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#CareTalk February 2019: Medicare for All?
The latest edition of #CareTalk is out. CareCentrix CEO, John Driscoll and I explore Medicare for All and other big topics.
Here’s what we covered:
(0:35) Is “Medicare for All” quickly becoming a litmus test for Democratic presidential candidates?
(2:45) What should be made of the recent moves of home health agencies around primary care?
(5:00) Are pharma rebates to blame for increased drug pricing?
(8:00) President Trump promised a whopping $50 million a year for childhood cancer. What would you do with all that money?
(8:32) Will adding the full list price of drugs in ads make a difference?
(9:03) Will Do...
Source: Health Business Blog - February 28, 2019 Category: Health Management Authors: dewe67 Tags: Podcast Policy and politics #medicareforall Caretalk Source Type: blogs
Dander Up, Down, and All Around
Today ' s topics: VA health care politics; a clear-eyed and sane report from a bastion of managerialism, with related observations on innovators trying to create real bottom-up value.It ' s the last day of the year, so let ' s get this done. Owing to various largely unforeseen challenges, happily now largely behind us, this " Dander " series was interrupted for some time. Apologies to anyone who noticed. In any case, to refresh: as Chief Blogger and FIRM president Dr. Poses has indicated often enough in these pages, health care developments raising our dander are still everywhere, all the time, and on the increas...
Source: Health Care Renewal - December 31, 2018 Category: Health Management Source Type: blogs
Johnson and Johnson ' s Latest Ethical Misadventures: Settled Kickback Allegations, Reportedly Concealed Knowledge of Adverse Effects of a " Sacred Cow " Product
Giant pharmaceutical/ biotechnology/ device company Johnson& Johnson has its famous" credo " which starts withWe believe our first responsibility is to the doctors, nurses and patients, to mothers and fathers and all others who use our products and services. In meeting their needs everything we do must be of high quality..Nonetheless, the company has a long history of ethical misadventures (lookhere, and see appendix below). Now late in 2018, we note two more Johnson& Johnson misadventures. In chronological order,$360 Million Settlement of Allegations of Kickbacks to Medicare/ Medicaid Patients to...
Source: Health Care Renewal - December 15, 2018 Category: Health Management Tags: adulterated drugs adverse effects deception impunity Johnson and Johnson kickbacks legal settlements Source Type: blogs
Nonsense-Based Health Care - in the Service of Political Ideology and Sectarian Beliefs
ConclusionSince 2016, we have seen increasing attempts to distort or ignore medical science, clinical and epidemiological research findings to support the political ideology of the ruling party and the religious beliefs of their extreme fundamentalist supporters. As we have discussed, most recentlyhere, the Trump regime has seen fit to put ill-informed people in positions of power in health care and public health agencies. Some of these people have put their political and/or religious agendas ahead of the public ' s health. Our examples above show a continuing inclination by the administration, its sympat...
Source: Health Care Renewal - November 2, 2018 Category: Health Management Tags: DHHS disinformation Donald Trump ill-informed management mission-hostile management propaganda Source Type: blogs
Remembering Dr Bernard Carroll
Dr Bernard Carroll passed away on September 10, 2018. Dr Carroll had a distinguished career, so it was a surprise and delight that he also chose to be a stalwartHealth Care Renewal blogger. He was with us since 2005, contributing insightful, pithy, provocative and important posts. He also authored some of our most widely read posts. Most viewed was:JAMA Jumps the Shark. His most recent post wasCorruption of Clinical Trials Report: A Proposal. All his posts can be foundhere.His obituary just appearedin the British Medical Journal. It beganA pioneer in biological psychiatry, more...
Source: Health Care Renewal - September 14, 2018 Category: Health Management Tags: Bernard Carroll Source Type: blogs
Make Asbestos Great Again? - Trump Once Claimed " Movement Against by Asbestos was Led by the Mob, " Now is EPA Wants to Relax Asbestos Regulation
Introduction: An Old Public Health MenaceThis is somewhat personal. In the early 1980s, as a general internal medicine fellow, I gave a series of talks about important medical problems that generalist physicians often missed. One was asbestos related disease. Although asbestos had been heavily regulated since 1973, there were stilll large numbers of people exposed to it alive in the 1980s. One of my primitive slides, seemingly a picture of type writing, stated that around then, 2 to 4 million people who had histories of significant asbestos exposure were likely alive. Asbestos is known t...
Source: Health Care Renewal - August 10, 2018 Category: Health Management Tags: asbestos cancer conflicts of interest Donald Trump public health Source Type: blogs
Chipping Away at the Anechoic Effect: Now the New York Times Protests the Demise of the AHRQ National Guidelines Clearinghouse
DiscussionMany people bemoan the current political situation, but some feel there is nothing they could possibly do the improve things. We have been publishing this blog since 2004 with the hopes that chipping away at the anechoic effect which has hid the severity and nature of health care dysfunction might actually help to improve things. However, at times we wondered if we were having any effect. What good are individual actions like blog posts? It seems that most of us have little individual power. Collectively, though we may have more than we realize. Small individual actions ca...
Source: Health Care Renewal - July 20, 2018 Category: Health Management Tags: AHRQ anechoic effect Donald Trump evidence-based medicine guidelines news media Source Type: blogs
Dander Still Up. Drowning in Great Dismal Swamp. Film at Eleven.
