Teaching An Old Dog New Tricks July 7, 2009 Perspective Way back in the eighties when I was Human Services Commissioner in New Jersey, I established something called the Garden State Health Plan (GSHP). It was the first — and I think the only — federally qualified state-run HMO for Medicaid beneficiaries. One goal of the GSHP was to reallocate…
Pulling it Together: Last Week’s Health Reform “Shocker” June 24, 2009 Perspective Last week we learned that health reform could cost the federal government at least a trillion dollars over ten years, and that it will be really difficult to forge bipartisan agreement on legislation and keep major interest groups on board. This obviously brought more angst to the deliberations, several Republicans…
Pulling it Together: The Sleeper in Health Reform June 16, 2009 Perspective The health reform legislation currently being crafted on Capitol Hill is undeniably complex. To oversimplify slightly it can be boiled down into four parts: coverage (subsidies for private coverage and Medicaid expansions); delivery and payment reforms; insurance market reforms and regulations; and prevention, with each broad category containing a range…
Pulling it Together: On Health Reform, Will All Roads Meet in the Middle? June 4, 2009 Perspective A few weeks ago a small group of upset single-payer advocates followed Senator Baucus into the parking garage of our D.C. building as he was arriving to do one of our health reform newsmaker breakfasts, cosponsored by Families USA and the National Federation of Independent Business. They were angry because…
Pulling it Together: The Experts vs. The Public on Health Reform May 14, 2009 Perspective In repeated Kaiser polls, we see a divide between what experts believe and what the public believes about some of the key issues in health reform. They don’t disagree on everything; far from it. But there is a wide gulf on basic beliefs about what is behind the problems in…
Pulling it Together: The Health Care Industry’s Second Voluntary Effort May 12, 2009 Perspective The announcement that health care industry groups plan to put on the table voluntarily a package of proposals to shave $2 trillion off the rate of increase in health spending over the next ten years immediately conjures up the image of the Voluntary Effort or VE launched with similar fanfare…
Pulling it Together: About Kaiser Health News May 1, 2009 Perspective There is lots of apocalyptic talk these days about the collapse of the newspaper industry and the challenges facing news organizations. There is even talk of the unimaginable, my hometown paper The Boston Globe shutting down. Surely they know that Red Sox Nation cannot exist without the Globe Sports pages.…
Pulling it Together: 19.7 April 16, 2009 Perspective Several years ago Joanne Silberner from NPR offered some advice I liked. Joanne said that the secret to effective communication was to “have a killer anecdote and a killer number.” Here is a killer number: 19.7. That’s the average number of years between major attempts at health reform since Harry…
Pulling It Together: Jobs, A Reason to Fast Track Coverage March 13, 2009 Perspective The two big topics in Washington right now are the economy and health care. I’ve written before about how the two are linked, and in particular about how among the everyday economic problems people are having, paying for health care is a big one. But the latest numbers out from…
