Federal Study Offers Dire Outlook on Child Insurance | By ROBERT PEAR | Published: October 31, 2007
WASHINGTON, Oct. 30 — Twenty-one states will run out of money for children’s health insurance in the coming year, and at least nine of those states will exhaust their allotments in March if Congress simply continues spending at current levels, a new federal study says.
The findings added urgency to bipartisan talks on Capitol Hill intended to overcome an impasse over expansion of the State Children’s Health Insurance Program.
...
Their goal is to revise a bill, vetoed by President Bush, to pick up Republican support in the House and gain enough votes to override another veto threatened by the president.
...
The Senate passed the original child health bill last month, 67 to 29, with 18 Republicans voting for it. Two of those Republicans, Senators Charles E. Grassley of Iowa and Orrin G. Hatch of Utah, helped write the bill and have been negotiating with House members of both parties to round up Republican support for a revised version of the bill. ...
Wednesday, October 31, 2007
What about the two to three million insurance industry employees whose sole job it is to turn down claims? ...plan for them: It’s called unemployment
Why Does Everyone Bow Down to the Health Insurance Industry? | By Barbara Ehrenreich, Barbaraehrenreich.com. Posted September 24, 2007.
...
With the courageous exception of Dennis Kucinich, the Democratic candidates have all rolled out health "reform" plans that represent total, Chamberlain-like, appeasement. Edwards and Obama propose universal health insurance plans that would in no way ease the death grip of Aetna, Unicare, MetLife, and the rest of the evil-doers. Clinton -- why are we not surprised? -- has gone even further, borrowing the Republican idea of actually feeding the private insurers by making it mandatory to buy their product. Will I be arrested if I resist paying $10,000 a year for a private policy laden with killer co-pays and deductibles?
..
I heard it from a notable liberal political scientist on a panel in August: We can’t just leap to a single payer system, he said in so many words, because it would be too disruptive, given the size of the private health insurance industry. Then I heard it yesterday from a Chicago woman who leads a nonprofit agency serving the poor: How can we go to a Canadian-style system when the private industry has gotten so “big”?
Yes, it is big. Leighton Ku, at the Center for Budget and Policy Priorities, gave me the figure of $776 billion in expenditures on private health insurance for this year. It’s also a big-time employer, paying what economist Paul Krugman has estimated two to three million people just turn down claims.
This in turn generates ever more employment in doctors’ offices to battle the insurance companies. Dr. Atul Gawande, a practicing physician, wrote in The New Yorker that ''a well-run office can get the insurer's rejection rate down from 30 percent to, say, 15 percent. That’s how a doctor makes money. It's a war with insurance, every step of the way.'' And that’s another thing your insurance premium has to pay for: the ongoing "war" between doctors and insurers.
...
Think of the damage. An estimated 18,000 Americans die every year because they can’t afford or can’t qualify for health insurance. That’s the 9/11 carnage multiplied by three -- every year. Not to mention all the people who are stuck in jobs they hate because they don’t dare lose their current insurance.
Saddam Hussein never killed 18,000 Americans or anything close; nor did the U.S.S.R. ...
...
And what about the two to three million insurance industry employees whose sole job it is to turn down claims? Well, I have a plan for them: It’s called unemployment. What country in its right mind would pay millions of people to deny other people health care?
...
With the courageous exception of Dennis Kucinich, the Democratic candidates have all rolled out health "reform" plans that represent total, Chamberlain-like, appeasement. Edwards and Obama propose universal health insurance plans that would in no way ease the death grip of Aetna, Unicare, MetLife, and the rest of the evil-doers. Clinton -- why are we not surprised? -- has gone even further, borrowing the Republican idea of actually feeding the private insurers by making it mandatory to buy their product. Will I be arrested if I resist paying $10,000 a year for a private policy laden with killer co-pays and deductibles?
..
I heard it from a notable liberal political scientist on a panel in August: We can’t just leap to a single payer system, he said in so many words, because it would be too disruptive, given the size of the private health insurance industry. Then I heard it yesterday from a Chicago woman who leads a nonprofit agency serving the poor: How can we go to a Canadian-style system when the private industry has gotten so “big”?
Yes, it is big. Leighton Ku, at the Center for Budget and Policy Priorities, gave me the figure of $776 billion in expenditures on private health insurance for this year. It’s also a big-time employer, paying what economist Paul Krugman has estimated two to three million people just turn down claims.
This in turn generates ever more employment in doctors’ offices to battle the insurance companies. Dr. Atul Gawande, a practicing physician, wrote in The New Yorker that ''a well-run office can get the insurer's rejection rate down from 30 percent to, say, 15 percent. That’s how a doctor makes money. It's a war with insurance, every step of the way.'' And that’s another thing your insurance premium has to pay for: the ongoing "war" between doctors and insurers.
...
Think of the damage. An estimated 18,000 Americans die every year because they can’t afford or can’t qualify for health insurance. That’s the 9/11 carnage multiplied by three -- every year. Not to mention all the people who are stuck in jobs they hate because they don’t dare lose their current insurance.
Saddam Hussein never killed 18,000 Americans or anything close; nor did the U.S.S.R. ...
...
And what about the two to three million insurance industry employees whose sole job it is to turn down claims? Well, I have a plan for them: It’s called unemployment. What country in its right mind would pay millions of people to deny other people health care?
