Georgia Strikes Down Liability Reforms

Less than a day after Congress passed a historic health reform bill, doctors in Georgia were reminded of one tiny oversight in the package. The absence of substantive liability reform. The State Supreme Court ruled that caps on pain and suffering did not comport with the Georgia state constitution. Prior tort reforms implemented in Georgia … Read more

Georgia First State to Rebel Against High Risk Pool in Healthcare Reform

The official version is that it’s a budgetary issue – that seems unlikely. John Oxendine, Georgia’s insurance commissioner, a Republican, has his eye on the Governor’s mansion in the upcoming election. The rebellion is cleverly wrung; no patients will lose any benefits nor will it affect the cost of insurance for Georgians. What it does is make a statement; while putting the burden on the Federal government to oversee the distribution of funds to those in need within the state.

Further proof of the real cause of the insubordination is found in Oxendine’s letter to Kathleen Sebelius, U.S. Secretary of Health & Human Services. In that letter, he said that he would not involve Georgia in “a scheme which I believe the Supreme Court will hold to be unconstitutional, leads to the further expansion of the federal government, undermines the financial security of our nation, and potentially commits the State of Georgia to future financial obligations.” Obviously it wasn’t really about the state’s cost of administering the funds provided by the Federal government. Using the fate of uninsured high-risk citizens as a soapbox for a political statement is transparent. The Republican Primary for Governor is coming up in July. Oxendine hopes to distinguish himself from the field with this move, even though the action changes nothing – amounting to nothing more than token blustering.

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Access Issues; Are Nurse Practitioners The Key To Functional Health Care Reform?

The news is shifting away from health care reform. Speculation is even starting to wind down a bit. Maybe now we can get down to the nuts and bolts, the real practical aspects of healthcare and what the new legislation means for both patients and providers. In a recent discussion between physicians, it was noted that the 32 million people (who are expected to join the ranks of the insured in just under a decade,) are not new patients. They exist right now, get ill and need treatment already. They’re just not getting it in efficient or conventional ways.

That’s a good thing. Our system is already overburdened, so adding 32 million new patients would be untenable, if they were actually new patients. But our country still needs more physicians and more access to health care providers.

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Medical law concept with gavel and stethoscope on desk

Healthcare Bill Lies

President Obama is talking about healthcare reform a lot, pushing hard to win public favor for the bill. Representative Dennis Kucinich is amongst those who have yet to decide how they will vote. He was also present at one of the speaking engagements in which the people yelled out their support, their desire to have health care reform. In a passionate speech, the President cited a 50 year old cancer survivor, Natoma Canfield, and how she could not afford the heath care premiums any more. It was even more pointed that she couldn’t attend herself, because she was lying in a hospital bed again, fighting through chemotherapy after 11 cancer-free years. President Obama emphasized that detractors were lying about losses of coverage via Medicare/Medicaid, etc. And all of that may very well be true. But the President isn’t telling the whole truth either.

The Natoma Canfields of America will find no relief in this bill. It’s very possible that they may not live to see the benefits kick in at all. Though taxes would be raised effective in the current tax year; those 30 million uninsured won’t see any relief for about 9 years. Some aspects may commence sooner, but we’re still talking about something that is going to take 10 years to happen, if we start now.

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Patient’s Bill of Responsibilities: #1 Take Good Care of Yourself

It seems people are always talking about (and demanding) Rights. With Rights, though, come Responsibilities. Here are a few thoughts on how patients can be more responsible for their own well-being.

The single most valuable piece of advice, a refrain echoed time and time again by physicians, is taking proper care of one’s body to avoid problems in the first place. This is something that the individual (and family) must practice, but the government can promote. Our current system rewards getting ill while providing little direct incentive to practice wellness. It costs a lot less to address obesity in a child than to perform a coronary bypass operation. It costs less to prevent smoking (or help a smoker quit that addiction,) than to treat lung cancer, emphysema, and heart problems, premature births and infant deaths (amongst the problems caused by first-hand smoke, let along second-hand smoke.)

Even what we eat makes a profound difference. A finding within The China Study

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A Place At The Table; Heathcare Reform Decisions Being Made Without Doctors: Dr. D. Berwick New Head of CMS

The eminent appointment of Donald Berwick, MD, as head of CMS (Centers for Medicare & Medicaid Services) may seem like a step in the right direction. After all, Dr. Berwick is well known for championing improvements to health care. “At least he’s a doctor,” some might say. But is appointing a doctor really giving physicians a place at the table? Dr. Berwick is also politically capable. Few could argue the reasons for putting him on the list of candidates. But is that reason enough to make the appointment? Is appointing an MD really a place at the table, or is that allowing a doctor to work as a server for the dinner guests?

It stands to reason that Washington is going to appoint someone who is politically astute. It also stands to reason that President Obama would appoint someone capable of delivering fiery rhetoric. In 2004, he unequivocally stated “I’m losing my patience. Not with the people in healthcare, but the system itself. Healthcare professionals are doing so many things so well; they’re putting actual transformation within reach. Now we need to grab it. The clock is a tyrant, and if you spend too much time ‘getting ready,’ you’re going to lose.” In another campaign, he noted “… the attention of the strategic leaders in healthcare has not been focused on the improvement of care. The strategic objectives have focused on more traditional goals such as growth, marketing and capital development. We need leaders to create a new future, not defend the status quo.” In a keynote speech last year, Dr. Berwick was bold enough to state that anyone who claims the U.S. healthcare system is the best in the world is not looking at the facts. Dr. Berwick is clearly a man of passion, unafraid to challenge the system. Sounds like the perfect man to repair a broken system, doesn’t it? Unfortunately, the White House has not asked us that question.

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