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Ted Cruz’s Dramatic Trade Policy Conversion Is a Troubling Sign
Trade Promotion Authority—legislation that sets out negotiating objectives and ensures an up-or-down vote on future trade agreements—survived a Senate cloture vote today 60-37 and will likely become law. The Senate already passed TPA last month as part of a different trade package by a vote of 62-37. One of the Senators that switched his vote was Ted Cruz (R-TX).
The switch was a pretty big surprise considering that Cruz had been a prominent and vocal defender of TPA just a few weeks ago. He co-authored an op-ed in the Wall Street Journal in May praising the bill and noting how important it was to furthering free...
Source: Cato-at-liberty - June 23, 2015 Category: American Health Authors: K. William Watson Source Type: blogs
To Increase Value in Medicare, Expand Coverage To Long-Term Care
Medicare has recently announced policy moves designed to improve the value of its spending. Few people would argue with this goal at an abstract level, but what it means in practical terms is less clear.
If we assume that value is maximized when a program’s benefit to patients is greater than the expenditure paid on their behalf or by them, then the most effective way to improve Medicare’s value would be to expand the scope of its covered benefits to include long-term care (LTC), and give patients more choice in determining what mix of care they need and want. Despite the fact that around 7 in 10 people who survive to ...
Source: Health Affairs Blog - June 12, 2015 Category: Health Management Authors: Donald Taylor Tags: Health Policy Lab Insurance and Coverage Long-term Services and Supports Health Reform Long-Term Care Medicare Source Type: blogs
Magna Carta 800
It has been 800 years since English barons negotiated a written peace agreement with King John. The original June 1215 agreement was revised and reissued numerous times, with the 1217 version gaining the title Magna Carta (“Great Charter”). Over the centuries, the document has had a powerful influence of the evolving British legal system and government.
The Great Charter will be explored at a Cato conference this week, and David Boaz recently blogged about the document’s importance to the American founding.
If you are interested in a very brief primer, I noticed this article (page 64) by British historian David Stark...
Source: Cato-at-liberty - June 1, 2015 Category: American Health Authors: Chris Edwards Source Type: blogs
How Texas Lawmakers Continue To Undermine Women’s Health
For years, Texas has had the highest proportion of uninsured individuals overall, and for adult women specifically, of any state. In 2013, one in five Texans had no health insurance of any kind, including 2.1 million adult women.
Beyond limited access to health coverage, Texas consistently has lackluster health indicators — particularly with regard to sexual and reproductive health care. Yet, at seemingly every turn, state lawmakers continue to implement neglectful, or even hostile, policies that hinder access to affordable sexual and reproductive health care and information, especially among low-income Texas women a...
Source: Health Affairs Blog - May 20, 2015 Category: Health Management Authors: Kinsey Hasstedt Tags: Equity and Disparities Featured Population Health Abortion Access contraceptives HIV Medicaid Reproductive Health STI Texas Women's Health Source Type: blogs
Why Don’t We Take Tanning As Seriously As Tobacco?
With May being Skin Cancer Awareness Month and in tandem with our event Wednesday co-hosted with the Congressional Families Cancer Prevention Program, The Hazards and Allure of Indoor Tanning Beds on College Campuses we are running a series on skin cancer. Be sure to check back daily for posts on skin cancer including how you prevent and detect it. Enjoy!
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 ...
Source: Disruptive Women in Health Care - May 19, 2015 Category: Consumer Health News Authors: dw at disruptivewomen.net Tags: Cancer prevent cancer foundation Source Type: blogs
The Trans-Pacific Partnership: A Threat To Global Health?
Lost in the political discussions over the passage of the Trans-Pacific Partnership (TPP)—a trade agreement currently being negotiated in secret between the U.S. and 11 other Pacific-Rim nations—is the very real negative impact it would have on global health.
Doctors Without Borders/Médecins Sans Frontières (MSF) works in over 60 countries, and our medical teams rely on access to affordable medicines and vaccines. We are deeply concerned that the TPP, in its current form, will lock-in high, unsustainable drug prices, block or delay the availability of affordable generic medicines, and price millions of people...
Source: Health Affairs Blog - May 8, 2015 Category: Health Management Authors: Deane Marchbein Tags: Drugs and Medical Technology Equity and Disparities Featured Global Health Public Health Doctors Without Borders fair trade generic drugs obama trade deal TPP Trans-Pacific Trade Partnership Source Type: blogs
Pharmaphobia: How the Conflict of Interest Myth Undermines American Medical Innovation
Long a champion of physician and industry collaboration, Thomas Stossel, M.D., has published a new book entitled Pharmaphobia: How the Conflict of Interest Myth Undermines American Medical Innovation. In it, Stossel, a distinguished Harvard hematologist and researcher, decries the conflict of interest movement as detrimental to medical progress and ultimately the patients who would benefit from new, innovative therapies.
Writing about conflicts of interest has been an increasingly surefire way to get published—the Journal of the American Medical Association even has its own conflict of interest category. What...
Source: Policy and Medicine - May 8, 2015 Category: American Health Authors: Thomas Sullivan Source Type: blogs
To Spur Medical Innovation, Make Corporate Cheaters Pay
The past decade has seen a relatively constant rate of newly approved drugs every year. The number has even jumped in the past few years. Yet, despite such encouraging trends, we are actually facing a crisis in drug innovation today. That is because many of these new products do not offer substantial improvements over already available alternatives.