China: not required to meet even minimal drug-manufacturing standards, there is little to stop them from exporting unapproved, adulterated or counterf
Chemicals Flow Unchecked From China to Drug Market | By WALT BOGDANICH | Published: October 31, 2007
At least 82 Chinese companies at a Milan trade show, none of them certified, said they made pharmaceutical ingredients.
...
MILAN — In January, Honor International Pharmtech was accused of shipping counterfeit drugs into the United States. Even so, the Chinese chemical company — whose motto is “Thinking Much of Honor” — was openly marketing its products in October to thousands of buyers here at the world’s biggest trade show for pharmaceutical ingredients.
... Also attending were two exporters owned by China’s government that had sold poison mislabeled as a drug ingredient, which killed nearly 200 people and injured countless others in Haiti and in Panama.
Yet another chemical company, Orient Pacific International, reserved an exhibition booth in Milan, but its owner, Kevin Xu, could not attend. He was in a Houston jail on charges of selling counterfeit medicine for schizophrenia, prostate cancer, blood clots and Alzheimer’s disease, among other maladies.
While these companies hardly represent all of the nearly 500 Chinese exhibitors, more than from any other country, they do point to a deeper problem: Pharmaceutical ingredients exported from China are often made by chemical companies that are neither certified nor inspected by Chinese drug regulators, The New York Times has found.
Because the chemical companies are not required to meet even minimal drug-manufacturing standards, there is little to stop them from exporting unapproved, adulterated or counterfeit ingredients. The substandard formulations made from those ingredients often end up in pharmacies in developing countries and for sale on the Internet, where more Americans are turning for cheap medicine. ...
...
At their worst, uncertified chemical companies contribute to China’s notoriety as the world’s biggest supplier of counterfeit drugs, which include unauthorized copies as well as substandard, even harmful, formulations. “Underregulated manufacturers are increasingly becoming the source of A.P.I.’s used in the production of counterfeit medicine,” R. John Theriault, until recently Pfizer’s head of global security, said in a statement to Congress. ...
At least 82 Chinese companies at a Milan trade show, none of them certified, said they made pharmaceutical ingredients.
...
MILAN — In January, Honor International Pharmtech was accused of shipping counterfeit drugs into the United States. Even so, the Chinese chemical company — whose motto is “Thinking Much of Honor” — was openly marketing its products in October to thousands of buyers here at the world’s biggest trade show for pharmaceutical ingredients.
... Also attending were two exporters owned by China’s government that had sold poison mislabeled as a drug ingredient, which killed nearly 200 people and injured countless others in Haiti and in Panama.
Yet another chemical company, Orient Pacific International, reserved an exhibition booth in Milan, but its owner, Kevin Xu, could not attend. He was in a Houston jail on charges of selling counterfeit medicine for schizophrenia, prostate cancer, blood clots and Alzheimer’s disease, among other maladies.
While these companies hardly represent all of the nearly 500 Chinese exhibitors, more than from any other country, they do point to a deeper problem: Pharmaceutical ingredients exported from China are often made by chemical companies that are neither certified nor inspected by Chinese drug regulators, The New York Times has found.
Because the chemical companies are not required to meet even minimal drug-manufacturing standards, there is little to stop them from exporting unapproved, adulterated or counterfeit ingredients. The substandard formulations made from those ingredients often end up in pharmacies in developing countries and for sale on the Internet, where more Americans are turning for cheap medicine. ...
...
At their worst, uncertified chemical companies contribute to China’s notoriety as the world’s biggest supplier of counterfeit drugs, which include unauthorized copies as well as substandard, even harmful, formulations. “Underregulated manufacturers are increasingly becoming the source of A.P.I.’s used in the production of counterfeit medicine,” R. John Theriault, until recently Pfizer’s head of global security, said in a statement to Congress. ...
Tuesday, October 30, 2007
one of every eight veterans under the age of 65 is uninsured ... 1.8M ... an increase of 290,000 since 2000
Study: More Veterans Are Uninsured | By THE ASSOCIATED PRESS | Published: October 30, 2007
WASHINGTON (AP) -- About one of every eight veterans under the age of 65 is uninsured, a finding that contradicts the assumption many have that all vets qualify for free health care through the Veterans Affairs Department, says a new study.
Researchers at Harvard Medical School projected that about 1.8 million veterans overall lack health coverage. That's an increase of 290,000 since 2000. The researchers said most uninsured veterans are in the middle class and are ineligible for VA care because of their incomes. Still others cannot afford their copayments, or lack VA facilities in their community.
''Like other uninsured Americans, most uninsured vets are working people -- too poor to afford private coverage but not poor enough to qualify for Medicaid or means-tested VA care,'' said Dr. Steffie Woolhandler, an associate professor and a physician at the Cambridge Health Alliance. ...
...
The study notes that the VA in January 2003 ordered a halt to the enrollment of most veterans who are not poor. The move was designed to reduce the backlog of patients waiting for care.
But Peter Gaytan, who monitors veterans' issues for the American Legion, said veterans now make as little as about $24,000 a year in some regions and still do not qualify for health coverage from the VA. ...
WASHINGTON (AP) -- About one of every eight veterans under the age of 65 is uninsured, a finding that contradicts the assumption many have that all vets qualify for free health care through the Veterans Affairs Department, says a new study.
Researchers at Harvard Medical School projected that about 1.8 million veterans overall lack health coverage. That's an increase of 290,000 since 2000. The researchers said most uninsured veterans are in the middle class and are ineligible for VA care because of their incomes. Still others cannot afford their copayments, or lack VA facilities in their community.
