John R. Graham
California
A Strange Way to Help Patients: California Nurses Association Strikes Again!
I suppose if I were a patient at one of Sutter Health’s ten hospitals in Northern California, now at the mid-point of a ten-day long nursing strike, I might find some cold comfort in the California Nurses Association’s claim that this walk-out by 4,000 RNs is a “dramatic stand for ...
John R. Graham
March 24, 2008
Commentary
Convenient Clinics: Becoming Part of the Problem?
I hate to write this, but there are increasing signs that one of the most significant disruptive forces in American health care today is slowly being sucked into the same old way of doing business. I speak of the convenient clinics. I’m not saying the news is all bad. The ...
John R. Graham
March 15, 2008
California
Out of the Wreckage of ABX1 1, Consumer Watchdog Plans Another Shake-Down
You would think that anyone seriously wanting to improve health care in America would want to reduce, not increase the administrative, bureaucratic burden of over regulation, in order to ensure more dollars go to patient care. But if you profit from the regulatory burden, you’d hardly make that a serious ...
John R. Graham
March 14, 2008
Commentary
Twilight of the Medieval Guilds? Scope of Practice Laws Examined
The California HealthCare Foundation, hardly a bunch of right-wing fanatics like us at PRI, has published a sober, but assertive, analysis of how California regulates the scope of practice of health professionals, along with recommendations for improvement. It’s written by scholars at the University of California, San Francisco’s Center for ...
John R. Graham
March 13, 2008
California
California Health Care Deforminator Model ABX1 1: A Requiem
The Health Affairs blog has just wrapped up a series of posts from a number of folks who supported, to various degrees, the so-called “reform” that Governor Schwarzenegger and his allies recently tried to foist on California. I suppose that one could generally identify these ladies and gentlemen as “Clintonista” ...
John R. Graham
March 13, 2008
California
California’s Convenient Clinics: Some Win, Some Lose, All Change
The Sacramento Business Journal (subscribers only) has surveyed the “drop-in” clinics that have sprouted up around the state’s capital city in the last three years or so. It’s amazing what a diverse group they are! Sutter Express Care, owned by a large non-profit, hospital chain, has been hoping to use ...
John R. Graham
March 11, 2008
Commentary
Massachusetts’ Commonwealth Connector’s Compliance Confusion
Advocates of so-called “universal” health care often cite the “fragmentation” of the status quo as reason enough to increase taxes and fines so that everybody has health insurance – whether we like what’s offered or not. And, they have a point: the employer-based health care system lets a lot of ...
John R. Graham
March 10, 2008
Commentary
Forced health coverage unhealthy
In 1949, Pennsylvania became the first state to impose benefit mandates on health insurance, requiring plans to pay for osteopathy and dentistry services. It was a watershed event that led to a flood of legal requirements in other states. Unfortunately, it also laid the groundwork for today’s bloated health care ...
John R. Graham
March 8, 2008
California
“Thinking Small” on California Health Reform? Not Small Enough!
Using a very appropriate headline, the features editor of the California Healthline points out that California’s “health reformers try again on a smaller scale”. Unfortunately, they are not trying small enough. Although the Schwarzenegger-Nuñez Health Care Deforminator Model ABX1_1 failed in the Senate health committe last month, after a year ...
John R. Graham
February 29, 2008
California
Healthy San Francisco: Wouldja Like An Employee Voluntary Waiver with Those Fries?
I’ve not only criticized the Healthy San Francisco employer “pay or play” mandate that has dropped a payroll tax of $1.17 to $1.76 per hour on the city’s struggling businesses; I’ve actually proposed an alternative. But…..they went ahead and did it anyway. Pending the Golden Gate Restaurant Association’s legal appeal ...
John R. Graham
February 26, 2008
A Strange Way to Help Patients: California Nurses Association Strikes Again!
I suppose if I were a patient at one of Sutter Health’s ten hospitals in Northern California, now at the mid-point of a ten-day long nursing strike, I might find some cold comfort in the California Nurses Association’s claim that this walk-out by 4,000 RNs is a “dramatic stand for ...
Convenient Clinics: Becoming Part of the Problem?
I hate to write this, but there are increasing signs that one of the most significant disruptive forces in American health care today is slowly being sucked into the same old way of doing business. I speak of the convenient clinics. I’m not saying the news is all bad. The ...
Out of the Wreckage of ABX1 1, Consumer Watchdog Plans Another Shake-Down
You would think that anyone seriously wanting to improve health care in America would want to reduce, not increase the administrative, bureaucratic burden of over regulation, in order to ensure more dollars go to patient care. But if you profit from the regulatory burden, you’d hardly make that a serious ...
Twilight of the Medieval Guilds? Scope of Practice Laws Examined
The California HealthCare Foundation, hardly a bunch of right-wing fanatics like us at PRI, has published a sober, but assertive, analysis of how California regulates the scope of practice of health professionals, along with recommendations for improvement. It’s written by scholars at the University of California, San Francisco’s Center for ...
California Health Care Deforminator Model ABX1 1: A Requiem
The Health Affairs blog has just wrapped up a series of posts from a number of folks who supported, to various degrees, the so-called “reform” that Governor Schwarzenegger and his allies recently tried to foist on California. I suppose that one could generally identify these ladies and gentlemen as “Clintonista” ...
California’s Convenient Clinics: Some Win, Some Lose, All Change
The Sacramento Business Journal (subscribers only) has surveyed the “drop-in” clinics that have sprouted up around the state’s capital city in the last three years or so. It’s amazing what a diverse group they are! Sutter Express Care, owned by a large non-profit, hospital chain, has been hoping to use ...
Massachusetts’ Commonwealth Connector’s Compliance Confusion
Advocates of so-called “universal” health care often cite the “fragmentation” of the status quo as reason enough to increase taxes and fines so that everybody has health insurance – whether we like what’s offered or not. And, they have a point: the employer-based health care system lets a lot of ...
Forced health coverage unhealthy
In 1949, Pennsylvania became the first state to impose benefit mandates on health insurance, requiring plans to pay for osteopathy and dentistry services. It was a watershed event that led to a flood of legal requirements in other states. Unfortunately, it also laid the groundwork for today’s bloated health care ...
“Thinking Small” on California Health Reform? Not Small Enough!
Using a very appropriate headline, the features editor of the California Healthline points out that California’s “health reformers try again on a smaller scale”. Unfortunately, they are not trying small enough. Although the Schwarzenegger-Nuñez Health Care Deforminator Model ABX1_1 failed in the Senate health committe last month, after a year ...
Healthy San Francisco: Wouldja Like An Employee Voluntary Waiver with Those Fries?
I’ve not only criticized the Healthy San Francisco employer “pay or play” mandate that has dropped a payroll tax of $1.17 to $1.76 per hour on the city’s struggling businesses; I’ve actually proposed an alternative. But…..they went ahead and did it anyway. Pending the Golden Gate Restaurant Association’s legal appeal ...