November 28, 2014

simhof's blog

Health Care Cost Growth Slows, But We Still Need Long-Term Focus

A new report by the Office of the Actuary at the Centers for Medicare and Medicaid Services (CMS) found that health care spending over the past four years grew at the slowest rate recorded in more than half a century.

You Can't Repeal IPAB Without a Credible Alternative

Last week two committees in the House of Representatives voted to repeal the Independent Payment Advisory Board (IPAB). This is an alarming attempt to undo a key cost-saving enforcement mechanism without putting anything else in its place.

You may recall that the IPAB was created by the Affordable Care Act (ACA – aka “health care reform”) to reduce the growth in Medicare spending through the use of a spending-target system and a fast-track legislative process. 

Presidential Hopefuls, Take Note: Iowans Care About Fiscal Responsibility

In an op-ed article on Sept. 26 in the Des Moines Register, I pointed out that “…regardless of age, socio-economic status or political ideology, we are all affected by inefficiencies in our health system, irresponsible tax and spending policies in Washington, and snowballing government debt.”

I urged average citizens to become more engaged in the search for solutions to our fiscal and economic challenges: “Getting involved is the right thing to do. If we don't take action, who will?”

Death Panels Part II: How Advance Care Planning and Palliative Care Relate to Current Health Reform Efforts

In my previous post, I spent some time clarifying how “advance care planning” is in no way, shape or form the same as a “death panel,” and how palliative care does not equate to any "rationing of care." Rather, both these health care interventions are patient-centered and improve the value of the health care experience for severely, chronically, and terminally ill patients and their families.

Clarifying Misinformation about Death Panels

When discussing health care reform, if we cannot even be clear that “advance care planning” is in no way, shape or form the same as a “death panel,” how will we ever be able to talk about the real (and factual) challenges facing the Medicare program and its long-term sustainability?

Ugh….

A volunteer wonders: Will we accept the challenge put forth in I.O.U.S.A.?

Although I.O.U.S.A. was not graced with the honor of an Oscar nomination this morning, the movie's power and message is undeniable. The filmmakers did a great service to the issue of fiscal responsibility and the country's dialogue about generational stewardship. 

I.O.U.

Many of you have heard about the documentary movie I.O.U.S.A. For this blog post, I would like to borrow just the first three letters of this catchy title as I thank the wonderful Concord Coalition volunteers of the Midwest: I.O.U.