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Post-election update:

Ezra Klein: The Next Health Care Schism
Drew Altman: Keeping the Health Reform Coalition Together
CAP: The Health Care Delivery System: A Blueprint for Reform (October 31, 2008)

++++

Over the weekend, I posted When Can We Expect Health Care Reform (Whoever Wins)? and in the precess (and comments) realized some other links to basic materials might help. This diary is a start at collecting information in one place.

Here are my previous posts and sources for the Sunday piece:

Sources
This is a follow up on Daily Kos posts here (Medical Crisis: The Shape Of Things To Come), here (Perspective on Health Care Reform), here (What's The Effect Of Recession On The Health Care Safety Net?), and here (Health Stories: HR 5449). The posts use public opinion polling from Kaiser, here with a summary tutorial, narrative supplied by Claudia Deane (formerly of the Washington Post polling unit). Further elaboration appears here in more academic form published in the January 24 New England Journal of Medicine with co-authors from the Harvard School of Public Health and John F Kennedy School of Government). The latest poll from NPR/Kaiser/HSPH is dated 2/28/08, and available here.

Other Daily Kos diaries of note:

SCHIP: The GOP Campaign Against Children by DemFromCT

Analysis: GOP Ideology More Important Than Helping Poor Kids by DemFromCT

Multipayer Universal Healthcare: Why It Works by jd in nyc

The real Irony of the Health Care Mandate Arguments (Health Thurs) by DrSteveB

Caution on the Mass Health Care "Success Story"  by DrSteveB

more on the flip

This not meant to be exclusionary; this is a start of a growing list.

Key Bills (status reports from GovTrack)

S. 2460 Moratorium on Medicaid and SCHIP Rules Changes

  • Sponsor: Sen. Jeff Bingaman (D-NM)
  • A bill to extend by one year the moratorium on implementation of a rule relating to the Federal-State financial partnership under Medicaid and the State Children's Health Insurance Program and on finalization of a rule regarding graduate medical education under Medicaid and to include a moratorium on the finalization of the outpatient Medicaid rule making similar changes.
  • Action Diary: Bush Destroying Public Hospitals & Clinics Thru New Regs
  • Last Action: Dec 12, 2007: Read twice and referred to the Committee on Finance
HR 5613 Protecting the Medicaid Safety Net Act of 2008
  • Sponsor: Rep. John Dingell (D-MI)
  • Protecting the Medicaid Safety Net Act of 2008 - Amends the U.S. Troop Readiness, Veterans' Care, Katrina Recovery, and Iraq Accountability Appropriations Appropriations Act, 2007 to extend until April 1, 2009, the moratorium on implementation of a proposed rule ("Medicaid Program; Cost Limit for Providers Operated by Units of Government and Provisions To Ensure the Integrity of Federal-State Financial Partnership") relating to the federal-state financial partnerships under titles XIX (Medicaid) and XXI (State Children's Health Insurance Program) (SCHIP) of the Social Security Act.
  • Extends until April 1, 2009, the moratorium on any action by the Secretary of Health and Human Services to restrict Medicaid payments for graduate medical education (GME).
  • Amends the Medicare, Medicaid, and SCHIP Extension Act of 2007 to extend until April 1, 2009, the moratorium on certain restrictions relating to Medicaid coverage or payment for rehabilitation services or school-based administration and school-based transportation, including specified proposed regulations, if such restrictions are more restrictive in any aspect than those applied to such areas as of July 1, 2007.
  • Establishes additional moratoria until April 1, 2009, on specified regulatory actions concerning Medicaid: (1) treatment of optional case management services; (2) outpatient hospital services; and (3) allowable provider taxes.
S.334 Healthy Americans Act
  • Sponsor: Sen. Ron Wyden (D-OR)
  • Requires each adult individual to have the opportunity to purchase a Healthy Americans Private Insurance Plan (HAPI). Makes individuals who are not enrolled in another specified health plan and who are not opposed to coverage for religious reasons responsible for enrolling themselves and their dependent children in a HAPI plan offered through their state of residence. Sets forth penalties for failure to enroll.
  • Ezra Klein 12/06
  • Lewin Group analysis
  • This bill is in the first step in the legislative process. Introduced bills go first to committees that deliberate, investigate, and revise them before they go to general debate. The majority of bills never make it out of committee. Keep in mind that sometimes the text of one bill is incorporated into another bill, and in those cases the original bill, as it would appear here, would seem to be abandoned. [Last Updated: Jan 27, 2008]
HR 5449
  • Sponsor Steve Kagen (D-WI)
  • DemFromCT 2/28
  • "The essential elements of this necessary legislation are: (1) No Discrimination due to pre-existing conditions, (2) Open Disclosure of all prices, and (3) Every Citizen is allowed to Pay the Lowest Price available. These ideas must be included in any successful comprehensive health care reform legislation. At this very early step in the process, I am pleased to have the encouragement and support of many of my freshman colleagues, AFSCME and Families USA. I am looking forward to presenting this bill and these ideas in a Congressional hearing this spring." – Steve Kagen
  • This bill is in the first step in the legislative process. Introduced bills go first to committees that deliberate, investigate, and revise them before they go to general debate. The majority of bills never make it out of committee. Keep in mind that sometimes the text of one bill is incorporated into another bill, and in those cases the original bill, as it would appear here, would seem to be abandoned. [Last Updated: Feb 14, 2008]
HR 676 United States National Health Insurance Act
  • Sponsor: Rep. John Conyers (D-MI)
  • United States National Health Insurance Act (or the Expanded and Improved Medicare for All Act) - Establishes the United States National Health Insurance (USNHI) Program (the Program) to provide all individuals residing in the United States and in U.S. territories with free health care that includes all medically necessary care, such as primary care and prevention, prescription drugs, emergency care, and mental health services.
  • This bill is in the first step in the legislative process. Introduced bills go first to committees that deliberate, investigate, and revise them before they go to general debate. The majority of bills never make it out of committee. Keep in mind that sometimes the text of one bill is incorporated into another bill, and in those cases the original bill, as it would appear here, would seem to be abandoned. [Last Updated: Jan 26, 2008]
HR 1424 Paul Wellstone Mental Health and Addiction Equity Act of 2007
  • Sponsor: Rep. Patrick Kennedy (D-RI)
  • Paul Wellstone Mental Health and Addiction Equity Act of 2007 - Amends the Employee Retirement Income Security Act of 1974 (ERISA), the Public Health Service Act, and the Internal Revenue Code to prohibit treatment limits or the imposition of financial requirements on mental health and substance-related disorder benefits in group health plans which are not similarly imposed on substantially all medical and surgical benefits in any category of items or services under such plans.
  • DemFromCT 3/08
  • This bill has been passed in the House. The bill now goes on to be voted on in the Senate. Keep in mind that debate may be taking place on a companion bill in the Senate, rather than on this particular bill. [Last Updated: Mar 5, 2008]
HR 493 Genetic Information Nondiscrimination Act of 2007
  • Sponsor Rep. Louise Slaughter (D-NY)
  • see lengthy summary, including: Amends the Employee Retirement Income Security Act of 1974 (ERISA), the Public Health Service Act (PHSA), and the Internal Revenue Code to prohibit a group health plan from adjusting premium or contribution amounts for a group on the basis of genetic information.
  • Sen. Tom Coburn (R-Oklahama) has placed a hold on the identical S 358
  • DavidNYC 2/08
  • Having passed in identical form in both the House and Senate, this bill now awaits the signature of the President before becoming law. [Last Updated: May 20, 2008]
  • Bush signs genetics anti-discrimination law