''Like other uninsured Americans, most uninsured vets are working people -- too poor to afford private coverage but not poor enough to qualify for Medicaid or means-tested VA care,'' said Dr. Steffie Woolhandler, an associate professor and a physician at the Cambridge Health Alliance. ...
...
The study notes that the VA in January 2003 ordered a halt to the enrollment of most veterans who are not poor. The move was designed to reduce the backlog of patients waiting for care.
But Peter Gaytan, who monitors veterans' issues for the American Legion, said veterans now make as little as about $24,000 a year in some regions and still do not qualify for health coverage from the VA. ...
Monday, October 29, 2007
So, insurance companies avoid people needing medical care-the Old Maids-at all costs.
Friday, October 26, 2007 by CommonDreams.org | SCHIP and the Rigged Health Insurance Game | by Eric Haas
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There were 142 members of Congress who voted against extending health care to more poor children. Behind their rhetoric, their intentions are clear: they want to protect the health insurance market and the huge profits that go with it.
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There were 142 members of Congress who voted against extending health care to more poor children. Behind their rhetoric, their intentions are clear: they want to protect the health insurance market and the huge profits that go with it.
But the huge profits are killing health care. We all know that now. Profit-maximizing insurance companies are bad economics. They make money by denying care, which is a terrible way to try to keep us healthy. (The Rockridge Institute’s white paper on health care security has details.)
...
Currently, we don’t spread the risk and costs evenly. Instead, we have lots of insurance companies all competing against each other to maximize their profits. Which they have-to the tune of billions of dollars a year. But they make their billions by not getting “stuck” with the people needing expensive medical treatment-sort of like avoiding the Old Maid in the children’s card game. The more sick people an insurance company ends up with, the lower their profits. “Stuck” with too many people needing medical care at any one time and an insurance company loses some of their profits. So, insurance companies avoid people needing medical care-the Old Maids-at all costs. And we know the result: over 100 million Americans who are un- or under-insured, pushed into the health care cracks between insurance companies by the companies themselves.
And those of us with insurance have been dragged into this sick game. Those of us who have health insurance get it in a system that works by excluding some of our neighbors. With the present profit imperative of our competitive health insurance system, we have created a national Sophie’s Choice: millions of people must be denied care so that the rest of us-healthier, wealthier, or fortunate enough to have employer-based insurance-can get it. ...
Wednesday, October 24, 2007
“Societies should not rely on market forces to protect the environment or provide quality health care for all citizens …”
Sunday, October 21, 2007 by the Sunday Gazette-Mail (Charleston, West Virginia) | Nobel Prize Sees What Market-Fundamentalists Don’t | by Rick Wilson
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Three Americans, Eric Maskin, Roger Myerson and Leonid Hurwicz, shared the honor for their work in mechanism design theory, which studies under what conditions markets work well or don’t. Sneak preview: They do better with private than with public goods.
...
According to this cult, the market is like an all-wise and all-good but jealous god which becomes exceedingly wrathful when interfered with by things like coal mine or workplace safety laws, minimum wage protections, or taxes that pay for health, education or other services. Its ways are not our ways, nor are its thoughts our thoughts. And if it demands an occasional human sacrifice, we just have to deal with it.
...
... Here’s the short version of a key finding: Markets work well with what economists call private goods, like refrigerators or cars, but not for public goods, such as a clean environment or public health.
According to Maskin in an article in Bloomberg.com, “There are some things we want that are never going to be attainable by markets,” he said in a telephone interview. “If we are going to get them at all we have to find alternative ways of delivering them. That’s where mechanism design comes in.”
A Reuters report on the prize noted, “Societies should not rely on market forces to protect the environment or provide quality health care for all citizens …”
In such cases, public investments and policies should promote and protect public goods.
None of this would have come as a surprise to Adam Smith, who wrote in 1776 that there was a need of government support for “public institutions and those public works, which, though they may be in the highest degree advantageous to a great society, are, however, of such a nature that the profit could never repay the expense to any individual or small number of individuals, and which it therefore cannot be expected that any individual or small number of individuals should erect or maintain.” ...
...
Three Americans, Eric Maskin, Roger Myerson and Leonid Hurwicz, shared the honor for their work in mechanism design theory, which studies under what conditions markets work well or don’t. Sneak preview: They do better with private than with public goods.
...
According to this cult, the market is like an all-wise and all-good but jealous god which becomes exceedingly wrathful when interfered with by things like coal mine or workplace safety laws, minimum wage protections, or taxes that pay for health, education or other services. Its ways are not our ways, nor are its thoughts our thoughts. And if it demands an occasional human sacrifice, we just have to deal with it.
...
... Here’s the short version of a key finding: Markets work well with what economists call private goods, like refrigerators or cars, but not for public goods, such as a clean environment or public health.
According to Maskin in an article in Bloomberg.com, “There are some things we want that are never going to be attainable by markets,” he said in a telephone interview. “If we are going to get them at all we have to find alternative ways of delivering them. That’s where mechanism design comes in.”
A Reuters report on the prize noted, “Societies should not rely on market forces to protect the environment or provide quality health care for all citizens …”
In such cases, public investments and policies should promote and protect public goods.
None of this would have come as a surprise to Adam Smith, who wrote in 1776 that there was a need of government support for “public institutions and those public works, which, though they may be in the highest degree advantageous to a great society, are, however, of such a nature that the profit could never repay the expense to any individual or small number of individuals, and which it therefore cannot be expected that any individual or small number of individuals should erect or maintain.” ...
