Health Care Is a Public Good; It's Time Dems Explain Why

Donald Berwick says 20-30% of health care spending helps no one

(NEWSER) - Between 20% and 30% of all US health care spending is pure “waste,” according to departing Medicare and Medicaid chief Donald Berwick. “Much is done that does not help patients at all, and many physicians know it,” Berwick said in an interview with the New York Times on Thursday, his last day on the job. He cited overtreatment of patients, the failure to coordinate care, complex administrative systems, burdensome regulations, and fraud as the main reasons for the “extremely high level of waste.” More»

Insurers now required to spend 80% of premiums on customers

(NEWSER) - A rule requiring health insurers to spend at least 80% of premiums on customers and a $2.5 billion tax on drug makers are among the health care reform provisions taking effect today. The new rules also plug the "doughnut hole" in Medicare drug benefits and provide free preventive services like cancer screenings to almost all Medicare beneficiaries, the Washington Post reports. More»

Keep plans private, creating gov't care 'by proxy'

(NEWSER) - Amid “widespread national revulsion,” Obamacare as it stands “is dead,” but the Democrats can revive it if they’re willing to make some key concessions, writes Charles Krauthammer—a nonpracticing physician in addition to pundit—in the Washington Post. What they must do:

1. Dump the public option.
2. Forget about “any reference to end-of-life counseling.”
3. Don’t let government decide what procedures are best.
4. Don’t treat the overhaul as a cost-cutting measure.

Kennedy leads meetings with industry

(NEWSER) - A series of unprecedented back-room meetings among the biggest players in health care is close to a consensus: Any new legislation will require that every American have insurance, the New York Times reports. The next part, of course, is trickier: figuring out how to enforce it, how to make it affordable, and whether to put the onus on employers. One idea floated: a tax penalty on individuals who choose to go without even if they can afford it. More»

Fraud-fighters finding it hard to stay ahead of shell companies

(NEWSER) - Fraudsters using complicated networks of ghost companies are sucking hundreds of millions of dollars out of Medicare every year and it's a bit like taking candy from a baby, a Reuters investigation finds. The probe—which officials say will likely lead to a criminal investigation of the firms involved—found that the "companies" of many Medicare providers are registered to nonexistent addresses, or the addresses of abandoned buildings. The thieves use stolen doctor and patient data to bill Medicare for as much money as possible in a short time. More»