LBJ and Nixon brought us the insatiable Medicare/Medicaid entitlement and the predatory managed-care monster that feeds off these cash cows (AAPS News, July 2018). They and their successor also set us up for the impending Baby Boom/Welfare State fiscal tsunami, as David Stockman describes it (tinyurl.com/yab4vh4u). Nixon’s 1972 Social Security amendments indexed earnings for wage […]
The Republican betrayal and Democrat intransigence on repealing “ObamaCare” may be partly related to reverence for the legacy of the first African-American President. But in fact the Affordable Care Act (ACA) builds on the legacy of far less popular Presidents. The most difficult part of ACA to touch—and the one most responsible for the touted […]
Volume 74, no. 6 June 2018 In about 2000, the number of publications indexed under “transparency in healthcare” started an exponential rise, reaching about 400 per year in the past few years. Politicians have also become very fond of the word. To AAPS, it should mean honest price signals and “government in the sunshine.” Support […]
The Center for Medicare and Medicaid Services (CMS) has sent out a Request for Information (RFI) concerning a new project called DPC. This stands for Direct Provider Contracting—not Direct Primary Care or Direct Patient Care, the growing type of practices that work for patients, not third parties. There are now about 770 such practices, the […]
Volume 74, no. 4 April 2018 The leading publication of organized medicine has published an extensive analysis of U.S. “health care” spending, which is twice as high per capita as in other comparable countries—although health outcomes are no better, and utilization is similar (Papanicolas et al. JAMA 3/13/18). Why? “It’s the prices, stupid!” editorializes Ezekiel […]
Volume 74, no. 3 March 2018 The Center for American Progress is proposing the next step toward the total government takeover of medicine: “Medicare Extra for All.” It calls the Affordable Care Act (ACA) “an historic accomplishment,” which is “remarkably resilient,” with steady enrollment “despite repeated acts of overt sabotage by the Trump Administration” and […]
Volume 74, no. 2 February 2018 Growing physician opposition to their Maintenance of Certification (MOC®) cash cow is apparently causing consternation at the American Board of Medical Specialties (ABMS) and its component boards. They need to persuade legislators that MOC® is actually improving the quality of care—and not just contributing to physician burnout, decreasing access, […]
Right to Work laws, in effect in 28 states, provide that no person can be compelled, as a condition of employment, to join or not to join, nor to pay dues to a labor union. The right of states to enact such laws is affirmed in §14(b) of the Taft Hartley Act (https://tinyurl.com/y7vewhfj). However, more […]
Volume 73, no. 12 Having failed to repeal the Affordable Care Act (ACA or “ObamaCare”), the Republican regime is moving along to the next item on its promised agenda, tax reform. A repeal of the ACA individual mandate might be slipped into the package. But so far, none of the other ACA tax increases are […]
Volume 73, no. 11 November 2017 The Report of the President’s Commission on Combating Drug Addiction and the Opioid Crisis (http://tinyurl.com/yaz9zw6a) has been released. It calls for the Office of National Drug Control Policy (ONDCP) to review federal spending and invest “only in programs that achieve quantifiable goals and metrics.” It does not call for […]