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Why we need the death panel
The UK's National Institute for Health and Clinical Excellence, which is abbreviated NICE because a) that sounds, well, nice and b) the word health was added to the name later, is an essential institution. I do not expect to see an equivalent in the U.S. in my lifetime. (I'm not sure if you can get behind the paywall for the link.)This is a subject I used to write about a lot here and then I figured okay, I've been there and done that. But it was a few years ago and the political context has changed, so I'll revisit. NICE is not actually much like Sarah Palin's imaginary death panels. It doesn't rule on individual cases. (...
Source: Stayin' Alive - March 14, 2016 Category: American Health Source Type: blogs

Leaps of faith
It's funny how sometimes our lives can be guided by a gentle whisper. When ignored that whisper is no longer a quiet background noise.When ignored it takes on more the sound of a clashing symbol - a resonant and clear sign of something completely unplanned, but heavily and remarkably magnetic...and perhaps destined.A gift from Karen, a fellow cancer survivorThree months ago Patrick had a job offer in New York...of all places. Funny thing. Three years ago Patrick took a leap for me by leaving New York. He left this same city so he and I could share a zip code and truly grow our relationship.Back then he took on the very 'co...
Source: Life is like a sandwich...enjoy the big bites. - March 14, 2016 Category: Cancer & Oncology Source Type: blogs

Cancer and Moonshot Economics
By STEVE FINDLAY The Obama Administration’s cancer “moonshot” initiative, announced in January and now being debated in Congress, comes at a time of significant advances in cancer treatment and a spurt of cultural attention to the disease. A batch of new immunotherapy drugs approved in the last few years, such as Bristol-Myers Squibb’s Opdivo and Merck’s Keytruda, are being widely touted as breakthrough medicines—and aggressively advertised to both doctors and the public.  Jimmy Carter’s unexpected remission from melanoma that had spread to his liver and brain is attributed to Keytruda. At the same time, a ...
Source: The Health Care Blog - March 11, 2016 Category: Consumer Health News Authors: Simon Nath Tags: THCB Precision Medicine Initiative Source Type: blogs

CMS Proposed Rule Drastically Changes the Way Medicare Pays for Part D Drugs
The Centers for Medicare and Medicaid Services announced their proposal to test new Medicare Part B prescription drug models in an attempt to "improve quality of care and deliver better value for Medicare beneficiaries." The proposal is part of the Obama Administration's broader strategy to encourage better care, smarter spending, and healthier people by paying providers for "what works, unlocking health care data, and finding new ways to coordinate and integrate care to improve quality." The proposed rule proposes six changes: change the ASP, eliminate patient drug cost-sharing, provide evidence-based clinical decision ...
Source: Policy and Medicine - March 10, 2016 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs

Medicare Has Saved More Than 10 Million People Over $20 Billion
United States Department of Health and Human Services announced that millions of seniors and Americans with disabilities continued to see savings on prescription drugs and improved benefits in 2015 as a result of the Affordable Care Act. Discounts of over $20.8 billion in prescription drugs were given to nearly 10.7 million Medicare beneficiaries – resulting in an average discount of $1,945 per beneficiary – since the enactment of the Affordable Care Act. In just 2015 alone, nearly 5.2 million senior citizens and citizens with disabilities received discounts of over $5.4 billion – an average discount of $1,054 per ...
Source: Policy and Medicine - March 2, 2016 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs

New Health Care Symposium: High Prices And Payment Reform—Let’s Get Practical
Editor’s note: This post is part of a Health Affairs Blog symposium stemming from “The New Health Care Industry: Integration, Consolidation, Competition in the Wake of the Affordable Care Act,” a conference held recently at Yale Law School’s Solomon Center for Health Law and Policy. Links to all posts in the symposium will be added to Abbe Gluck’s introductory post as they appear, and you can access a full list of symposium pieces here or by clicking on the “Yale Health Care Industry Symposium” tag at the bottom of any symposium post. High and highly variable provider prices in health care market...
Source: Health Affairs Blog - March 1, 2016 Category: Health Management Authors: Robert Berenson Tags: Costs and Spending Hospitals Medicare Organization and Delivery Payment Policy Population Health ACOs health insurance mergers market consolidation value-based payment Yale Health Care Industry Symposium Source Type: blogs

Considering Healthy Longevity and Retirement Planning
This article isn't a particularly deep or insightful discussion of the topic of retirement and longevity, and, given the source, isn't all that applicable to people of modest means and ordinary employment, but I point it out its existence as an indication of the degree to which the concepts of radical life extension are spreading in the media and the public at large. The more that people think about this sort of thing, and realize that the science makes it plausible for the near future, the more support we find for the necessary research and development. While the new longevity Americans now savor seems to offer nothing b...
Source: Fight Aging! - March 1, 2016 Category: Research Authors: Reason Tags: Daily News Source Type: blogs

