Obamacare
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House GOP Takes Big Step to Shut Down Government
House Republicans on Friday made good on their threat to approve legislation to shut down the government beginning Oct. 1, unless the White House and Senate Democrats agree to defund the Affordable Care Act Read More »
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How Did Health Care Get to Be Such a Mess?
The problem with American health care is not the care. It’s the insurance. Both parties have stumbled to enact comprehensive health care reform because they insist on patching up a rickety, malfunctioning model. The insurance company model drives up prices and fragments care. Rather than rejecting this jerry-built structure, the Democrats’ Obamacare legislation simply added a cracked support beam or two. The Republican bill will knock those out to focus on spackling other dilapidated parts of the system...
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How The Koch Network Exploited The Veterans Affairs Crisis
As the scandal over waiting lists at Veterans Affairs hospitals exploded earlier this year, there was widespread outrage—and justifiably so, as the country learned that more than 100,000 veterans waited over ninety days for care or never received it...
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IntraCare North Hospital Goes Live on OpenVista Electronic Health Record
Houston psychiatric hospital uses proven open source EHR to realize affordable, economically sustainable, patient care improvements
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Is Open Source Software The Answer to Oregon's IT Problems?
When Oregon’s new Chief Information Officer, Alex Pettit,was on our show recently, we asked him what stood out from his move from Oklahoma to the northwest.
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Is Single-Payer the Right Payer?
As is customary for every administration in recent history, the Trump administration chose to impale itself on the national spear known as health care in America. The consequences so far are precisely as I expected, but one intriguing phenomenon is surprisingly beginning to emerge. People are starting to talk about single-payer. People who are not avowed socialists, people who benefit handsomely from the health care status quo seem to feel a need to address this four hundred pound gorilla, sitting patiently in a corner of our health care situation room. Why?
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Is The 1.5+ Trillion Dollar HITECH Act a Failure?
Hopefully, the public statements made by President Obama and Vice President Biden will lead to a public debate over the monumental problems that the HITECH Act and proprietary EHR vendors have caused the American people. While the press continues to report the figure of $35 billion as the cost of implementing EHRs, that figure does not tell the entire story. Perhaps the next step is to provide accountability and transparency. That would start with firm numbers regarding the real costs of EHR implementations forced on an unprepared healthcare system by the HITECH Act.
- The Future Is Open
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Is This A Different Kind of HealthCare.gov Contract?
A few days before a report reamed Obamacare officials for poor contracting practices, the government announced another cloud computing procurement for HealthCare.gov -- this one based on lessons learned, it said...
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Is Today the Day When Obama Starts Explaining ACA’s Benefits to Americans?
Whether you agree with Obamacare or not, it’s quite clear that the current administration has done a rather lousy job spreading the word about its advantages – even tangible benefits that Americans already enjoy. Read More »
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IT Reform Should Focus More On The Outcomes Than Tactics, Vanroekel Says
With information technology evolving faster than laws governing federal contracting, legislation to reform how government buys and builds IT should focus more on results than on specific methods of achieving them, the federal chief information officer told lawmakers Thursday.
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Kludgeocracy In America
In recent decades, American politics has been dominated, at least rhetorically, by a battle over the size of government. But that is not what the next few decades of our politics will be about. With the frontiers of the state roughly fixed, the issues that will define our major debates will concern the complexity of government, rather than its sheer scope...
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Lower Costs and Better Care for Neediest Patients
Can we lower medical costs by giving the neediest patients better care? Read More »
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Medical Record Advocate Dr. Donald M. Voltz Leads National Grassroots Petition Drive To Reduce 1,000 Daily Medical Error Deaths
A national grass roots campaign launches today to reduce the medical miscommunications in healthcare systems that cause almost 1,000 deaths a day in the U.S. This campaign seeks to forge a government and industry solution in solving this lapse in electronic healthcare communications, a cornerstone of Obamacare. The campaign is headed by Dr. Donald Voltz...Voltz petition on Change.org demands that the government and medical industry implement a solution to end what is a very easy problem to fix. Once signed by 25,000 U.S. residents age 18 and older, the petition will be sent to the White House for review and a specific, timely action plan.
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Millions of Americans Live Nowhere Near a Hospital, Jeopardizing Their Lives
As a nurse practitioner, Wanda Liddell knew it was a medical emergency when she saw one of her patients struggling to breathe last month. But in her backcountry town of Cross City, Florida, the ambulance took 30 minutes to arrive. Even worse, it was another 45 miles to the nearest hospital. Liddell faces this situation often and always wonders, what if? She is one of many medical providers working in towns 30 miles or more from a hospital, a distance that can make the difference between life or death...
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Morning...Reading Assignment
My friend Phillip Longman has for three decades been one of America's most creative, common-sensical, and non-doctrinaire thinkers on public policy. Read More »
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