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Brother, Can You Spare A Dime ($0.10 CAD) For A PET?
The Canadian healthcare system has been touted as the most wonderful thing since sliced bread, the epitome of the Single-Payer model, the Way It Should Be Done, the ultimate, logical manifestation of where we are headed. The Affordable Obama Care Act is, of course, just a brief bus-stop on the highway to Canada.But wait just a moment, eh? All is not perfect in the land of the frozen. How many Americans (or Saudis or potentates of various small nations) go to Canada for esoteric, life-saving surgery? Conversely, how many Canadians cross the border (no wall as yet) for their care? (Answer: Depending on the source and th...
Source: Dalai's PACS Blog - February 20, 2016 Category: Radiology Source Type: blogs

Tax Reform Revenues Wrongly Contrasted with Soaring CBO estimates
When the Brookings Institution and Urban Institute claim any tax reform will “lose trillions” they are comparing their static estimates of revenues from those plans (which assume tax rates could double or be cut in half with no effect on growth or tax avoidance) to totally unrealistic “baseline” projections from the Congresional Budget Office.  Those CBO projections assume that rapid 2.4% annual increases in real hourly compensation over the next decade will push more people into higher tax brackets every year.  As a result, the average tax burden supposedly rises forever – from 17.7% of GDP in 2015 to 19.9% in...
Source: Cato-at-liberty - February 18, 2016 Category: American Health Authors: Alan Reynolds Source Type: blogs

The Educational Freedom Legacy of Andrew Coulson
Early yesterday morning, after a fifteen month battle with brain cancer, Senior Fellow in Education Policy Andrew Coulson passed away. He is survived by his beloved wife Kay. Andrew was 48 years old. Andrew’s death is very sad news for everyone at Cato, but especially those of us at the Center for Educational Freedom, where Andrew was the director—and an almost impossibly sunny colleague—for more than a decade. Coming from a computer engineering background, Andrew seized on education reform—and the need for educational freedom—not because he had spent a career in education, but because he saw a system that was il...
Source: Cato-at-liberty - February 8, 2016 Category: American Health Authors: Neal McCluskey, Jason Bedrick Source Type: blogs

How Congress Should -- and Shouldn't -- Bolster School Choice
This week, the House Committee on Education and the Workforce held a hearing on “Expanding Education Opportunity through School Choice.” As I’ve written before, there are lots of great reasons to support school choice policies, but Congress should not create a national voucher program: It is very likely that a federal voucher program would lead to increased federal regulation of private schools over time. Once private schools become dependent on federal money, the vast majority is likely to accept the new regulations rather than forgo the funding. When a state adopts regulations that undermine its school choice pr...
Source: Cato-at-liberty - February 5, 2016 Category: American Health Authors: Jason Bedrick Source Type: blogs

Proposed Stricter OSHA Regulations on Airborne Silica Exposure Seem Needless
The U.S. Department of Labor’s Occupational Safety and Health Administration (OSHA) is soon set to release new exposure limits to air-borne silica dust. The rulemaking has been in the works for about three years with a final rule scheduled to be announced this year. The silica industry is not enthused. Silica dust is known to cause respiratory illnesses (e.g., silicosis, lung cancer, other airways diseases) that may contribute to or lead directly to death when it is breathed in high enough concentrations over long enough time periods. OSHA explains that exposure to respirable silica “occurs in operations involving cutt...
Source: Cato-at-liberty - February 1, 2016 Category: American Health Authors: Paul C. "Chip" Knappenberger Source Type: blogs

Supplemental Benefits Under Medicare Advantage
Medicare Advantage has grown rapidly since the 2003 Medicare Modernization Act, and now covers 17 million or 33 percent of the 54 million Medicare beneficiaries — up from 13 percent a decade ago. This option allows seniors and the disabled to receive their Medicare benefits from a choice of private health care plans, instead of a single benefit structure managed directly by the federal government through the Centers for Medicare and Medicaid Services (CMS). Much has been written about the relative merits of Medicare Advantage (MA) and Medicare Fee-For-Service from the standpoint of efficiency and care coordination, b...
Source: Health Affairs Blog - January 21, 2016 Category: Health Management Authors: Christopher Pope Tags: Costs and Spending Featured Insurance and Coverage Medicare Payment Policy CMS fee-for-service Medicare Advantage Medicare Modernization Act Source Type: blogs

Best of 2015: Why Don’t We Take Tanning As Seriously As Tobacco?
Back in May being to celebrate Skin Cancer Awareness Month and in tandem with our event we co-hosted with the Congressional Families Cancer Prevention Program, The Hazards and Allure of Indoor Tanning Beds on College Campuses we are ran a series on skin cancer.  Today’s best of 2015 posts is from that series. In 2009, upon review of the science on tanning beds and cancer, the International Agency for Research on Cancer assigned tanning beds a class 1 carcinogen, joining tobacco and asbestos in the highest classification of harm. In spite of this development, skin cancer rates have steadily climbed over the last 3 d...
Source: Disruptive Women in Health Care - December 28, 2015 Category: Consumer Health News Authors: dw at disruptivewomen.net Tags: Advocacy Source Type: blogs