Tuesday, October 16, 2007
"Use of private insurers to deliver Medicare drug coverage is driving up costs ... six times higher than administrative costs of traditional Medicare
Report criticizes of Medicare drug plan costs | By Lisa Richwine | Oct 15, 2007
WASHINGTON (Reuters) - U.S. taxpayers and Medicare patients could have saved almost $15 billion in 2007 if private health insurers had cut expenses for prescription drug coverage and negotiated bigger discounts, a report from Democratic staff of a House of Representatives panel said on Monday.
The Medicare prescription drug benefits offered by private insurers operate with "high administrative costs, sales expenses and profits," the report said.
...
"Use of private insurers to deliver Medicare drug coverage is driving up costs and producing only limited savings on drug prices," the report said.
...
The report said administrative expenses, sales costs and profits of private insurers offering Medicare drug plans are almost six times higher than the administrative costs of traditional Medicare coverage, costing almost $5 billion or about $180 per beneficiary in 2007. The insurers' profits will account for $1 billion, the report said. ...
...
The companies failed to negotiate significant rebates from drug makers, the report also said. Insurers did get discounts in the form of rebates that reduced spending by 8.1 percent in 2007. But that was less than the 26 percent the Medicaid program secured from drug manufacturers. ...
WASHINGTON (Reuters) - U.S. taxpayers and Medicare patients could have saved almost $15 billion in 2007 if private health insurers had cut expenses for prescription drug coverage and negotiated bigger discounts, a report from Democratic staff of a House of Representatives panel said on Monday.
The Medicare prescription drug benefits offered by private insurers operate with "high administrative costs, sales expenses and profits," the report said.
...
"Use of private insurers to deliver Medicare drug coverage is driving up costs and producing only limited savings on drug prices," the report said.
...
The report said administrative expenses, sales costs and profits of private insurers offering Medicare drug plans are almost six times higher than the administrative costs of traditional Medicare coverage, costing almost $5 billion or about $180 per beneficiary in 2007. The insurers' profits will account for $1 billion, the report said. ...
...
The companies failed to negotiate significant rebates from drug makers, the report also said. Insurers did get discounts in the form of rebates that reduced spending by 8.1 percent in 2007. But that was less than the 26 percent the Medicaid program secured from drug manufacturers. ...
Sunday, October 14, 2007
Conservatives who want to repeal the estate tax on large fortunes ... the Frosts is that they are expected to sell their investment property ...
Meanies And Hypocrites | By E. J. Dionne Jr. | Friday, October 12, 2007; Page A17
Conservatives claim to be in favor of stable families, small businesses, hard work, private schools, investment and homeownership. So why in the world are so many on the right attacking the family of Graeme Frost?
The kids were treated, thanks to SCHIP. The Frosts spoke out so the public would know that real people lie behind the acronym.
Their reward was to be trashed on right-wing blogs and talk radio as if they were multimillionaires ripping off the system. The assault on the Frosts apparently began on the Free Republic Web site and quickly spread to National Review Online, Power Line and Michelle Malkin's blog, as well as Rush Limbaugh's radio show.
...
Conservatives claim to be in favor of stable families, small businesses, hard work, private schools, investment and homeownership. So why in the world are so many on the right attacking the family of Graeme Frost?
The kids were treated, thanks to SCHIP. The Frosts spoke out so the public would know that real people lie behind the acronym.
Their reward was to be trashed on right-wing blogs and talk radio as if they were multimillionaires ripping off the system. The assault on the Frosts apparently began on the Free Republic Web site and quickly spread to National Review Online, Power Line and Michelle Malkin's blog, as well as Rush Limbaugh's radio show.
...
Most conservatives favor government-supported vouchers that would help Graeme attend his private school, but here they turn around and criticize him for . . . attending a private school. Federal money for private schools but not for health insurance? What's the logic here?
Conservatives endlessly praise risk-taking by entrepreneurs and would give big tax cuts to those who are most successful. But if a small-business person is struggling, he shouldn't even think about applying for SCHIP.
Conservatives who want to repeal the estate tax on large fortunes have cited stories -- most of them don't check out -- about farmers having to sell their farms to pay inheritance taxes. But the implication of these attacks on the Frosts is that they are expected to sell their investment property to pay for health care. Why?
Oh, yes, and conservatives tell us how much they love homeownership, and then assail the Frosts for having the nerve to own a home. I suppose they should have to sell that, too.
The real issue here is whether uninsured families with earnings similar to the Frosts' need government help to buy health coverage. With the average family policy in employer-provided plans now costing more than $12,000 annually -- the price is usually higher for families trying to buy it on their own -- the answer is plainly yes. ...Sen. John McCain health car: Is a $5,000 tax credit going to guarantee they afford and access health insurance? Of course not
They Just Don't Get It | Submitted by Bill Scher on October 11, 2007 - 7:48pm.
Sen. John McCain rolled out his health care plan today, and said:
Right now, too many of our citizens don't have an insurance policy at all, and those who do are afraid they will lose the one they have - afraid they will get too sick, afraid to stay home and not work full-time, and afraid their benefits will disappear along with their job.
I believe that everyone should get a tax credit of $2500, $5000 for families.
Let's look again at the brave yet struggling Frost family of six.
Their combined income, before taxes, is $45,000. Mrs. Frost recently priced private insurance at $14,400 a year. And they can't even get a private company to accept them because of pre-existing medical conditions.
Is a $5,000 tax credit going to guarantee they afford and access health insurance? Of course not.
