Healthy people start with healthy relationships

The Institute of Medicine provides a helpful way of understanding the role of doctor-patient relationships in maintaining or restoring our health. The national health policy support for this relationship has a foundation in Obamacare.  And demonstrates how non-partisan this new law is and how much it reflects our values as Americans.
Primary Care + Public Health in the Community 
A new video from the IOM describes the clear need for better integration of primary care and public  …  Continue reading »

Posted September 13, 2012 in: Culture of Health, Opinion Page   |   Permalink   |    Comments Off

Washington Watch Snapshot

This is one of the best summaries of the conventions and public opinion.  Please read the Sept. 10 posting at http://www.mikeswashingtonwatch.com/
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Posted September 11, 2012 in: Elections, Opinion Page   |   Permalink   |    Comments Off

HOSPITAL RANKINGS GET SERIOUS

Dr. Ashish Jha from Harvard launched a blog entitled “An Ounce of Evidence”. It discusses Profits, Quality, and U.S. Hospitals as well as Hospital Rankings Get Serious. It can be found on the link below along with two postings: 1) Consumer Reports accompaniment to “Hospital Rankings Get Serious” by John Santa, MD, MPH and 2) Leapfrog accompaniment to “Hospital Rankings Get Serious” by Leah Binder. It’s worth reading.  http://blogs.sph.harvard.edu/ashish-jha/
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Posted September 6, 2012 in: Opinion Page   |   Permalink   |    Comments Off

Education Evolving Launches a Blog

It’s been nearly 40 years since the Citizens League of Minneapolis-St.Paul began its effort to reform education through principles of greater involvement of teachers and students in reforming schools within public education.  It is 20 years since the Charter Schools legislation I authored with Sen Joe Lieberman (D-CT) was passed and implementing legislation made it into law in Minnesota.  The people who have guided this innovative ship have been hard at work in Education Evolving  …  Continue reading »

Posted September 6, 2012 in: Education Reform, Opinion Page   |   Permalink   |    Comments Off

Institute for Clinical Systems Improvement newsletter

Click here to read the latest from the Institute for Clinical Systems Improvement.
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Posted September 6, 2012 in: Opinion Page   |   Permalink   |    Comments Off

Healthcare Reform: A Time for Innovation

The Sharp healthcare system based in San Diego is participating in both a private and public accountable care initiative.  In this month’s “What the Experts Say” column, Dr. John Jenrette, CEO of Sharp Community Medical Group and Chairman of the Board, California Association of Physician Groups, is optimistic in his view that this time of reform is the right time for innovation and focuses his commentary on two areas in urgent need of good solutions.
 
“[T]wo  …  Continue reading »

Posted September 6, 2012 in: Health Care Reform, Opinion Page   |   Permalink   |    Comments Off

The Romney Promise: 12 Million Jobs in Four Years

Robert Samuelson explains what the experts are thinking about the ability of the American economy to generate jobs in the next four years.  I am, at best, a political economist with a couple predictions. First, there are already more than 3 million American jobs available and no qualified American applicants.  We are most likely in a new economy, as yet undefined, which is more dependent on educating a new workforce and building new trust in  …  Continue reading »

Posted September 6, 2012 in: Economic Security, Elections, Health Policy Reform, Opinion Page   |   Permalink   |    Comments Off

Questions about Medical Device Effectiveness

Have you noticed the increasing frequency with which reputable surgeons are questioning the effectiveness (not cost effectiveness) of new medical devices?  I read about it every week in the Journal or the Times.  The themes are the same:  FDA has approved the safety and efficacy of a new product (meaning it does what it’s makers claim it does), but there are no clinical studies proving for how long it works nor whether it is more  …  Continue reading »

Posted September 6, 2012 in: Health Care Reform, Medical Technology, Opinion Page, Quality, Performance and Value   |   Permalink   |    Comments Off

THE BEST WAY TO REDUCE HEALTH CARE COSTS IS . . .

By improving the health care services and goods we Americans receive.  Quantity we’ve got.  Quality we presume because our prices are so much higher for the same goods and services than in other countries. 
They are not, says the Institute of Medicine (IOM) in its latest report BEST CARE AT LOWER COST
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Posted September 6, 2012 in: Health Care Financing Reform, Opinion Page   |   Permalink   |    Comments Off

WHAT DO CONG. PAUL RYAN, GOVERNOR/SECRETARY MIKE LEAVITT, GOVERNOR MITT ROMNEY AND PRESIDENT BARACK OBAMA HAVE IN COMMON?

A:  Each understands just enough about health care, health policy and health reform to be capable of agreeing on how best to reform and implement Obamacare.  They also know from experience you can’t get it right unless you are willing to provide the political leadership essential to ridding health reform of its disabling political partisanship. 
Much is made on the right of Paul Ryan speeches on consumer directed health care, private Medicare, and repeal of Obamacare.    …  Continue reading »

Posted August 23, 2012 in: Elections, Opinion Page   |   Permalink   |    Comments Off