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Experts

2009 Health Care Reform in the US

  

About Lymphoma >  Regarding Health Care Reform

Last update: 08/28/2009

TOPICS
Reform Proposals  Ground rules | Scare Tactics |
  Background Data  | Expert Perspectives NEJM

TOPIC SEARCH: Web

We ask that our representatives work in a cooperative manner so that cancer patients, and individuals facing other serious medical conditions, can receive high-quality care they urgently need in a timely manner ... today and in future. 

There's an urgent need to establish facts about the healthcare system and shared objectives, and to condemn the strategic dissemination of misinformation.  

   ~ KarlS

Reform Proposals and Objectives

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President Obama's statement and goals: 
 
http://www.whitehouse.gov/issues/health_care/
 
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NEW H. R. 3200 ‘‘America’s Affordable Health Choices Act of 2009’’  http://energycommerce.house.gov/Press_111/20090714/aahca.pdf 

Related documents

Ground rules for constructive debate

Yes
No
Define terms Slogans
Cite references to study data Opinion based on opinion of others
Write letters, raise hand Shout down speakers
Respect and address opposing opinion Demonize opposing persons and opinions
Read background: drafts, proposals and expert perspectives (verify facts) Rely on interpretations of others
(without verifying facts)
Risk/benefit analysis (trade offs) Focus exclusive to risks (black and white)
Non-expert: focus on questions Non-expert: focus on judgment
Scare-tactics, distortions, and falsehoods

Confronting Scare Tactics and Misinformation

What's at stake is too important to patients to tolerate disruptive practices and the dissemination of misinformation.  ~ KarlS

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Health Insurance Reform - FACT CHECK whitehouse.gov
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AARP On Health Care Scare Tactics: Health Research Investment Helps Doctors 
Give Best Possible Care To Patients 
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Arthur Caplan, Ph.D   http://www.msnbc.msn.com/id/32372258/ns/health-health_care/ 
Health care debate turns vile with Nazi analogy 
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Video: Fox News Kondracke blames Rush Limbaugh for inciting town hall disruptions examiner.com
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Health Care 2009: "American Values" — A Smoke Screen in the Debate on Health Care Reform
New England Journal of Medicine, A. S. Brett Extract | FREE Full Text | PDF
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Kill Grandma? Debunking A Health Bill Scare Tactic, by Julie Rovner  NPR.org

Non-partisan Data / Background on US Health Care:

Based on published studies and expert testimony

  1. National Coalition on Health Care  www.nchc.org/facts/coverage.shtml

    Founded in 1990, non-profit and rigorously non-partisan

  2. The Henry J. Kaiser Family Foundation. 
    The Uninsured: A Primer, Key Facts About Americans without Health Insurance. October 2006. www.kff.org/uninsured/
  3. Robert Wood Johnson Foundation 
    Health Reform: The Cost of Failure - Number of Uninsured Americans Could Reach 65.7 Million Within 10 Years www.rwjf.org/files/research/costoffailure20090529.pdf 

    "In the worst case scenario, the number of uninsured Americans would increase to 57.7 million in 2014 and to 65.7 million in 2019. In the best case, the number grows to 53.1 million in 2014 and 57 million in 2019. All of these estimates assume that states would continue to maintain current eligibility levels for public coverage. Without this, the number of uninsured would be even higher."
  4. EXECUTIVE OFFICE OF THE PRESIDENT COUNCIL OF ECONOMIC ADVISERS
    THE ECONOMIC CASE FOR HEALTH CARE REFORM EXECUTIVE SUMMARY, June 2009  www.whitehouse.gov/administration/eop/cea/TheEconomicCaseforHealthCareReform/ 
  5. American Hospital Association. "Uncompensated Hospital Care Fact Sheet," November 2005.
    http://www.aha.org/aha/content/2005/pdf/0511UncompensatedCareFactSheet.pdf
  6. Center on Budget and Policy Priorities. 
    The Number of Uninsured Americans is at an All-Time High. 29 August 2006 www.cbpp.org/8-29-06health.pdf
  7. The Henry J. Kaiser Family Foundation. 
    Employee Health Benefits: 2008 Annual Survey. September 2008. www.kff.org/insurance/7672/index.cfm
  8. Institute of Medicine
    Hidden Costs, Values Lost: Uninsurance in America. The National Academies Press. 17 June 2003 http://www.iom.edu/Report.asp?id=12313
  9. National Committee for Quality Assurance. The State of Health Care Quality, 2008, Industry Trends and Analysis. Washington, DC, 2007. The State of Health Care Quality 2008 is available to the public on NCQA’s Web site, www.ncqa.org/sohc 
  10. Health Plan Report Card, log on to http://reportcard.ncqa.org
  11. WHO ranking of Health Care Systems, 2000  http://www.who.int/whr/2000/en/whr00_en.pdf

