Posts Tagged ‘Healthcare’

Medicare: The Free Market Option

Tuesday, September 8th, 2009

Medicare gives patients more choice, and a greater range of free-market options than does private insurance.  While Medicare has had its financial challenges, it is an example of a government-run program that gives patients choice.  Sometimes, private insurers refuse to include physicians in their plans; Medicare does not exclude physicians.

The insurance companies insist the idea of healthcare reform to include a public option – such as Medicare – but it’s important to look at the facts that includes a government-run plan.  According to a recent article in Mother Jones magazine, “Survey results demonstrate that Medicare beneficiaries are less likely than those with private coverage to High healthcare cost, advanced healthcare directivereport negative experiences with their insurance plans – including having expensive medical bills for non-covered services, being charged a lot more than insurance would pay, and physicians not taking their insurance.”

According to a study by the Commonwealth Fund, 37 percent of Medicare patients are completely satisfied with their coverage and report few problems accessing and paying for healthcare.  Only 20 percent of people with employer provided plans reported the same level of satisfaction.

One argument often used against the public health plan option is the following: I want to choose my own doctor, and I don’t want a government bureaucrat making that decision.  That’s wrong.  Under private healthcare plans, your only choice is to pick a doctor who has negotiated costs with your insurance company.  Doctors unwilling to negotiate are excluded.

In seeing the way the healthcare debate has been framed, perhaps the administration would have been better off describing the proposed reform as the extension of Medicare to the entire population.

A public health plan option will not introduce a bureaucracy into healthcare; that bureaucracy already exists.

Rural Family Practice Physician Chosen as Surgeon General

Friday, July 24th, 2009

President Obama has chosen a little-known family practice physician who runs a small clinic in a rural community on Alabama’s Gulf Coast as his Surgeon General of the United States.  She is Dr. Regina Benjamin,  who has spent her career tending to the healthcare needs of the poor.  According to Obama, “When people couldn’t pay, she didn’t charge them.  When the clinic wasn’t making money, she didn’t take a salary for herself.”artbenjaminnominationgi

Dr. Benjamin has committed herself to fighting the preventable illnesses that prematurely took the lives of both her parents, as well as her brother and sole sibling.  According to Dr. Benjamin, “I cannot change my family’s past, but I can be a voice to improve our nation’s healthcare for the future.”

Dr. Benjamin’s medical education was paid for by the National Health Service Corps, a federal program where students agree to pay back by working in areas that lack physicians for a specified time.  To honor that obligation, she founded the not-for-profit Bayou La Batre Rural Health Clinic in 1990 in the fishing village of Bayou La Batre, AL.  She remains the practice’s CEO.

The clinic, which was heavily damaged by Hurricanes Georges and Katrina, burned to the ground several years ago.  Every time, Dr. Benjamin rebuilt, even if it meant mortgaging her house or maxing out her credit cards.  Despite the setbacks, Dr. Benjamin remains dedicated to providing quality healthcare to the village’s 2,500 residents.

Benjamin is a stark contrast to Obama’s first nominee for Surgeon General – Sanjay Gupta, a glamorous TV personality and globe-trotting neurosurgeon who raised the hackles of Senators and withdrew his nomination.

The Surgeon General post, which is used primarily as a bully pulpit on healthcare initiatives, requires Senate confirmation.

Medical Office Buildings a Sound Investment, Despite Recession

Thursday, July 23rd, 2009

In an environment where flat is the new up in the world of commercial real estate, medical office buildings are performing better than other properties.  In May, Industry Insights published two papers written by the Houston-based investment firm, Cain Brothers, which stated that this is a good time for health systems to sell real estate assets to raise needed cash.kaiser-_office_interior1-copy

Make no mistake, medical office building values are showing some slippage.  “We’re seeing values go down, but nowhere near what is going on with traditional office buildings,” said Tom Dalcolma, a partner in Street Sotheby’s Medical Realty Advisors.

A Real Capital Analytics study performed in May found that three percent of commercial office buildings were in bankruptcy, foreclosure or some form of distress.  Only one percent of medical office buildings were in similar straits.  Medical office building sales volume fell 20 percent over the past 12 months, compared with 51 percent for other office buildings.  The report concludes:  “Medical office properties have proven to be a safe haven, and this niche has little trouble.”

Interest in medical office buildings is growing because investors recognize that healthcare spending is not being impacted as harshly as the rest of the economy.  As minor medical procedures move from hospitals to offices, the demand for new facilities is increasing.  There were 600 million outpatient visits last year.  And that will only increase as the population swells by 45 million during the next 10 years.

