Tag Archives: health care reform

Health Care reform: Kilroy was here

Add to FacebookAdd to DiggAdd to Del.icio.usAdd to StumbleuponAdd to RedditAdd to BlinklistAdd to TwitterAdd to TechnoratiAdd to Yahoo BuzzAdd to Newsvine

 By: Jerry Friedman
Associate Vice President in the Office of Health Sciences and
Advisor for Health Policy at The Ohio State University Medical Center

The  breadth and depth of how health care reform  would impact academic medicine was revealed and explored  during a panel discussion at the Ohio State University Medical Center (OSUMC).  Congresswoman Mary Jo Kilroy (OH-15) kicked off the event with remarks about the personal and political,  health and economic imperatives that moved Congress to enact the transformational Patient Protection and Affordable Care Act.   She then joined health sciences leadership in a panel moderated by Dr. Steven G. Gabbe, OSU Medical Center CEO to discuss the impact the legislation would have on the health and wealth of our country and its citizens.

Education and research, nursing and pharmacy, diversity and disparities, medicine and insurance were all on the table for commentary. It became clear that the legislation contained opportunities for and challenges to the mission, vision and values of the Medical Center and OSU’s health science colleges.  There were clear opportunities for alignment along the strategic path towards personalized medicine: patient centered, evidence based care that that would be preventive, predictive, personalized and participatory.  There would be challenges as well.  

OSUMC has thrived based on the way that medicine has historically been delivered and paid for, notwithstanding that system’s fragmentation, inefficiency and unsustainability. The challenge is readiness to change. 

Can OSUMC adapt and lead that transformation? There is no question that our educators, researchers and patient care professionals have the ability.  

The remaining question is: Do they, as Congress did, have the will?   

Add to FacebookAdd to DiggAdd to Del.icio.usAdd to StumbleuponAdd to RedditAdd to BlinklistAdd to TwitterAdd to TechnoratiAdd to Yahoo BuzzAdd to Newsvine

Change is good, you go first: implementing health care reform:

Add to FacebookAdd to NewsvineAdd to DiggAdd to Del.icio.usAdd to StumbleuponAdd to RedditAdd to BlinklistAdd to TwitterAdd to TechnoratiAdd to Furl

By: Jerry Friedman
Associate Vice President in the Office of Health Sciences

There is nothing more difficult to take in hand, more perilous to conduct, or more uncertain in its success, than to take the lead in the introduction of a new order of things. For the reformer has enemies in all those who profit by the old order, and only lukewarm defenders in all those who would profit by the new order, this lukewarmness arising partly from fear of their adversaries … and partly from the incredulity of mankind, who do not truly believe in anything new until they have had actual experience of it.
– Niccolo Machiavelli, The Prince

Mindful that the Senate has yet to vote on the reconciliation package, one cannot deny that we are near the end of the beginning.  The work of animating the words on the legislative page and applying them to this country’s fragmented, proprietary, volume driven, risk aversive system must begin.

Can doctors lead?  In many ways the medical profession gave up the reins when they allowed HMOs to assure them stable volumes and regular payments.  Since then, the business of insurance and the business of medicine have been locked in a battle for the patient’s health care dollar.   Insurance likes you when you are healthy, medicine likes you when you are sick. After all, “health insurance” is really sickness & accident insurance. Continue reading

How Much Health Care Can We Afford?

By: Jerry Friedman
Associate Vice President in the Office of Health Sciences

The State of the Union address is the CEO’s annual report on the American enterprise.  The 70 minute speech about the health of our country was long on economics and short on health care reform, or as it has come to be known “health insurance reform,” devoting less than 5 minutes to the subject).

photo credit: http://mediaite.com

Health care was presented in context.  People are suffering.  The cost of care has become unaffordable for individuals and unsustainable for the nation.   Continue reading