A Public-Private Hybrid Healthcare System


American Healthcare is Going Public, and Private. (Click to read article)

I published this article back in 2012 but updated it now because Senators Bill Cassidy and Lindsey Graham just introduced a bill they aim to ram through Congress without a CBO score or public hearings. Senator Bernie Sanders also has an Obamacare replacement. It’s a form of Medicare-for-All, and it’s gaining wide support among Democrats and the public.

GOOD NEWS UPDATE: Republicans failed to get enough votes to pass the Cassidy/Graham bill.

As founding editor of Modern Health Talk, I think both sides need to step back from partisanship, look at the big picture, consider all stakeholders, look to other advanced nations for inspiration, and combine the best properties of each into a public-private hybrid healthcare model.

Is Health Care a Right? — Dr. Atul Gawande, a surgeon and public-health researcher, wrote an amazing article for The New Yorker that asks a question that’s been dividing Americans. His interviews offer important new insights that were missing in the Republican push to repeal and replace the ACA without a single public hearing. Not only do we need to understand what other nations do, but we also need to understand the different perspectives of our own citizens. This amazing must-read article is a good companion to my own article on Single-Payer. Read More …

A Guide for Disabled Homebuyers

Fulfilling the American Dream: A Guide for Disabled Homebuyers

Your future as a homeowner is knocking.

by Christin Camacho, PR & Content Manager, REDFIN, a next-gen real estate brokerage

Having a home to call one’s own is a giant milestone millions of Americans strive to achieve. Becoming a homeowner brings with it a sense of pride and accomplishment, but the process of becoming one can be intimidating. This is especially true for those with physical or emotional disabilities wishing to attain homeownership. Read More …

The Truth About Ebola – What & WHO to believe?

Ebola virusEDITORIAL: Who are we to believe? The news media that profits from sensationalism? Or federal and public health officials who are desperate to avoid panic? What is the truth about the Ebola virus? Right now it’s not clear who to believe, and we continue to wonder, “What is the Truth about Ebola.” Here are some of my thoughts and related articles, but I invite you to respond.

With the number of Ebola cases doubling, doubling and doubling every week or two, or three; how long might it take to reach millions, or billions? Not only is the number of cases grossly under-reported, but health officials and governments are grossly downplaying the risk and misleading the people. It seems like they’re lying, and that doesn’t help, because it erodes public trust and contributes to growing fears.

Swiss Cheese of Risk

HOLES IN THE SAFETY NET(s)

Even with multiple safeguards, rapid spread of horrific disease (like terrible traffic accidents) can occur. This is the thought behind the “Swiss cheese” model of risk, developed by British scientist James Reason, and described by Vamsi Aribindi, a medical student who wrote Ebola in Texas: A fascinating story of system errors (referenced article below).

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Telehealth is Shaping Healthcare for the Better

Game ChangerBy Karen R. Thomas, President of Advanced TeleHealth Solutions

As incredibly innovative and efficient as telehealth is at providing greater access to care for consumers, lowering healthcare costs for both patients and healthcare systems, and improving outcomes, barriers have always existed that hinder the widespread adoption of telehealth. Yet recently, issues such as state requirement hurdles, reimbursement limitations, and a general resistance from physicians to learn and integrate new technologies into their care routines are quickly evaporating in the wake of the overwhelming proof of telemedicine’s many benefits. Read More …

Public Health in 2030, alternative scenarios

Least Desirable ScenarioBy Wayne Caswell

As a retired IBM technologist, health consumer advocate, and amateur futurist, I’ve often written about The Future of Healthcare and highly recommend this report by the Institute for Alternative Futures.

Public Health 2030: A Scenario Exploration is supported by funding from the Robert Wood Johnson Foundation and the Kresge Foundation and presents alternative futures to help shape decision-making and public investments in a preferred version of the future while avoiding things that would lead to a less desirable version. Read More …

16-year old makes Cancer Breakthrough with Open Access

In this video interview, Dr. Francis S. Collins, Director of the National Institutes of Health, talks with 16-year-old Jack Andraka about how he researched journals online to invent a breakthrough cancer diagnostic test that won the 2012 Intel International Science and Engineering Fair.

As Jack said in the video, the test costs just $0.03, takes just 5 minutes, can discover certain cancers earlier, and is 100% accurate in clinical trials so far. Read More …

Nine States Deny The Poor Health Care

GOP Governors Deny The Poor Health Care
In Opposing Obamacare’s Medicaid Expansion

 

Where states stand on the Affordable Care Act (Obamacare)

By Peter S. Goodman and Jeffrey Young

RUSTON, La. — With no health insurance and not enough money for a doctor, Laura Johnson is long accustomed to treating her ailments with a self-written prescription: home remedies, prayer and denial.