House Proposes $1.5 Trillion Healthcare Reform Package

Wednesday, July 22nd, 2009

The House of Representatives has proposed a $1.5 trillion package that would make healthcare coverage a right and a responsibility for all citizens.  If passed, medical providers, employers and the wealthy would pick up the tab.  The United States is the only developed nation that lacks healthcare coverage for all citizens, and approximately 50 Health Care Reformmillion people do not have access to insurance.

“We cannot allow this issue to be delayed.  We cannot put it off again,” says Representative Henry Waxman, a California Democrat and chairman of the House Energy and Commerce committee.  “We quite frankly cannot go home for a recess unless the House and the Senate both pass bills to reform and restructure our healthcare system.”

President Obama is promoting healthcare reform every chance he gets.  In a Michigan speech about spending for community colleges, he said, “There’s going to be a major debate over the next three weeks.  And don’t be fooled by folks trying to scare you saying we can’t change the healthcare system.  We have no choice but to change the healthcare system because right now it’s broken for many Americans.”

Organizing for America – Obama’s campaign organization – is launching a series of 30-second television ads on healthcare reform that will air in Washington D.C., on cable networks nationally and on local stations in eight states.  The ads depict ordinary citizens telling their stories about problems with the current healthcare system.

Senate Advances on Reshaping Healthcare Coverage

Tuesday, July 21st, 2009

A crucial Senate committee has approved legislation to reform the nation’s healthcare system.  This is significant because it marks the first time the committee has acted on legislation to fulfill President Obama’s goal of reshaping how healthcare is paid for in the United States.s-obamated-large

Specifically, the Health, Education, Labor and Pensions Committee voted 13 – 10 — along strict party lines — to endorse a $600 billion measure to expand coverage to virtually all Americans by requiring individuals to get insurance with their employers contributing to the cost.  If enacted into law, the legislation would provide federal aid to families and individuals who make less than four times the poverty level – approximately $88,000 for a family of four.

The committee’s chairman, Senator Ted Kennedy of Massachusetts, missed the vote because of his ongoing treatment for brain cancer.  Even though Senator Kennedy is acting behind the scenes in the push to pass this legislation, he remains one of the prime movers for enacting healthcare reform.

The Loyal Opposition

Tuesday, July 21st, 2009

The Republican National Committee’s (RNC) response to the Obama Administration’s and Congressional Democrats’ efforts to pass healthcare reform legislation was to sponsor a “Hillarycare revisited” fund raising effort.

The RNC warned against “Obamacare” and pointed out that the government “already run2008-08-23-dnc-081s car companies, banks and mortgage companies.  Republicans believe that the last thing the American people want is government telling them when and where – or even whether – they can get medical treatment for their families.”  “Hillarycare” refers to former President Bill Clinton’s failed attempt at reforming healthcare during the 1990s, an effort led by his wife, Hillary Clinton.

Republicans like John Boehner (R-OH) have raised the specter of a “bureaucrat standing between you and your doctor.”  Perhaps it’s worth considering that we currently have an insurance company bureaucrat performing the same role.  Also, government administered health options are almost uniformly popular.  The World Health Organization ranks France’s healthcare system as the world’s finest, contrasted to the United States, which scored 37th.  The United Kingdom’s combination of publicly and privately funded healthcare ranked 18th in the World Health Organization’s survey.

Top-Rated Cleveland Clinic Holds the Line on Healthcare Costs

Thursday, July 9th, 2009

In an era when healthcare costs are projected to rise to $4 trillion by 2016, it’s heartening to know that one of the nation’s highest-rated hospitals has some of the lowest costs.  The Cleveland Clinic is regularly consulted by lawmakers and officials from the Obama Administration in their efforts at achieving healthcare reform – yet it operates more efficiently than most of its competitors.cleveland-clinic

“Everything we do is done with the patient at the center, not the doctor at the center,” said Dr. Steven Nissen.  One way the Clinic provides exceptional care at reasonable cost is by using a model in which medical professionals practice side-by-side rather than in separate and — frequently — competitive departments.

President Barack Obama gave kudos to the Cleveland Clinic for its success. “Without a serious, sustained effort to reduce the growth rate of health care costs, affordable healthcare coverage will remain out of reach.  So we must attack the root causes of the inflation in healthcare.  That means promoting the best practices, not simply the most expensive.  We should ask why places like the Mayo Clinic, the Cleveland Clinic, and other institutions can offer the highest quality care at costs well below the national norm.  We need to learn from their successes and replicate those best practices.  That’s how we can achieve reform that preserves and strengthens what’s best about our healthcare system, while fixing what is broken.”

