What Congress Should Learn from Medicine

The specialty of anesthesiology is one in which seconds matter. Treating an arrhythmia may require quick, decisive action to restore the heartbeat and blood pressure. Placing a breathing tube happens in a space of time measured in seconds and fraught with challenges: physical strength combines with deliberate movement and fine motor adjustments. Other activities, like weaning … Continue reading What Congress Should Learn from Medicine

Attention: The Mandate Is A Good Thing

Why?   The mandate spreads risk by bringing the young and healthy into the pool, making coverage more affordable. This is the exact opposite of a "high risk pool". Rising health care costs are thus a reason to strengthen the mandate, thereby making it more onerous for the young and healthy to duck out of coverage. … Continue reading Attention: The Mandate Is A Good Thing

On returning from the SCCM Annual Congress

At a recent national conference of critical care physicians, I spoke with a physician who was thrilled that Minnesota had voted Republican for the first time in many years. This physician's two main concerns were the size of her paycheck and the fact that there were people "sitting around on their couches" getting free health … Continue reading On returning from the SCCM Annual Congress

The Mandate is a Really Good Thing

Part 2 of What Everyone Needs to Know About Obamacare. Part 1 is here. Yesterday's post highlighted the three "legs" of the Affordable Care Act (ACA). No exclusions: Coverage for people with pre-existing conditions Universal Participation: A mandate to require all people to have health insurance Subsidies: Assistance to help the poor buy insurance In the above description, … Continue reading The Mandate is a Really Good Thing

What Everyone Needs to Know About Obamacare: Part 1, The Basics

Last week’s announcement of Tom Price as Secretary for Health and Human Services was eclipsed by several things, including tweets about flag burning, SNL, and canceling an order for a new Air Force One. This stream of tweets, unfortunately, serves as a distraction from much more important issues. (Both CNN and The New York Times featured … Continue reading What Everyone Needs to Know About Obamacare: Part 1, The Basics