Pulling It Together: The Repeal Trap? January 5, 2010 Perspective Almost a year into an often acrimonious health reform debate, we stand poised for near certain passage of historic health reform legislation. Yet, somewhat perplexingly, there’s now talk about whether a law that has not even been enacted might actually be repealed and reporters have been calling asking what the…
Pulling it Together: A Holiday Reminder on the Economy and Health Care December 2, 2009 Perspective With so much of the focus on the political dynamics of the health reform debate and a few hot button issues, I wonder if we have lost track of what propelled health care to the top domestic issue in the first place—people’s concerns about paying for health care in the…
Pulling it Together: A Note on Presidential Leadership Strategy November 20, 2009 Perspective In inside circles of the health reform debate there has been criticism of the President for not weighing in earlier and publicly on the details of health reform legislation. Does he want the Senate’s approach to employer obligations, or the approach taken in the House? What form of public option…
Pulling it Together: The “Third School” for Controlling Health Care Costs? October 26, 2009 Perspective For as long as I have been in the field, there have been two dominant schools of thought about how to control health care costs. One school, The Regulators, believed that the best way to slow increasing costs was to control the total resources going into the health care system:…
Pulling it Together: Implementation October 7, 2009 Perspective When I was a graduate student at MIT my adviser Jeffrey Pressman was a great political scientist who had just written the seminal book on program implementation. It was called, simply enough, Implementation, with a subhead that read: “how great expectations in Washington are dashed” (OK, we political scientists study…
Pulling it Together: The Media’s Challenge In Health Reform September 28, 2009 Perspective For many years now the news media has served as the public’s number one source of information on important issues like health reform. People rely on the news media to help them wade through claims and counter claims, understand how policy options will affect them and come to judgment on…
Pulling it Together: Simple Arithmetic September 10, 2009 Perspective This week we put out our annual benchmark survey of employer health coverage and costs. Two numbers jumped off the pages. The first number was the average cost of a family health insurance policy in 2009: $13,375. To put that number in context, if you are an employer, you can…
Pulling it Together: This Could Be the Next Big Issue in Health Reform August 20, 2009 Perspective No, this is not about “death panels.” The town hall meetings. The media coverage of the town hall meetings. Media polls about how the American people feel about the town hall meetings. And even the media myth busting and fact checking about the most extreme claims made at the town…
Pulling it Together: Small $ for HIV Prevention July 28, 2009 Perspective It’s no secret that the response to the HIV epidemic domestically has not kept pace with the response to the global epidemic. And in an earlier column called America Has Gone Quiet on HIV/AIDS I wrote about the growing complacency towards the domestic epidemic revealed in our recent survey of…
Pulling it Together: Teaching An Old Dog New Tricks July 7, 2009 Perspective Way back in the eighties when I was Human Services Commissioner in New Jersey, I established something called the Garden State Health Plan (GSHP). It was the first — and I think the only — federally qualified state-run HMO for Medicaid beneficiaries. One goal of the GSHP was to reallocate…