Senate Hearing on Opioid Epidemic Focuses on Limiting Multiple Access Points
The Senate Finance Committee held a hearing focused on the opioid abuse epidemic and its effect on the Medicare system. Senators Pat Toomey and Rob Portman have introduced a bipartisan bill Stopping Medication Abuse and Protecting Seniors Act with help from Senators Bob Casey and Sherrod Brown, that would allow Medicare Part D prescription drug plans to work with at-risk beneficiaries to identify one physician to prescribe opioids and one pharmacy to fill all the opioid prescriptions. The Senators believe that having opioids prescribed by only one physician (instead of multiple doctors) may result in better patient c...
Source: Policy and Medicine - February 25, 2016 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs

The Global Healthspan Policy Institute Wants Your Support in Lobbying for TAME Metformin Trial Funding
The Global Healthspan Policy Institute (GHPI) is a recently launched group whose principals are focused on much the same goals as the researchers of the Longevity Dividend initiative, which is to say pulling a lot more public funding into aging research aimed at extending healthy human life spans. The chosen methodology is the traditional one of lobbying and political action, aimed at politicians and bureaucrats who influence budgets relevant to the National Institutes of Health, the National Insitute on Aging in particular, and other public sources of medical research funding. The first public initiative for the GHPI is ...
Source: Fight Aging! - February 24, 2016 Category: Research Authors: Reason Tags: Activism, Advocacy and Education Source Type: blogs

Smoking v. Obesity: The Economics Of Prevention And Its Dependence On Treatment
In 2012, the Congressional Budget Office (CBO) released an in-depth study of the health and budgetary effects of raising the excise tax on cigarettes. We commented on this study in our blog about the complex economics of disease prevention and longevity. CBO has since turned its attention to obesity and recently released a list of issues needing resolution in order for CBO to estimate the effects of federal policies impacting obesity. In this Health Affairs Blog post, we summarize research we have done, under a grant from the Robert Wood Johnson Foundation (RWJF), on the value of reductions in cigarette smoking and obesity...
Source: Health Affairs Blog - February 22, 2016 Category: Health Management Authors: Charles Roehrig and George Miller Tags: Costs and Spending Drugs and Medical Technology Health Policy Lab Long-term Services and Supports Population Health Public Health Quality culture of health Obesity Smoking 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

Facts are stupid things
One of the many spiritual costs of spending a lot of time behind the wheel is having to read the bumper stickers on the battered vehicles of my struggling neighbors. Yesterday's soul-rotting annoyance wasKeep Working. Millions of welfare recipients are depending on you.It was a rusty truck belonging to a tradesman of some kind. Then there was the National Pubic Radio interview with a couple of enthusiastic Trumpistas in New Hampshire who said that they were tired of illegal immigrants getting free cell phones and free health care. Of course NPR didn't bother to point out that illegal immigrants get absolutely no government...
Source: Stayin' Alive - February 10, 2016 Category: American Health Source Type: blogs

Biden’s Moon Shot and the 21st Century Cures Bill
By STEVE FINDLAY Lawmakers in Washington are gearing up to pass major, far-reaching legislation on drug approval and cancer research. This is a good thing in the main but—no surprise here—Republicans and Democrats differ on approach and details, and things are already getting messy. This makes the proposed legislation very risky. It could all implode in an election year, but momentum is building fast and both parties have something to gain by passage. This blog is a primer on what’s happening. Future posts will track the legislation’s progress and delve into some of the issues at stake. Comments are invited. As y...
Source: The Health Care Blog - February 6, 2016 Category: Consumer Health News Authors: Simon Nath Tags: THCB Steven Findlay Source Type: blogs

Using Congressional Budget Rules To (Not) Save Money
A new health club opened in my neighborhood recently and I told my wife I wanted to join it. She agreed, providing that I gave up something we were spending elsewhere to pay for the $1,200 annual membership.  I don’t want to give up anything fun so I decided to adopt the Congressional approach to budgeting to achieve such savings.  It turned out to be a snap. The first thing I did was claim $150 in credit from a restaurant app I use called Open Table.  Each time I use the app to reserve a table it gives me the equivalent of $1 towards a future meal.  Since I got the app five years ago I’ve never gotten around to us...
Source: Cato-at-liberty - February 5, 2016 Category: American Health Authors: Ike Brannon 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