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  •  Regarding preventive care (2+ / 0-)
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    Pender, susanala

    and the doctor's response to the CBO report showing that preventive care will not save money. The doctor argues that the CBO focuses only on secondary prevention - screenings, tests, etc...and that CBO is correct in that this type of care is NOT a money saver. This is because for every 1 test or screeeing hat catches a problem, there are 50 or 100 screenings that show the patient is fine.

    Let me be clear, i'm arguing this only on the fiscal matter, not the moral issue of what is right or wrong policy.

    However, the docter says that primary prevention is a money saver- and he references eating right, exercising, not-smoking. Call me a little skeptical, but how exactly is the HCR bill going to really incentivize people to do these things? Who doesn't already know this is what you need to do to stay healthy and not end up with heart disease or diabetes?

    •  The $64,000 question (1+ / 0-)
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      I'm taking the capstone class for my master's in public health this term. Monday's meeting was a CDC webinar on syndemics. The presenter, Bobby Milstein, actually has authored a policy simulation game for health care reform. Link at the bottom of my comment.

      Milstein divided "health care reform" into 3 issues: access + quality; capacity; and protection + prevention. According to him, addressing only item 1 results in a significant cost increase. Addressing items 1 + 2 results in less of increase, but an increase nonetheless. Only by adding protection + prevention can you achieve cost savings. And not until about 15 years out.

      Guess what? CBO is prohibited by law from projecting more than 10 years. According to the webinar presenter, the law was reasonable when passed. Statistical models proven reliable at the time did not allow for accuracy > 10 years into the future. Methods have advanced, but the law hasn't.


      _Karl Rove is an outside agitator._

      by susanala on Fri Nov 06, 2009 at 09:31:18 AM PST

      [ Parent ]

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