Blogs (left, right and center; personal, medical and industry):

Ezra Klein (highly recommended place to start)

Health Care Policy and Marketplace Review
The Health Care Blog
Managed Care Matters
Health Beat
Health Care Renewal
Effect Measure
Patient Safety and Quality Health Care
Mike Leavitt's blog (yes, for real)

Candidate comparisons and candidate news
Comonwealth Fund
Kaiser Foundation
Health Care Policy and Marketplace Review

How to Compare Health Care Proposals - McCain, Obama, Clinton

Websites of Note in the Reform Discussion
California Nurses Association/National Nurses Organizing Committee
Physicians for a National Health Program
The Commonwealth Fund
Kaiser Family Foundation

Polling

pollingreport.com/health care
Kaiser Family Foundation polls

California's Failed Health Care Reform
from Health Affairs blog


Recent Media Reports

About Those Health Care Plans by the Democrats ... NY Times, 3/3/08

  • Some experts say the only real way to tame health care costs is by limiting access to expensive treatments or by requiring affluent Americans to pay for more of their health care.

Coming Soon: Health Care Debate, Part 2 NY Times, 3/2/08

  • THE skirmishing between the Democratic presidential candidates over the mechanics of universal health coverage will soon give way to a quite different general-election debate — about whether universal coverage should even be a national priority.

Please feel free to add relevant links in the comments.

Originally posted to Greg Dworkin on Mon Mar 03, 2008 at 05:51 AM PST.

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Comment Preferences

  •  thanks; also: (6+ / 0-)

    citizens for single payer:
    http://www.healthcare-now.org/

    State organizations for single payer:
    http://www.everybodyinnobodyout.org/

    more/better state organizations for single payer:
    http://www.pnhp.org/...

    right to health care:
    http://www.righttohealthcare.org/

    until then, how to find low/free cost care:
    http://www.hrsa.gov/...

    until then, how to find insurance:
    http://www.healthinsuranceinfo.net/

    short-cut to argument why single payer is way to go:
    http://www.pnhp.org/...

  •  Great resources, Dem (0+ / 0-)

    Thanks for putting these together so neatly. Bookmarked!

  •  Thank you guys for posting this (1+ / 0-)
    Recommended by:
    DemFromCT

    I've been researching health care and had missed a few of these sites.  It's nice that some people around here still post informative diaries and comments without personal insults.

    Thank you again

  •  Thanks, very useful! (0+ / 0-)

    For those interested in state links/approaches, recently got PNHP-Ohio Chapter up and running.