Sure, McCain paid some lip service to reducing the cost of health care, but he didn't propose much specific besides "greater competition" and caps on malpractice lawsuits (which only amount to 2% of all health care spending). The only significant reform he offered was reiterating his support for importing cheaper prescription drugs.
This is very much in line with what Joe Paduda wrote last month:
The GOP programs are not 'reform'. There is no evidence that these tax breaks will significantly improve the number of people with coverage, the quality of the care they get, or reduce the cost of insurance or medical care. None. Zippo. Nada. The GOP platforms are actually tax breaks, marketed as health care reform.
That's fine, but rather disingenuous.
It's also detached from reality.
Sen. John McCain rolled out his health care plan today, and said:
Right now, too many of our citizens don't have an insurance policy at all, and those who do are afraid they will lose the one they have - afraid they will get too sick, afraid to stay home and not work full-time, and afraid their benefits will disappear along with their job.
I believe that everyone should get a tax credit of $2500, $5000 for families.
Let's look again at the brave yet struggling Frost family of six.
Their combined income, before taxes, is $45,000. Mrs. Frost recently priced private insurance at $14,400 a year. And they can't even get a private company to accept them because of pre-existing medical conditions.
Is a $5,000 tax credit going to guarantee they afford and access health insurance? Of course not.
Sure, McCain paid some lip service to reducing the cost of health care, but he didn't propose much specific besides "greater competition" and caps on malpractice lawsuits (which only amount to 2% of all health care spending). The only significant reform he offered was reiterating his support for importing cheaper prescription drugs.
This is very much in line with what Joe Paduda wrote last month:
The GOP programs are not 'reform'. There is no evidence that these tax breaks will significantly improve the number of people with coverage, the quality of the care they get, or reduce the cost of insurance or medical care. None. Zippo. Nada. The GOP platforms are actually tax breaks, marketed as health care reform.
That's fine, but rather disingenuous.
It's also detached from reality.
children received appropriate medical care only 46 percent of the time when they visit health professionals, faring even worse than adults ...
U.S. children often lack quality medical care | By Tony Pugh | McClatchy Newspapers | * Posted on Wednesday, October 10, 2007
WASHINGTON — In the largest study of its kind, researchers found that America's children received appropriate medical care only 46 percent of the time when they visit health professionals, faring even worse than adults and raising serious questions about the quality of care delivered by the world's most expensive health system.
...
It followed the health care experiences of 1,536 children from 12 metropolitan areas over a four-year period. By interviewing the youngsters' parents, reviewing the children's medical records and comparing their treatments to established care standards, researchers found that even basic care was a hit-or-miss proposition for children who visit hospitals and pediatricians.
The study found only 19 percent of seriously ill infants with fevers had the right lab tests done, only 44 percent of youngsters with asthma were on the right medications and only 38 percent of youngsters were screened for anemia in their first two years of life.
In addition, only 31 percent of children ages 3-6 have their weight measured at annual checkups.
...
A 2006 RAND study found that adults get appropriate medical care about 55 percent of the time.
...
But the new study found that youngsters get appropriate care for acute illnesses, such as fevers, only 68 percent of the time and proper care for chronic conditions, such as attention deficit disorder, only 53 percent of the time.
Proper preventative care, the bread and butter of pediatric practice, was provided in only 41 percent of check-ups. Researchers gauged quality of treatment against 175 standards of care that cover 12 clinical areas.
"It is unconscionable that we spend $2 trillion on health care, more than any nation in the world, and get these results," said co-author Elizabeth McGlynn, an associate director of RAND Health. "We can do better, but this will not happen without serious sustained effort. This study tells us that it is time to begin." ...
WASHINGTON — In the largest study of its kind, researchers found that America's children received appropriate medical care only 46 percent of the time when they visit health professionals, faring even worse than adults and raising serious questions about the quality of care delivered by the world's most expensive health system.
...
It followed the health care experiences of 1,536 children from 12 metropolitan areas over a four-year period. By interviewing the youngsters' parents, reviewing the children's medical records and comparing their treatments to established care standards, researchers found that even basic care was a hit-or-miss proposition for children who visit hospitals and pediatricians.
The study found only 19 percent of seriously ill infants with fevers had the right lab tests done, only 44 percent of youngsters with asthma were on the right medications and only 38 percent of youngsters were screened for anemia in their first two years of life.
In addition, only 31 percent of children ages 3-6 have their weight measured at annual checkups.
...
A 2006 RAND study found that adults get appropriate medical care about 55 percent of the time.
...
But the new study found that youngsters get appropriate care for acute illnesses, such as fevers, only 68 percent of the time and proper care for chronic conditions, such as attention deficit disorder, only 53 percent of the time.
Proper preventative care, the bread and butter of pediatric practice, was provided in only 41 percent of check-ups. Researchers gauged quality of treatment against 175 standards of care that cover 12 clinical areas.
"It is unconscionable that we spend $2 trillion on health care, more than any nation in the world, and get these results," said co-author Elizabeth McGlynn, an associate director of RAND Health. "We can do better, but this will not happen without serious sustained effort. This study tells us that it is time to begin." ...
they are willing to do their part to make it happen. 72% support the expansion of SCHIP, and 60% are willing to pay more in taxes ... for health insur
More Conservative Honesty Please | Submitted by Bill Scher on October 11, 2007 - 12:20pm.
...
I did overstate one point. I said Bush is proposing "less money" for SCHIP, which isn't quite right. He is proposing nominally more money, just not enough to maintain the number of kids currently in the program. It's essentially less money, but not literally.