As part of its road to excellence, the Clinic also promotes employee wellness.  It doesn’t hire smokers; it sponsors a farmers’ market at its main campus, stocks its cafeterias with healthy foods and conducts yoga classes for patients and employees.

Wellness Is a Proactive Approach to Healthcare

Wednesday, June 24th, 2009

Now is the time for healthcare providers to take a proactive approach to the well-being of their respective communities and target markets.  The American Recovery and Reinvestment Act (ARRA), signed into law by President Obama on February 17, contains $1 billion for the new Prevention and Wellness Fund.  This Fund will make available resources for funding immunization programs; infection prevention programs; and the prevention of mpj040515400001chronic diseases such as high blood pressure, diabetes and heart disease.  Based on statistics provided by the Center for Disease Control and Prevention, more than 70 million people in the United States (approximately 25 percent of our total population) live with cardiovascular disease.  Wellness programs have a direct impact on the prevention of these diseases and will be an important components of any preventative program.

Healthcare providers have historically been hesitant to invest in wellness and fitness centers due to the capital resource requirement and uncertain return on investment.  With careful planning and strategic development, these facilities can bring a substantial new revenue stream into the organization.  Skeptics may point to the Medical Fitness Association, which reports that in 2008 there were approximately 950 medically based wellness and fitness centers in the United States, with one-third reporting operating losses.

While such risks do exist, investing in wellness facilities and programs that directly address the prevention of chronic disease have the potential for more than satisfactory financial results.  If managed with a clear direction, thought and competence, these facilities can provide a financial return far more attractive than the equities market has offered in the recent past.  The resources allocated to fight chronic disease will come back tenfold in cost reductions over the long term.

Now is the time to invest in the well-being of our future.  We should not wait for another opportunity like the one Congress and President Obama have provided.  We need to take advantage of this now.

Congress Forging Ahead on Mandatory Healthcare Bill

Thursday, June 18th, 2009

Congress is drafting historic legislation intended to restructure the American healthcare system.  At a time when healthcare costs total $2.4 trillion annually (an average of $7,868 per person), are projected to rise to $4 trillion by 2016 and 46 million Americans lack any insurance coverage, the legislation is badly needed.  According to a draft outline, the legislation might call for mandatory insurance requirements, which could conceivably be sold either through a national or state-based exchange.  The bill is also likely to include a government-backed plan to control healthcare-for-america-nowcosts.

The Joint Committee on Taxation opined that the size of the savings might fall under several taxation arrangements, which could be essential in determining how to pay for the reform bill.  The legislation includes an opportunity to drop the Sustainable Growth Rate formula, which is perceived by many as fatally flawed.

The legislation also will bring provider payments into line with recommendations from the Medicare Advisory Payment Commission, and allow payment alternatives for healthcare systems that offer coordinated care and focus on preventative health.  Medicaid would be expanded, with subsidies available to pay for coverage.

A quick analysis concludes that the House draft will cost more than legislation currently under consideration in the Senate.  So far, neither Democrats nor Republicans have been able to decide how to pay for the bill, which could total more than $1 trillion over the next 10 years.

The Pharmacist Is In.

Friday, June 12th, 2009

Another sign of the healthcare industry’s growth trajectory is the news that Roosevelt University is opening a College of Pharmacy at its Schaumburg, IL, campus.  According to Dean George MacKinnon III, the college’s initial courses will begin in the fall of 2011 and enroll approximately 65 students.

Pharmacology is a high-demand, well-paying field, thanks to the aging American population and the healthcare industry’s increasing dependence on prescription drugs.  The United States spends $986 million annually on prescription42-18496211 drugs – the highest in the world.  Statistics from the Bureau of Labor Statistics indicate that pharmacy jobs will grow by 22 percent between 2006 and 2016 – a rate that translates to solid career prospects in a demanding field.

Michael Patton, executive director of the Illinois Pharmacists Association, notes that the shortage of qualified pharmacists means that new graduates can easily find $100,000 a year jobs with very little effort.  They may be aggressively recruited by nationally branded pharmacy companies that offer lucrative incentive packages such as signing bonuses and student loan repayment programs.

Roosevelt is speeding up the training process by offering a three-year program versus the traditional four-year curriculum.  With tuition expected to run between $30,000 and $40,000 per year, this will let new pharmacists enter the workforce sooner rather than later.