Maybe this is the last in my series of dander-raising essays, as recent national and world events have most definitely left so many of us with a raging case of TDS. (Trump Derangement Syndrome, look it up it ' s a thing).So many damned browser tabs open. So little time.Or maybe not. Who knows. Where are all these suicides coming from?My editor keeps telling me, " don ' t let it make you paralytic. " Hey, I ' m trying.Just sensing a kind of coalescence in all the corruption our bloggers keep writing about. How do we even differentiate these activities across so many sectors of society. We were going to see our swamp drained...
Source: Health Care Renewal - June 12, 2018 Category: Health Management Source Type: blogs
The March of Legal Settlements Made by Pharmaceutical Companies is Diminishing - Presaging Even Less Accountablity for Top Health Care Organizational Leaders?
DiscussionSo my perceptions that the number of the sorts of legal settlements of interest to us has likely been diminishing was accurate. Unfortunately, rather than the decrease being due to better behavior, decresed reporting, or my laxity in case-finding, it now looks that US government efforts to combat bad behavior by big health care corporations and to hold top leaders of these organizations accountable is getting even more lax.So once again, with feeling... We seem to be sliding backwards in efforts to make the leaders of large health care organizations accountable, and particularly to combat the worse man...
Source: Health Care Renewal - May 25, 2018 Category: Health Management Tags: Donald Trump health care prices impunity kickbacks legal settlements Pfizer Source Type: blogs
The Two-Fold Intimidation of Dr Bornstein, as Orchestrated by Donald Trump, Apparently to Conceal Something About Trump ' s Medical History
DiscussionAs noted above, we have seen many cases in which health care professionals were pressured to violate their core values and ethical norms by outside parties, most often large health care organizations seeking financial gain.Now, in this new case, we see a single health care professional twice pressured to violate core values and ethical norms by a patient, a wealthy billionaire corporate CEO who became President of the United States. Thus we are now in a situation in which the President of the US, to whom all federal health care regulatory and law enforcement agencies at least nominally report, has shown con...
Source: Health Care Renewal - May 4, 2018 Category: Health Management Tags: core values Donald Trump fraud intimidation medical ethics medical record confidentiality Source Type: blogs
The Case of the Brew Master ' s Plot - Was the Veterans Affairs Secretary ' s Travel Spending Scandalous, or Was He Framed in a Plot to Oust a Political Moderate?
DiscussionDr David Shulkin, a holdover appointee of President Obama who was nominated to be Secretary of Veterans Affairs by President Trump, was alleged by the VA Inspector General to have committed various ethical violations involving a trip to Europe the Secretary took with his wife. This appeared to be just the latest in a string of travel-related scandals by top officials of the Trump administration.When this was first reported, I was inclined to see Dr Shulkin as an entitled, and conflicted former health care executive who ran afoul of the government ' s strict ethical standards. (Dr Shulkin ' soffi...
Source: Health Care Renewal - February 19, 2018 Category: Health Management Tags: Donald Trump ill-informed management mission-hostile management political ideology politics Veterans Affairs Source Type: blogs
Burnout Returns to Center Stage
A recentMayo Clinic Proceedings guesteditorial, by Yale University physician Kristine Olson, asks the question--to some of us it ' s far from a rhetorical one--whether burnout among her fellow physicians is in fact " A Leading Indicator of Health System Performance? "Seems to me that her gist is: yes, it surely must be just such an indicator. If she ' s right, then our system ' s performance is in a heap of trouble.What is burnout? Our fearless editor, Dr. Poses, has addressed it repeatedly, including a few months agohere in these pages. But burnout is actually hard to delineate and hard to quantify. People quitting? ...
Source: Health Care Renewal - January 30, 2018 Category: Health Management Source Type: blogs
Worst Health Care Revolving Door Case So Far, Version 2.0? - From President of Lilly USA to US Secretary of Health and Human Services?
DiscussionLast week we noted that Mr Trump famously promised to " drain the swamp " in Washington. Last week, despite his previous pledges to not appoint lobbyists to powerful positions, he appointed a lobbyist to be acting DHHS Secretary. This week he is apparently strongly considering Mr Alex Azar, a pharmaceutical executive to be permanent DHHS Secretary, even though the FDA, part of DHHS, has direct regulatory authority over the pharmaceutical industry, and many other DHHS policies strongly affect the pharmaceutical industry. (By the way, Mr Azar was also in charge of one lobbying effort.) So sho...
Source: Health Care Renewal - October 19, 2017 Category: Health Management Tags: crime deception DHHS Donald Trump Eli Lilly legal settlements marketing regulatory capture revolving doors Source Type: blogs
Calling All Wonder Women —The US Health System Needs Strong Leaders, Healthy Mothers
Legend has it that the creation of Wonder Woman—the super hero and pop culture icon who has saved us from imminent doom since World War II—was inspired by real-life women’s health activists from the early twentieth century. These were women who bucked convention and championed causes like reproductive rights and suffrage. Women who saw opportunities for collective action where others saw insurmountable obstacles. Women who refused to be relegated to second-class status and instead became the driving force for creating a more just, inclusive world.
We have come a long way since the days of Margaret Sanger and Susan B....
Source: Health Affairs Blog - October 5, 2017 Category: Health Management Authors: Karen Wolk Feinstein Tags: Featured GrantWatch Health Professionals Population Health Quality community health workers Disparities Health Philanthropy Jewish Healthcare Foundation Latinas maternal mortality pregnancy Women's Health Source Type: blogs