...
Instead of thinking of ways for entrepreneurs to pursue the American Dream without having to worry about the basics in life, conservatives like Riehl are quick to make assumptions and mock them for their career choices -- at least, when the solution involves pooling our resources through our government to solve problems the private market hasn't tackled.
Apparently, entrepreneurs are only awesome when wealthy Americans are demanding tax giveaways.
Instead of helping Americans have more career choices, conservatives like Riehl would force more Americans to choose between their career and the health of their families. If millions of working class children remain at risk, so be it.
...
Because most Americans believe everyone should have health insurance and everyone should have a real opportunity to pursue the American Dream.
And they are willing to do their part to make it happen. 72% support the expansion of SCHIP, and 60% are willing to pay more in taxes so our government can guarantee health insurance for everyone.
The more honest conservatives are about their cold and callous vision for America, the easier it will be for American voters to make informed decisions about where we should go as a nation. ...
...
I did overstate one point. I said Bush is proposing "less money" for SCHIP, which isn't quite right. He is proposing nominally more money, just not enough to maintain the number of kids currently in the program. It's essentially less money, but not literally.
...
Instead of thinking of ways for entrepreneurs to pursue the American Dream without having to worry about the basics in life, conservatives like Riehl are quick to make assumptions and mock them for their career choices -- at least, when the solution involves pooling our resources through our government to solve problems the private market hasn't tackled.
Apparently, entrepreneurs are only awesome when wealthy Americans are demanding tax giveaways.
Instead of helping Americans have more career choices, conservatives like Riehl would force more Americans to choose between their career and the health of their families. If millions of working class children remain at risk, so be it.
...
Because most Americans believe everyone should have health insurance and everyone should have a real opportunity to pursue the American Dream.
And they are willing to do their part to make it happen. 72% support the expansion of SCHIP, and 60% are willing to pay more in taxes so our government can guarantee health insurance for everyone.
The more honest conservatives are about their cold and callous vision for America, the easier it will be for American voters to make informed decisions about where we should go as a nation. ...
forms from our health insurance company inexplicably denying payment — or only partly paying — for something we believed was covered.
Hands to Hold When Health Care Becomes a Maze | By ALINA TUGEND | Published: October 13, 2007
I HAVE not dreaded thin envelopes so much since applying to college.
They are showing up with alarming regularity lately: forms from our health insurance company inexplicably denying payment — or only partly paying — for something we believed was covered.
We read the codes and try to figure out why we are paid $30 for a $300 visit; they may as well have been written in Latin.
And when we try calling, all too often we end up in a voice mail maze.
...
Mr. Claxton noted, for example, that the anesthesiologist assigned to your operation may be out of network and then “that’s extra money.” You can ask about getting one in your network, but it is not always clear whom to ask or if that request will be honored, he said.
Also, be sure to ask when making any appointment if the doctor is currently in the network. Just because it says so in your plan’s book or online does not mean the doctor is still in the plan. Avoid a nasty surprise when the bill comes.
...
Or, as happened to Karen Pollitz, a research professor at the Health Policy Institute at Georgetown University, an insurer can process a 12-year-old’s broken elbow as a workers’ compensation claim rather than as a sports accident — and then refuse to pay for it — simply because the doctor checked accident on the insurance form. ...
I HAVE not dreaded thin envelopes so much since applying to college.
They are showing up with alarming regularity lately: forms from our health insurance company inexplicably denying payment — or only partly paying — for something we believed was covered.
We read the codes and try to figure out why we are paid $30 for a $300 visit; they may as well have been written in Latin.
And when we try calling, all too often we end up in a voice mail maze.
...
Mr. Claxton noted, for example, that the anesthesiologist assigned to your operation may be out of network and then “that’s extra money.” You can ask about getting one in your network, but it is not always clear whom to ask or if that request will be honored, he said.
Also, be sure to ask when making any appointment if the doctor is currently in the network. Just because it says so in your plan’s book or online does not mean the doctor is still in the plan. Avoid a nasty surprise when the bill comes.
...
Or, as happened to Karen Pollitz, a research professor at the Health Policy Institute at Georgetown University, an insurer can process a 12-year-old’s broken elbow as a workers’ compensation claim rather than as a sports accident — and then refuse to pay for it — simply because the doctor checked accident on the insurance form. ...
US has a far higher death rate than the European average: ... one in 4800 dies vs. one in 16,400 for top 10 Euro countries
U.S. maternal death rate higher than Europe's: report | Sat Oct 13, 2007 7:03pm EDT
WASHINGTON (Reuters) - The United States has a sharply higher rate of women dying during or just after pregnancy than European countries, even some relatively poor countries such as Macedonia and Bosnia, according to the first estimates in five years on maternal deaths worldwide.
The United States has a far higher death rate than the European average, the report shows, with one in 4,800 U.S. women dying from complications of pregnancy or childbirth, the same as Belarus and just slightly better than Serbia's rate of one in 4,500.
Just one out of 47,600 women in Ireland die during or just after childbirth, the report found. Bosnia had the second-lowest rate, with 1 in 29,000 women dying during pregnancy and childbirth.
"Among the ten top-ranked European and other industrialized countries, where women are guaranteed good-quality health and family planning services that minimize their lifetime risk, fewer than one in 16,400 will die from complications of pregnancy and childbirth," the United Nations, which issued the report along with the World Bank, said in a statement. ...
