Health Care Policy

I’ve been lucky this past many months. One day a week I am a home infusion nurse, caring for the same patient each week. It brings me all the satisfaction of hands-on trouble shooting and the technical skills of clinical care. Also, it’s a leisurely visit with a person I care about and plenty of […]

Surgery: what are you consenting to?

In the hospital recovery room, receiving patients from the OR goes like this: sometimes you have the chance to review their medical record between the time you are assigned and when they arrive. Sometimes (like when they are coming through the doors and someone calls your name), you don’t. A body shaped lump of warm […]

2018 goal—fix health care

So that might not happen, but at the very least a continuing resolution for CHIP, children’s health insurance that covers nearly 9 million kids, is achievable. As for the rest; it is important to have goals. I’ve got faith. http://thehill.com/opinion/healthcare/366668-from-chip-reauthorization-to-drug-prices-heres-whats-in-store-for-2018

Fee-for-service quick and dirty

In my holiday fervor, I forgot some key points. Doing a quick lit search brought up this lovely paper from 2008 “Health care reimbursement: Clemens to Clinton” by John T. Preskitt, MD. (John you and I should just settle down and raise a family we are perfect for each other). The answer to my stutter […]

Why out-of-control costs matter

Complexity. From how you get insurance (THREE MORE DAYS FOR MARKETPLACE PLANS) to who the emergency department treats to the non-communicating EMRs that create a chorus of fax tones ringing out across this great nation of over-paying under-served… well it ends like this: envelopes. Cramming up your mailbox. Every medical service, every brick and mortar […]

VIDEO W/ DOG on Nurse Practitioners

Here’s a fun video for a dreary Washington Friday. Let me tell you how nurse practitioners and physician assistants are making health care available and affordable and great (again?). Featuring Peanut the dog. Paper cited: http://firestats.com/wp-content/uploads/2013/07/S2-Naylor.pdf

CVS-AETNA merger (I told you so, mom)

The things going on in corporate health care these days. Woo! It’s like my own personal Boiler Room. Our care system is at the point in its spring cleaning when all drawers have been dumped on the floor to sort out the junk for donation, the cleaning products are strewn about, and there’s a half-built really […]

Uwe Reinhardt’s NYT obit: clear, condensed health policy sense.

This man, what a brain. And the wit of an Ann Richards. I didn’t know of him before, but after his death every policy wonk in the pantheon was claiming Reinhardt lead them to their calling. An obit worth a read.

Why gun violence research has been shut down for 20 years – The Washington Post

Lamenting the absence of studies has been a part of our post-massacre what-can-be-done for a number of years and a larger number of mass shootings. But what could research do to get us out of these dire straits? Scientists, lab coat-ed spreadsheet fillers, create the data that uncovers the truth. I’m not sure if you’ve […]

No more free birth control, says President

That’s right. I was pretty stoked about the Affordable Care Act requirement that birth control to be 100% covered by all insurance plans. What a great thing! To not have to pay more for health care simply because you have a uterus! To make accessible the means of controlling when you will have children, thereby increasing […]

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