At the same time, novel and effective treatments for many diseases---both rare and common---remain elusive. For example, there is widespread concern over the lack of development of new antibiotics aimed at multidrug-resistant infections. Therapeutic innovation for central nerv...
Source: Health Affairs Blog - April 30, 2015 Category: Health Management Authors: Aaron Kesselheim Tags: Drugs and Medical Technology Health Policy Lab Medicaid and CHIP Medicare corporations Cost FDA legislation Marketing medical innovation Medical Innovation Act NIH Pharma price Source Type: blogs
Government Spending: Accounting and Economics
A Wall Street Journal story today looks at government spending through the lens of the national income and product accounts (NIPA). The article says that as government spending rises, it is “no longer dragging on growth.” Unlike recent years when spending was supposedly cut, the government today “has ceased to be a drag on growth.” But that is an unwarranted conclusion from the NIPA data, which are produced by the Bureau of Economic Analysis (BEA).
The BEA includes government output within overall gross domestic product (GDP). The first thing to note is that measuring government output is guesswork because most of ...
Source: Cato-at-liberty - April 20, 2015 Category: American Health Authors: Chris Edwards Source Type: blogs
Healthcare.gov Got The Math Wrong For Dependents With Social Security Income And It May Be Costing Families Thousands
Modified adjusted gross income (MAGI) is the methodology adopted by the Affordable Care Act to determine eligibility for Medicaid, the Children’s Health Program (CHIP), and financial assistance in purchasing coverage through the Health Insurance Marketplaces. Policy experts and enrollment assisters have shared our concern with the Centers for Medicare and Medicaid Services (CMS) that Healthcare.gov is incorrectly counting Social Security income for some tax dependents and overstating the MAGI for those households.
If Healthcare.gov isn’t getting MAGI right, it means that eligibility is not being determined accurately ...
Source: Health Affairs Blog - April 20, 2015 Category: Health Management Authors: Tricia Brooks Tags: Featured Following the ACA CHIP healthcare.gov MAGI Source Type: blogs
Implementing Value-Based Payment Reform: Learning From The Field Of Practice
For the last four years, our team at the University of Washington (UW) has been evaluating seven value-based payment reform programs in six states for the Robert Wood Johnson Foundation (RWJF). We found that although the foundational work of value-based payment is proceeding apace for the most part, what’s missing is the sense of urgency required to move payers and providers toward patient-centered global payment based on value. Clusters of innovation are emerging across the country, and these experiments are generating valuable insights into the design and implementation of value-based payment—both what works and what...
Source: Health Affairs Blog - April 14, 2015 Category: Health Management Authors: Douglas Conrad Tags: Innovations in Care Delivery Source Type: blogs
Doctor's Article Counters The "Myths That Undermine Medical Research"
Thomas Stossel, American Cancer Society Professor of Medicine at Harvard Medical School and a visiting scholar at the American Enterprise Institute, recently wrote an article entitled “Myths that undermine medical research.” Stossel raises important points to counter three prevailing myths about the drug and device industry. View the article, as published in the hill.com
If you or a loved one suffers from a serious and debilitating disease and hope for improved treatment or—even better—a cure, the recent history of medical progress should be encouraging. Over the years I have practiced medicine, U.S. longevi...
Source: Policy and Medicine - April 14, 2015 Category: American Health Authors: Thomas Sullivan Source Type: blogs
Grading the Rubio-Lee Tax Reform Plan
Daniel J. Mitchell
In my 2012 primer on fundamental tax reform, I explained that the three biggest warts in the current system:
High tax rates that penalize productive behavior.
Pervasive double taxation that discourages saving and investment.
Corrupt loopholes and cronyism that bribe people to make less productive choices.
These problems all need to be addressed, but I also acknowledged additional concerns with the internal revenue code, such as worldwide taxation and erosion of constitutional freedoms an civil liberties.
In a perfect world, we would shrink government to such a small size that there was no...
Source: Cato-at-liberty - March 4, 2015 Category: American Health Authors: Daniel J. Mitchell Source Type: blogs
After Eight Years of Losses, End the Government’s Postal Monopoly
Doug Bandow
The United States Postal Service lost $5.5 billion last year. That is the eighth annual loss in a row and the third highest ever. The only good news is that it remains below the red ink tsunami of $15.9 billion in 2012.
Why does the federal government deliver the mail? Why does it have a monopoly over delivering the mail?
The Postal Service one of the few government programs with actual constitutional warrant. Alas, America’s revolutionaries turned the system into a fount of federal patronage. Local postmasters became perhaps the president’s most important appointments. The Postmaster General was a m...
Source: Cato-at-liberty - March 2, 2015 Category: American Health Authors: Doug Bandow Source Type: blogs
Assembly Manual for Autism Articles
I haven't seen one of these for a while- a newspaper article on a parent's view of autism that adheres rigorously to the the template I wrote in 2008. Today offering is titled Autism and ABA: 'My beautiful, fun little boy was slipping away from me'. In this we learn how wealthy, beautiful and accomplished Tanja Gullestrup uses tough-love therapy to "stop her losing [her three year old son] to this isolating condition".So here's Step 1-4 of the Autism Article TM Template (Step 5 is optional and refers to vaccination-bashing autism articles) :1: Baby is born2: Everyone rejoices3: Baby grows4: Mum realises baby is someho...
Source: The Voyage - March 1, 2015 Category: Child Development Tags: aba autism autism in the media Source Type: blogs