WASHINGTON (Reuters) - The United States has a sharply higher rate of women dying during or just after pregnancy than European countries, even some relatively poor countries such as Macedonia and Bosnia, according to the first estimates in five years on maternal deaths worldwide.
The United States has a far higher death rate than the European average, the report shows, with one in 4,800 U.S. women dying from complications of pregnancy or childbirth, the same as Belarus and just slightly better than Serbia's rate of one in 4,500.
Just one out of 47,600 women in Ireland die during or just after childbirth, the report found. Bosnia had the second-lowest rate, with 1 in 29,000 women dying during pregnancy and childbirth.
"Among the ten top-ranked European and other industrialized countries, where women are guaranteed good-quality health and family planning services that minimize their lifetime risk, fewer than one in 16,400 will die from complications of pregnancy and childbirth," the United Nations, which issued the report along with the World Bank, said in a statement. ...
Wednesday, October 10, 2007
[Swift-boating SCHIP parents]::: "Let the parents get second jobs, let their state foot the bill or let them seek help from private charities."
Family under fire: Rush and Co. hit on healthcare | by Matthew Hay Brown
Halsey and Bonnie Frost, in front of their Butchers Hill home in Baltimore, have come under fire from conservative commentators for promoting the State Children's Health Insurance Program. Sun photo by Barbara Haddock Taylor .
...
But while the Frosts were helping a bipartisan majority in Congress sell a plan to expand the program, they were not prepared for comments such as this one, posted over the weekend on the conservative Web site Redstate:
"If federal funds were required [they] could die for all I care. Let the parents get second jobs, let their state foot the bill or let them seek help from private charities. ... I would hire a team of PIs and find out exactly how much their parents made and where they spent every nickel. Then I'd do everything possible to destroy their lives with that info."
...
It was the news coverage of that broadcast that set off the blogo- sphere. A pseudonymous contributor to Free Republic cataloged the $20,000 cost of tuition at the Park School, the $160,000 Halsey Frost paid for his warehouse in 1999 and the $485,000 for which a neighbor sold his home in March. Links were provided to photos of the Park School's 44,000-square- foot Wyman Arts Center and the Frosts' 1992 wedding announcement in The New York Times.
...
The four Frost children depend on financial aid to attend private school, the Frosts say. In addition, they say, Gemma receives money from the city for special education made necessary by her injuries.
...
The Frosts say the description of their family's circumstances now circulating is misleading. Halsey, they say, is a self-employed woodworker - he has no employees - while Bonnie works part time for a medical publishing firm. Together, they say, they earn between $45,000 and $50,000 a year.
...
Pelosi fired back yesterday.
"I think that the attack on this family is just breaking new ground and stooping to new lows in terms of what happens in Washington, D.C.," she told reporters. "I think it's a sad statement about how bankrupt some of these people are in their arguments against SCHIP that they attack a 12-year-old."
Most Americans may also have noticed that corporate bureaucracy and corruption .. are not preferable to government bureaucracy
Right-Wing Health Care Mythology | by Joe Conason Published: October 9, 2007
Once among the most frightening and effective epithets in American political culture, “socialized medicine” seems to have lost its juju. ...
...
Most Americans may also have noticed that corporate bureaucracy and corruption, which both figure largely in the present health care system, are not preferable to government bureaucracy. The same doctors who used to wail about the dangers of Medicare have learned how unpleasant it is to deal with dozens of insurance companies, each of which is creating different rules to cut costs and deny care as often as possible. So have their patients.
This corporate model is more expensive and less efficient than the government plans that provide care in every other industrialized nation.
And most Americans may have learned by now that such systems prevail in Western countries that aren’t normally categorized as “socialist,” including the United Kingdom, Japan, Spain, Canada, Germany, France, Denmark, Norway and Sweden. All these nations manage to provide their citizens with high living standards, industrial and technological innovation, and broad political and economic freedom, even after 50 years of national health insurance in some form.
Meanwhile, the credibility of conservatives has diminished steadily.
These days they seem to have trouble achieving clarity on the meaning of their favorite clichés. For instance, the president hates federalized health care, but sponsors a Medicare prescription drug program that wastes hundreds of billions on drug companies and private insurers.
Right-wing definitions no longer seem so clear, either. When the government awards a billion dollars in sweetheart mercenary contracts to a wealthy Republican family in Michigan, that’s “private enterprise.” But when the government helps a struggling middle-class family in Maryland to send its children to the doctor, that’s creeping socialism. ..
Once among the most frightening and effective epithets in American political culture, “socialized medicine” seems to have lost its juju. ...
...
Most Americans may also have noticed that corporate bureaucracy and corruption, which both figure largely in the present health care system, are not preferable to government bureaucracy. The same doctors who used to wail about the dangers of Medicare have learned how unpleasant it is to deal with dozens of insurance companies, each of which is creating different rules to cut costs and deny care as often as possible. So have their patients.
This corporate model is more expensive and less efficient than the government plans that provide care in every other industrialized nation.
And most Americans may have learned by now that such systems prevail in Western countries that aren’t normally categorized as “socialist,” including the United Kingdom, Japan, Spain, Canada, Germany, France, Denmark, Norway and Sweden. All these nations manage to provide their citizens with high living standards, industrial and technological innovation, and broad political and economic freedom, even after 50 years of national health insurance in some form.
Meanwhile, the credibility of conservatives has diminished steadily.
These days they seem to have trouble achieving clarity on the meaning of their favorite clichés. For instance, the president hates federalized health care, but sponsors a Medicare prescription drug program that wastes hundreds of billions on drug companies and private insurers.