The Little Agency That Could
By LEAH BINDER In the children’s book The Little Engine That Could, a little blue engine hauls an improbably large trainload of toys and candy over a mountain while chanting, “I think I can, I think I can, I think I can.” The Labor Department named this classic among the 100 books that shaped work in America. There’s a federal health agency in Washington that might be called the “Little Agency That Could”: the Agency for Healthcare Research and Quality (acronym “AHRQ”, pronounced “Arc”) – and it’s shaping the work of healthcare in America. AHRQ’s priority is making the work done in healthcare ...
Source: The Health Care Blog - December 22, 2015 Category: Consumer Health News Authors: Simon Nath Tags: THCB Leah Binder Source Type: blogs

Addressing Tobacco And Secondhand Smoke Exposure In Maternal And Child Survival Programs
Ending preventable child and maternal deaths (EPCMD) by 2035 is one of US Agency for International Development’s (USAID) three global health priorities, along with creating an AIDS-Free Generation and protecting communities from infectious diseases. In June 2014 USAID launched the report Acting on the Call: Ending Preventable Maternal and Child Deaths, which provides an evidence-based approach to meeting this goal across USAID’s 24 EPCMD focus countries. One of the key elements of the EPCMD approach is alignment across interventions to meet the needs of affected populations; for this reason, Acting on the Call incorpor...
Source: Health Affairs Blog - November 24, 2015 Category: Health Management Authors: Karen Wilson, Jonathan Klein, Sally Cowal, Aaron Emmel and Emily Kaiser Tags: Equity and Disparities Featured Global Health Population Health Public Health CDC Children cigarettes Environmental Health second hand smoke tobacco USAID Women's Health Source Type: blogs

Trade Is Not a Trade-Off: The Stronger Case for Free Trade
Too many advocates of trade liberalization don’t really understand the case for free trade. Consider this sympathetic interview by Steve Inskeep of NPR with U.S. Trade Representative Michael Froman, the chief negotiator of the Trans-Pacific Partnership: INSKEEP: Froman argues the TPP, the Trans-Pacific Partnership, will give U.S. industries more access to foreign markets. Granted, there’s a trade-off. Other nations get more access to the U.S. for their products. Froman contends that, at least, happens slowly as tariffs or import taxes drop. FROMAN: The tariff on imported trucks from Japan, as an example, won’t go a...
Source: Cato-at-liberty - November 16, 2015 Category: American Health Authors: David Boaz Source Type: blogs

An open letter to MPs of Malaysia
13 November 2015 An open letter to the Members of Parliament of Malaysia  We, the undersigned medical professional bodies and non-governmental organisations, would like to register our concern regarding the increasing presence of electronic cigarettes and vaping in our society. We note with dismay the Cabinet’s rejection of the Ministry of Health’s proposal to ban the sales and use of electronic cigarettes.  1. Malaysia proudly signed and ratified the World Health Organisation’s Framework Convention on Tobacco Control (FCTC). This is a reflection of the nation’s commitment to protect present and futu...
Source: Malaysian Medical Resources - November 13, 2015 Category: Global & Universal Authors: palmdoc Tags: Miscellaneous Source Type: blogs

What They Really Think of Us (Swiss Version) - Novartis CEO Would Not Commit to Changing Company Behavior After Latest of Multiple Legal Settlements
The huge corporations which now dominate global health care are creating amazing records of repeated ethical misadventures.  We last discussed multinational Swiss based pharmaceutical manufacturer Novartis' escapades in early 2014.   Since then, the legal settlements and other legal findings just keep on coming, capped with a big one in late October, 2015.We will summarize them in chronological order.Japanese Health, Labor and Welfare Ministry Found that Novartis Concealed Serious Adverse EffectsIn August, 2014, per the Japan Times, but apparently not reported widely outside of that country.Novartis Pharma K...
Source: Health Care Renewal - November 5, 2015 Category: Health Management Tags: corporate integrity agreement deception Express Scripts impunity kickbacks legal settlements Novartis Switzerland what they really think of us Source Type: blogs

Healthcare.gov Improvements And New Investigative Reports (Updated)
This report is beyond the scope of this blog.
Source: Health Affairs Blog - October 23, 2015 Category: Health Management Authors: Timothy Jost Tags: Costs and Spending Following the ACA Medicaid and CHIP ACA Marketplace budget reconciliation insurance fraud open enrollment Prevention Preventive Services Mandate social security Source Type: blogs

Social Security Technical Panel: 75-Year Shortfall Might be 28 Percent Larger
A recent report from the Social Security Advisory Board’s Technical Panel found that the 75-year shortfall could be 28 percent (roughly $2.6 trillion) larger than the estimate in this year’s Trustees Report due to changes in some of the underlying technical assumptions. This disparity is more the product of the difficulties related to projecting the trajectory of a program as large and complicated as Social Security so far into the future, with the chair of the Technical Panel taking pains to reiterate that “the methods and assumptions used by the Social Security actuaries and Trustees are reasonable.” Even so, the...
Source: Cato-at-liberty - October 9, 2015 Category: American Health Authors: Charles Hughes Source Type: blogs

Fatal Fraud? - More Settlements by Commercial Hospices of Allegations They Enrolled Non-Terminal Patients
DiscussionThere are more cases being reported in which hospices, particularly those owned and run by for-profit corporations, have enrolled patients who were not terminally ill.  These enrollments may be motivated by the desire for more money, but they put patients at risk.  Hospice patients may receive large doses of psychoactive drugs and narcotics, which may lead to adverse effects up to and including death.  Hospice patients may not, however, receive treatments for new acute problems, even if those problems are potentially curable.  Therefore, hospice patients may die from untreated infections that ...
Source: Health Care Renewal - October 7, 2015 Category: Health Management Tags: hospices Oak Hill Capital Partners private equity Source Type: blogs