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Rick Perry’s Snake Oil Cure For Our Sick Healthcare System

From The Huffington Post:

By Wendell Potter

In his quest to win the Republican presidential nomination, Texas Gov. Rick Perry is perpetuating a convincing hoax: that implementing Texas-style tort reform would go a long way toward curing what ails the U.S. health care system.

Like his fellow GOP contenders, Perry consistently denounces “Obamacare” as “a budget-busting, government takeover of healthcare” and “the greatest intrusion on individual freedom in a generation.” He promises to repeal the law if elected.

Unlike those in the “repeal-and-replace” wing of the Republican Party, however, Perry has emerged as leader of the “repeal-and-let-the-states-figure-it-out” wing that believes the federal government has no legitimate role in fixing America’s health care system.

“To hear federal officials tell it, they’ve got all the answers on health care and it’s up to the rest of us to sit, wait and embrace whatever solution — if any — they may eventually provide,” Perry wrote in a newspaper commentary in 2009. “I find this troubling, since states have shown they know a thing or two about solving problems that affect their citizens.”

Even as he points with pride to the alleged benefits of malpractice and other tort reforms that have been enacted during his tenure as governor of Texas, Perry says he is opposed to tort reform at the federal level. He cites the 10th Amendment to the Constitution, which states-rights advocates say limits the role of the federal government.

But if Perry had his way, all the states would do as Texas did in 2003 when lawmakers enacted legislation, which he championed, limiting the amount of money juries can award patients who win malpractice lawsuits against doctors and hospitals. The legislation capped non-economic (pain and suffering) damages at $250,000 in lawsuits against doctors and $750,000 against hospitals. A few months after he signed the bill into law, the state’s voters narrowly passed a constitutional amendment, also endorsed by Perry, which had the same effect. Proponents of the amendment wanted to be sure the new law would be constitutional.

Texas, he wrote in that 2009 commentary “stands as a good example of how smart, responsible policy can help us take major steps toward fixing a damaged medical system, starting with legal reforms.”

As a result of the 2003 tort reform law, malpractice liability insurers reduced their rates in Texas and, according to Perry, the number of doctors applying to practice medicine in the state “skyrocketed.”

He says that in the first five years after tort reform was enacted, 14,498 doctors either returned to practice in Texas or began practicing there for the first time.

That certainly sounds impressive — so long as you look at that number in isolation. But when you look at how Texas stacks up with the rest of the country in terms of physician growth in direct patient care, tort reform appears to have given Texas no leg up in competition with others states for doctors. In fact, according to statistics compiled by the American Medical Association and other physician organizations, Texas has actually lost ground when it comes to the number of doctors practicing in the state since tort reform was enacted. Big time. (more…)

RomneyCare: Program Review Shows Appealing Efficacy

From The Boston Globe:

 

June 26, 2011|By Brian C. Mooney, Globe Staff

Second of two stories on Mitt Romney and the state health care overhaul.

On a sunny autumn afternoon in October 2008, Mitt Romney and his wife, Ann, met New Hampshire portrait artist Richard Whitney at the State House and went to the governor’s office he once occupied on the third floor.

About eight months earlier, Romney had dropped out of the race for the Republican presidential nomination, and his successor, Deval Patrick, had arranged for them to use his office to shoot photos to be used for Romney’s official portrait, which would be unveiled the following year.

The artist and former governor had already met at Romney’s vacation home in Wolfeboro,, N.H., to discuss the painting, and Romney was clear on the image he wanted to convey for posterity.

He would be at his desk, wearing a light blue business suit and tie. Visible in the frame would be symbols of what he held dear and how he wanted to be remembered.

One was a photo of Ann, center of his personal universe.

The other was an official-looking document, with the symbol of the medical profession — the caduceus — embossed in gold on the cover. It stood for the Massachusetts health care law, passed in 2006, his final year as governor. Easily the most memorable achievement of his political career, it is now perhaps the biggest hurdle to achieving his presidential dream. (more…)

GOP Govs Cool Toward Offer Of Flexibility On ACA

Gov. Nikki Haley at a meeting of governors hosted by President Barack Obama in the State Dining Room of the White House, Monday. (AP Photo/Charles Dharapak)

From The Wall Street Journal:

By JANET ADAMY

WASHINGTON—President Barack Obama on Monday backed a bill in Congress to let states design their own ways to expand insurance coverage sooner under the health-care overhaul, in a nod to governors’ complaints that federal rules are too rigid.

The proposal won cool reviews from Republican governors and doesn’t represent a fundamental change to the overhaul, but it could open the door to more rethinking of health-care policies as states are struggling with large deficits.

Speaking to governors at the White House, Mr. Obama also responded to a wave of pressure from governors who say Medicaid, the federal-state insurance program for the poor, costs the states too much. The president, without giving specifics, said his administration would work to lower states’ Medicaid costs and called for a bipartisan group of governors to craft ideas.

His proposal on increasing state flexibility involves a piece of the health law scheduled to take effect in 2017. It allows states to avoid the major mandates of the law, including the requirement that most people carry insurance or pay a fee, among other rules. To qualify, states must develop an alternate system of comparable coverage that insures as many people as the federal law, without increasing the nation’s deficit.

A bipartisan trio of senators has proposed legislation to allow the exemption in 2014, when most of the rest of the law kicks in. In his speech to the governors, Mr. Obama said he supported moving the date up.

(more…)

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