    The whole problem with the world is that fools and fanatics are always so certain of themselves, and wiser people so full of doubts. Bertrand Russell

    by Psyche on Mon Mar 03, 2008 at 07:30:23 AM PST

  •  added ezra klein links n/t (2+ / 0-)
    Recommended by:
    cfk, SciVo

    "Politics is the art of looking for trouble, finding it everywhere, diagnosing it incorrectly and applying the wrong remedies." - Groucho Marx

    by Greg Dworkin on Mon Mar 03, 2008 at 08:23:42 AM PST

  •  Although not blogs (2+ / 0-)
    Recommended by:
    jd in nyc, DemFromCT

    I think people should be aware of what has happened in MA as we move forward with our little experiment.  

    About 500 companies will pay for not insuring workers

    Some 518 moderate or large Massachusetts companies -- out of tens of thousands -- will pay the state a small penalty rather than offer health insurance to some of their workers, the state announced today.

    State officials and business leaders called the small number of penalty payers a positive sign for the state's effort to ensure that every resident has coverage. But healthcare advocates said it reflects the weak requirement for business participation set by the administration of former Governor Mitt Romney.

    Either way, the state will collect only about $5 million in penalties, far less than the $24 million budgeted, which could result in another budget shortfall for healthcare reform.

    And this one, with several stories about how businesses are avoiding the requirements in creative ways:

    Firms find ways around state health law

    To comply with the new state insurance law, a Burger King franchisee in Boston expanded coverage from just his salaried staff to all full-timers. To control his costs, he halved the share he pays. Only three of the 27 newly eligible employees took the insurance; others say they can't afford it....

    And some kinda good news:

    Report: law succeeding in reducing hospital visits by uninsured

    ...The report by the Massachusetts Hospital Association finds that the number of so-called "free care" visits to hospitals have declined by 28 percent over the past three years.

    That mirrors a 28 percent increase in enrollment in subsidized health care programs, MassHealth and the new Commonwealth Care program, which was created by the law...

    That last story also gets at the underestimate of the uninsured.

    ++++++++++++

    I have mixed feelings about the mandates and the business requirements.  But I think they are things we had to try before we could move on to what we really need.

  •  Thanks for the mention! More references... (0+ / 0-)

    For blogs, I'd add:
    Managed Care Matters by Joe Paduda. Progressive insights from an industry insider.
    Health Beat by Maggie Mahar. Very well-informed. This should be required reading for anyone interested in health care policy.

    Probably the two best overall non-government sources for health care information are:
    The Commonwealth Fund
    Kaiser Family Foundation

    They do an enormous amount of independent research and publish many trend-setting studies of health care. Kaiser has more of a US focus and Commonwealth has more international comparisons. You can get lost in both of these websites for days and learn as much as your brain can handle. Both sites can save one from saying many silly things about American health care.

  •  Question About Questions (0+ / 0-)
    I have a question.  You apparently know a thing or two about this subject, and about how to do research.

    Awhile back I had an experience with a rural air ambulance and a ground ambulance. Both of them are characterized by business entities that run them who are very unwilling to answer questions about how the business works.  

    So perhaps it has something to do with vocabulary and where the entities are that study these particular aspects who see the questions from a public interest viewpoint.

    The air ambulance in question billed the 150 mile trip at $28,620.00.  That's twenty eight thousand.  The insurance company bargained it down - to $20,000. As far as I can tell they paid it.

    I wonder what the insurance company is thinking.  Are they getting something out of a system of payouts that are beyond the ability of a private person to find out about?  You wouldn't think supporting higher costs would be in their interests.  But here seems to be a case in which we get a glimpse of an alternative universe.

    It would seem, from this and other situations, that the cost of health care is being driven ever higher by a system of incentives that see the patient as a profit center.  Non-medical aspects of the health care system like transportation services probably are not as transparent since they are not part of what the doctor and hospital do directly.

    Who studies this aspect?

    •  your state health care agencies do (0+ / 0-)

      because you (taxpayer) and they have to pay for state patients. In CT, for example, there's something called the Office of Health Care Access.

      State agency charged with monitoring Connecticut's health care delivery system and helping to ensure the accessibility of quality, affordable health care...

      Data Collected by OHCA

      Through its Discharge Database, the Office of Health Care Access (OHCA) collects hospital utilization data on all discharges from the acute care hospitals within Connecticut.  This Data includes demographic, utilization, clinical, charge, payer and provider information.

      And, if you think the insurance company and transport company ripped you off, there's the attorney general.

      "Politics is the art of looking for trouble, finding it everywhere, diagnosing it incorrectly and applying the wrong remedies." - Groucho Marx

      by Greg Dworkin on Thu Mar 06, 2008 at 03:24:26 PM PST

      [ Parent ]

    •  as for a primer (0+ / 0-)

      check the Ezra Klein links.

      "Politics is the art of looking for trouble, finding it everywhere, diagnosing it incorrectly and applying the wrong remedies." - Groucho Marx

      by Greg Dworkin on Thu Mar 06, 2008 at 03:25:41 PM PST

      [ Parent ]

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