Perhaps an Explosion Would Be the Most Efficient Route to the Triple Aim
Apr25

Perhaps an Explosion Would Be the Most Efficient Route to the Triple Aim

After the failure of Paul Ryan’s American Health Care Act to get passed over the internal squabbling of House Republicans despite their forty four vote majority, David Brooks wrote an interesting tongue in cheek column entitled “The Coming Incompetence Crisis.” He articulated his concern:   …I worry that at the current pace the Trump administration is going to run out of failure. So far, we’ve lived in a golden age of...

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The Search For a Better Future State
Apr04

The Search For a Better Future State

The failure of the president and House Republicans to launch a credible process to “repeal and replace” the ACA creates a moment of opportunity for those who would like to contribute to the search for a better future state for healthcare. The challenge of providing affordable, quality care to all Americans has flummoxed politicians, healthcare policy experts, clinicians, healthcare administrators, insurance executives, employers, and...

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The President’s Prediction of the Explosion of the ACA
Mar28

The President’s Prediction of the Explosion of the ACA

The announcement of the death of the AHAC and the president’s prediction of the “explosion” of the ACA broke in an unusual way. Robert Costa of the Washington Post got the word directly from the president and then tweeted that the AHAC was being withdrawn before Paul Ryan had a chance to meet with Republican House members to tell them of the big decision. Costa published an article about the surprising call he...

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Understanding “Ryancare”, the AHCA
Mar14

Understanding “Ryancare”, the AHCA

With Paul Ryan’s  launch of his “repeal and replace” bill , which he calls the American Health Care Act (AHCA) and I prefer to call “Ryancare,” he initiated a new phase of the healthcare debate. Finally, we are seeing the focused discussion of the complex issues of care, coverage, and cost that should have been a central part of the debate before the election. Talk show hosts and comedians are demonstrating a grasp for the complexity...

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Looking Underneath the President’s Comments About “Repeal and Replace”
Mar07

Looking Underneath the President’s Comments About “Repeal and Replace”

As the “talking heads” who analyzed the President’s speech and Governor Beshear’s Democratic party response were fading into the 11 o’clock news, Verizon offered an advertisement that contained as much or more wisdom than anything that I had heard over the previous two hours.       Why promise something that you can not deliver? (Verizon Ad)   The President seems intent on the delivery of everything that he promised...

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“Repeal and Replace”: Finally, Something From the Republican Leadership
Feb28

“Repeal and Replace”: Finally, Something From the Republican Leadership

This last week Congress has been recessed for the Presidents’ Day holiday week. Paul Ryan accurately anticipated that many of Republican members of Congress would be having town meetings with their constituents and would face angry voters who wanted to talk down the plans to “repeal and replace” the ACA. Ryan met with his troops on the Thursday before they left Washington for their week of hometown meetings. Like a good general,...

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