    See table, on page 152: Annex Table 1 Health system attainment and performance in all Member States,
    ranked by eight measures, estimates for 1997
  12. Testimony of Wendell Potter, former Insurance Executive, Before the U.S. Senate Committee on 
    Commerce, Science and Transportation pbs.org  

    "As you hold hearings and discuss legislative proposals over the coming weeks, I encourage you to look very closely at the role for-profit insurance companies play in making our health care system both the most expensive and one of the most dysfunctional in the world. I hope you get a real sense of what life would be like for most of us if the kind of so-called reform the insurers are lobbying for is enacted."

Expert Perspectives: NEJM articles - links to free full text.

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NEW Experts on Health Care Reform 2009 at http://healthcarereform.nejm.org/ 
Gregory D. Curfman, M.D., Stephen Morrissey, Ph.D., Debra Malina, Ph.D., and Jeffrey M. Drazen, M.D.
"A growing series that currently includes almost 100 Journal articles and online features, a diverse group of authors representing all parts of the health care system and all points of view have wrestled with the issues the country faces. The articles provide thoughtful commentary on universal coverage, comparative-effectiveness research, outcomes research, health information technology, economic challenges and cost containment, and new delivery systems." nejm.org 
 
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Health Care Reform — Toward More Freedom, and Responsibility, for Physicians Harold S. Luft, Ph.D.  http://content.nejm.org/cgi/content/full/361/6/623  

Comment: the reform proposals as it appears now to me is basically about stopping some of the bleeding spots: insurance abuses, and rising tide of uninsured ... but to cut rising costs (such as unnecessary and redundant medical tests and procedures) more difficult measures (beyond the easily influence of legislation) are likely  needed, such as described in the NEJM article. ~ KarlS
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A Bumpy Road for Reform
J. K. Iglehart Extract | FREE Full Text | PDF
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A Time for Revolutions — The Role of Clinicians in Health Care Reform
A. Darzi Extract | FREE Full Text | PDF
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Achieving Health Care Reform — How Physicians Can Help
E. S. Fisher, D. M. Berwick, and K. Davis  Extract | FREE Full Text | PDF
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Health Care 2009: Congressional Action on Health Care Reform — An Update
J. K. Iglehart Extract | FREE Full Text | PDF
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Health Care 2009: A Lifeline for Primary Care
T. Bodenheimer, K. Grumbach, and R. A. Berenson Extract | FREE Full Text | PDF
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Health Care 2009: Easing the Shortage in Adult Primary Care — Is It All about Money?
R. Steinbrook Extract | FREE Full Text | PDF
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Health Care 2009: The Role of Medical Liability Reform in Federal Health Care Reform
M. M. Mello and T. A. Brennan Extract | FREE Full Text | PDF
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Health Care 2009: A Win–Win Approach to Financing Health Care Reform
J. Gruber Extract | FREE Full Text | PDF
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Health Care 2009: The Individual Mandate — An Affordable and Fair Approach to Achieving Universal Coverage
L. J. Blumberg and J. Holahan Extract | FREE Full Text | PDF
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Health Care 2009: A Strategy for Health Care Reform — Toward a Value-Based System
M. E. Porter Extract | FREE Full Text | PDF
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Finding Money for Health Care Reform — Rooting Out Waste, Fraud, and Abuse
J. K. Iglehart Extract | FREE Full Text | PDF
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Prioritizing Comparative-Effectiveness Research — IOM Recommendations
J. K. Iglehart Extract | FREE Full Text | PDF
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Comparative-Effectiveness Research — Implications of the Federal Coordinating Council's Report
P. H. Conway and C. Clancy Extract | FREE Full Text | PDF
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Comparative Effectiveness — Thinking beyond Medication A versus Medication B
K. G. Volpp and A. Das Extract | FREE Full Text | PDF
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Health Care 2009: The Burden of Health Care Costs for Working Families — Implications for Reform
D. Polsky and D. Grande Extract | FREE Full Text | PDF
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Health Care 2009: "American Values" — A Smoke Screen in the Debate on Health Care Reform
A. S. Brett Extract | FREE Full Text | PDF
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The Next Wave of Corporate Medicine — How We All Might Benefit
D. M. Cutler Extract | FREE Full Text | PDF
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The Shifting Mission of Health Care Delivery Organizations
R. M.J. Bohmer and T. H. Lee
Extract | FREE Full Text | PDF
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Keeping the Patient in the Equation — Humanism and Health Care Reform
P. Hartzband and J. Groopman Extract | FREE Full Text | PDF

 
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