Right-wing definitions no longer seem so clear, either. When the government awards a billion dollars in sweetheart mercenary contracts to a wealthy Republican family in Michigan, that’s “private enterprise.” But when the government helps a struggling middle-class family in Maryland to send its children to the doctor, that’s creeping socialism. ..
Sunday, October 7, 2007
New Medicare Drug program: 10,000's victims of deceptive sales tactics, improperly denied claims ...
Medicare Audits Show Problems in Private Plans | By ROBERT PEAR | Published: October 7, 2007
WASHINGTON, Oct. 6 — Tens of thousands of Medicare recipients have been victims of deceptive sales tactics and had claims improperly denied by private insurers that run the system’s huge new drug benefit program and offer other private insurance options encouraged by the Bush administration, a review of scores of federal audits has found.
...
UnitedHealth, which serves more than six million Medicare beneficiaries, did not have an “effective program” to supervise its marketing representatives, agents and brokers. In some cases, United improperly denied claims without giving any explanation to beneficiaries. ...
WellPoint, one of the nation’s largest insurers, had “a backlog of approximately 354,000 claims” at certain Medicare plans offered through its UniCare subsidiary. ...
In March, Sierra Health Services ended drug coverage for more than 2,300 Medicare beneficiaries with H.I.V./AIDS, saying they had not paid their premiums. In many cases, the premiums had been paid, and beneficiaries had canceled checks to prove it. ...
Humana, which covers more than 4.5 million people on Medicare, promised to investigate every complaint about its marketing practices, but it received so many complaints that it could not keep up. ...
The Sterling Life Insurance Company, a subsidiary of the Aon Corporation, did not pay claims correctly or handle appeals in a timely way. The company has “a demonstrated pattern of failure” to meet Medicare performance standards. ...
Two sponsors of popular Medicare drug plans, MemberHealth and Bravo Health, did not act on requests for coverage of specific drugs within 72 hours, as required by the government. ...
WASHINGTON, Oct. 6 — Tens of thousands of Medicare recipients have been victims of deceptive sales tactics and had claims improperly denied by private insurers that run the system’s huge new drug benefit program and offer other private insurance options encouraged by the Bush administration, a review of scores of federal audits has found.
...
UnitedHealth, which serves more than six million Medicare beneficiaries, did not have an “effective program” to supervise its marketing representatives, agents and brokers. In some cases, United improperly denied claims without giving any explanation to beneficiaries. ...
WellPoint, one of the nation’s largest insurers, had “a backlog of approximately 354,000 claims” at certain Medicare plans offered through its UniCare subsidiary. ...
In March, Sierra Health Services ended drug coverage for more than 2,300 Medicare beneficiaries with H.I.V./AIDS, saying they had not paid their premiums. In many cases, the premiums had been paid, and beneficiaries had canceled checks to prove it. ...
Humana, which covers more than 4.5 million people on Medicare, promised to investigate every complaint about its marketing practices, but it received so many complaints that it could not keep up. ...
The Sterling Life Insurance Company, a subsidiary of the Aon Corporation, did not pay claims correctly or handle appeals in a timely way. The company has “a demonstrated pattern of failure” to meet Medicare performance standards. ...
Two sponsors of popular Medicare drug plans, MemberHealth and Bravo Health, did not act on requests for coverage of specific drugs within 72 hours, as required by the government. ...
Saturday, October 6, 2007
Either Bush didn't understand the bill he vetoed or he's just being petulant -- with the health of 4 million children at stake.
Bush's Veto Lies | By Eugene Robinson | Friday, October 5, 2007; Page A21
To say that George W. Bush spends money like a drunken sailor is to insult every gin-soaked patron of every dockside dive in every dubious port of call. If Bush gets his way, the cost of his wars in Iraq and Afghanistan will soon reach a mind-blowing $600 billion. Despite turning a budget surplus into a huge deficit, the man still hasn't met a tax cut he doesn't like. ... And for him to make his stand on a measure that would have provided health insurance to needy children is a punch line that hasn't left many Republicans laughing.
...
The program Congress voted to expand provides health insurance for children who fall into a perilous gap: Their families make too much money to qualify for Medicaid but don't make enough to afford health insurance. The cost of covering an additional 4 million children was estimated at around $35 billion over five years. That's a lot of money. But in the context of a $13 trillion economy -- and set against Bush's history of devil-may-care, "buy the house another round" spending -- it's chump change. ...
...
... Either Bush didn't understand the bill he vetoed or he's just being petulant -- with the health of 4 million children at stake.
To say that George W. Bush spends money like a drunken sailor is to insult every gin-soaked patron of every dockside dive in every dubious port of call. If Bush gets his way, the cost of his wars in Iraq and Afghanistan will soon reach a mind-blowing $600 billion. Despite turning a budget surplus into a huge deficit, the man still hasn't met a tax cut he doesn't like. ... And for him to make his stand on a measure that would have provided health insurance to needy children is a punch line that hasn't left many Republicans laughing.
...
The program Congress voted to expand provides health insurance for children who fall into a perilous gap: Their families make too much money to qualify for Medicaid but don't make enough to afford health insurance. The cost of covering an additional 4 million children was estimated at around $35 billion over five years. That's a lot of money. But in the context of a $13 trillion economy -- and set against Bush's history of devil-may-care, "buy the house another round" spending -- it's chump change. ...
...
... Either Bush didn't understand the bill he vetoed or he's just being petulant -- with the health of 4 million children at stake.
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