Ezra Klein

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A responsible solution: VA VistA, the cloud and private development

While changes to VistA are warranted and necessary, trashing the entire system because one component may be flawed makes little sense from technological or financial perspectives. The VA scheduling scandal was the product of an agency overwhelmed by veterans returning from two theaters of war. In that scenario, the scheduling system became a scapegoat for organizational and human resources challenges that were bound to manifest in one way or another.The VA should not heed calls to replace VistA for these key reasons...

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Healthcare's Biggest Lie: Employers Can't Do Anything About Massive Pricing Failure

Dave Chase | LinkedIn | December 11, 2015

Astute observers have stated controlling healthcare costs is almost impossible. TIME magazine devoted their longest story in their history to this topic in The Bitter Pill by Steven Brill that was turned into a book. The solution to the problem that is outlined below addresses the massive pricing failure present in healthcare. That is, in most markets higher prices equates to higher quality. In healthcare, frequently the opposite is true. For example, it stands to reason that surgeons who do a procedure frequently are far more efficient and have far fewer complications than those who perform surgeries more infrequently...

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Obama and Biden Blast EHR Vendors for Data Blocking

As they are winding their terms in office, President Barack Obama and Vice President Joe Biden dropped a stink bomb on the health IT industry. Speaking at different events on Friday, January 9th, the President and Vice President both criticized proprietary electronic health record (EHR) vendors as the primary obstacle to the success of their administration’s health care strategy. This is the highest level acknowledgement so far of the serious impact that “lock-in” EHR software vendors are having on America’s medical infrastructure and the ability of physicians to provide medical care.

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Obama’s Surprising Answer on Which Part of Obamacare Has Disappointed Him the Most

Sarah Kliff | Vox | January 9, 2017

There was this moment, about 50 minutes into our interview with President Barack Obama last week, that genuinely surprised me (and surprised other health care journalists, like David Nather, too). My colleague Ezra Klein had asked the president a question about which part of the law had overperformed his expectations, and which part of the law had underperformed. The president gave a surprisingly frank assessment of something his administration has tried, and failed, to do: Get doctors off paper and on to digital medical records...

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Veterans aren’t the only ones waiting for health care

Ezra Klein | Vox | May 23, 2014

But the big question with these stories about the VA is, "compared to what?" This scandal wouldn't exist if the VA didn't have performance metrics on its employees. If it didn't measure or care whether veterans get prompt appointments it could just do what the rest of the health-care system has done and not hold people responsible for these metrics. Read More »

Why Didn't The White House Use WordPress?

Dylan Byers | POLITICO | October 24, 2013

HealthCare.gov is "a disaster," "a failure" and "excruciatingly embarrassing" for the Obama administration. Why didn't they just use WordPress? Read More »