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CAPABLE means Home, not Nursing Homes, for Seniors

Source: Newswise (6/26/2012) — Nursing homes do not have to be inevitable destinations for frail older adults. Many—even those with long-term health problems—can remain at home and be independent. All it takes is a little help to change “disability” to “capability”.

A handyman with a few nails to fix a wobbly bannister can make the difference between staying at home and a nursing home stay. Visits from a nurse or occupational therapist can help simplify a bewildering medication regimen or improve the ability to get around the house and neighborhood. Simple, inexpensive steps may change the equation for thousands of seniors, but in reality, services like these are rarely available for many at greatest need—the poorest and sickest older adults receiving Medicare and Medicaid.

CAPABLE, short for “Community Aging in Place, Advancing Better Living for Elders,” and a $4 million Health Care Innovation Award from the U.S. Department of Health and Human Services Center for Medicare and Medicaid Services, is about to change that reality. Read More …

Health Reform needs a WELLNESS emphasis

This intimate but tasteful photo of a man and wife in bed shows how Sex can be used to promote Health & Wellness.How can healthcare systems encourage patients to take greater ownership of their health so they live longer? That was the question posed to a Linkedin discussion group that generated some interesting responses. I initially weighed in with:

Public Health and Social Programs

We don’t often think of clean running water, indoor toilets, sanitation systems, and school vaccinations as having profound effects on the health of our citizens, but they have. So too would programs that address poverty, unemployment, and the widening income gap. That’s why next on my list is access to nutritious food, exercise opportunities, and full-time employment, which translates into access to health insurance.

Others said consumers would need support from various health care organizations and suggested several initiatives designed to move from medical response systems to health, wellness and prevention systems. Read More …

Putting Patients at the center of their Health Care

HealthITBuzz logoHere is full text of an article by by by Jodi G. Daniel / JD MPH, Director of the Office of Policy and Planning at the U.S. Department of Health & Human Services. It is provided with full attribution and a link to the original article but without copyright concerns, because I believe it’s important enough to be promoted widely and don’t expect any complaints. If, however, the Office of the National Coordinator for Health Information Technology (ONC) asks me to remove it, I will surely do so.

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Peter Pan housing – for people who won’t get old

Peter PanNPR host Michele Norris explores housing options for America’s aging population in her interview with Jon Pynoos, a professor of gerontology policy and planning at USC. (Listen to the broadcast or read the transcript HERE.)

Pynoos describes the high costs of nursing homes and assisted living facilities and the insurance options that pay for them, including Medicare & Medicaid. He then promotes aging-in-place at home as a much lower-cost option, but most homes were designed for people who aren’t old. He calls them Peter Pan homes. They have stairs, inaccessible bathrooms, and inadequate lighting, and they lack many of the safety features that would help people avoid falls.

“I won’t grow up.    I don’t want to go to school.
Just to learn to be a parrot,    And recite a silly rule.”

To help you assess your home and make modifications, contact a certified aging in place specialist (CAPS).

Related Articles:

ONC: Helping Consumers Be Partners in Their Own Health

HealthITBuzz logoHere is full text of an article by Lygeia Ricciardi, Senior Policy Advisor for Consumer e-Health at the U.S. Department of Health & Human Services. It is provided with full attribution and a link to the original article but without copyright concerns, because I believe it’s important enough to be promoted widely and don’t expect any complaints. If, however, the ONC asks me to remove it, I will surely do so.

Helping Consumers Be Partners in Their Own Health

by Lygeia Ricciardi, Senior Policy Advisor for Consumer e-Health

We at the Office of the National Coordinator for Health Information Technology (ONC) know that patients are asking themselves, “How do I manage my health information?” We are working to bring the U.S. health care system into the 21st century through technology to address that concern. We understand that it’s not all about health care providers and hospitals—it’s also about you: the patient, the individual, the person who should be the focus of the health care system.

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MEDCottage: a place for mom

MEDCottage

MEDCottage introduces new way to care for loved ones

Home health care can avoid higher costs of institutional care in a nursing home or assisted living facility, but making space may be an issue. Fortunately, there are many options. You can give grandma the spare bedroom, convert a garage into living space, remodel the home, or add a small cottage on your property.

That last option is the idea behind MEDCottage, a charming modular home that serves as a “mini-medical facility.” It’s designed like a deluxe trailer for the elderly, but it doesn’t look like a trailer. I like the idea of relying on experts to integrate various systems, where the combined value is greater than the sum benefits of each part.

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You Really Are Paying a lot More For Health Care

Julie Rovner posted this article on the NPR Health blog, but she didn’t include my reader comments, so I’m summarizing key points here and adding my comments afterwards.

  • The good news – Health costs rose 7.3% last year, which was the slowest rate in more than a decade but still nearly 5 times faster than the Consumer Price Index.
  • The bad news – Since 2002, the annual health care cost for American families has more than doubled from about $9,000 to over $19,000.

So what’s driving the increases? It’s not Obama Care, the new federal health law.

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