Commentary on medical news by a practicing physician.

  • Epocrates MedSearch Drug Lookup


    "When many cures are offered for a disease, it means the disease is not curable" -Anton Chekhov

    ''Once you tell people there's a cure for something, the more likely they are to pressure doctors to prescribe it.''
    -Robert Ehrlich, drug advertising executive.

    "Opinions are like sphincters, everyone has one." - Chris Rangel

    email: medpundit-at-ameritech.net

    or if that doesn't work try:


    Medpundit RSS

    Quirky Museums and Fun Stuff

    Who is medpundit?

    Tech Central Station Columns

    Book Reviews:
    Read the Review

    Read the Review

    Read the Review

    More Reviews

    Second Hand Book Reviews


    Medical Blogs


    DB's Medical Rants

    Family Medicine Notes

    Grunt Doc




    Code Blog: Tales of a Nurse

    Feet First

    Tales of Hoffman

    The Eyes Have It


    SOAP Notes


    Cut-to -Cure

    Black Triangle



    Kevin, M.D

    The Lingual Nerve

    Galen's Log



    Doctor Mental



    Finestkind Clinic and Fish Market

    The Examining Room of Dr. Charles

    Chronicles of a Medical Mad House



    Health Facts and Fears

    Health Policy Blogs

    The Health Care Blog

    HealthLawProf Blog

    Facts & Fears

    Personal Favorites

    The Glittering Eye

    Day by Day


    The Business Word Inc.

    Point of Law

    In the Pipeline


    Tim Blair

    Jane Galt

    The Truth Laid Bear

    Jim Miller

    No Watermelons Allowed

    Winds of Change

    Science Blog

    A Chequer-Board of Night and Days

    Arts & Letters Daily

    Tech Central Station





    The Skeptic's Dictionary

    Recommended Reading

    The Doctor Stories by William Carlos Williams

    Pox Americana: The Great Smallpox Epidemic of 1775-82 by Elizabeth Fenn

    Intoxicated by My Illness by Anatole Broyard

    Raising the Dead by Richard Selzer

    Autobiography of a Face by Lucy Grealy

    The Man Who Mistook His Wife for a Hat by Oliver Sacks

    The Sea and Poison by Shusaku Endo

    A Midwife's Tale by Laurel Thatcher Ulrich



    American Academy of Pediatrics

    General Health Info

    Travel Advice from the CDC

    NIH Medical Library Info



    Tuesday, August 29, 2006

    Ohio Health Future: We have a governor's race going on here in Ohio. The candidates are Ken Blackwell and Mr. Not-Ken-Blackwell. I've learned more from the media about Ken Blackwell and everything wrong with him than I have learned about his opponent, Paul Strickland. The only thing I know about him for certain is that he's not Ken Blackwell. But, here's news that both candidates have come up with healthcare plans for Ohio. Both are modeled on the Massachusetts model to some degree:

    Strickland proposes an Ohio Healthcare Exchange, which would bring together small businesses and private insurers to design low-cost health-care packages that would be available to all uninsured Ohioans. Participation would be voluntary. Low-income families earning up to 150 percent of the federal poverty level would get help paying the premiums. The exchange, estimated to cost $550 million over two years, would be paid for by employer and individual contributions in addition to state funds that now assist programs for the uninsured. State money would be used to draw federal matching funds.

    Addressing the problem of the uninsured, Blackwell proposes a new Buckeye Health Plan, adopting the framework of a plan Massachusetts lawmakers approved this spring. The model features a private insurance market offering approved, low-cost plans. It requires that everyone buy some form of health coverage, the program financed by employer contributions, individual contributions with pretax dollars and existing state funds. Blackwell would create a Buckeye Health Connection to facilitate activities in the new insurance market.

    Both plans reveal, overtly and otherwise, the influence of the Massachusetts model, policymakers collaborating with private insurers and small business to create a market for the uninsured, pooling private and available public funding sources to cover the cost. Neither plan breaks new imaginative ground. The challenge, as always, lies in the details, in attracting private insurers to offer decent coverage at costs the working poor can afford.

    As a small business owner, I'm all for cheaper healthcare premiums. But can the goal be realized with the aging baby boomers as part of the demographic?

    posted by Sydney on 8/29/2006 01:34:00 PM 1 comments


    "Both plans reveal, overtly and otherwise, the influence of the Massachusetts model"

    No one knows yet if the Massachussetts model will even work. I think its fate will approximate TennCare's. It took several years before the failure of TennCare was so acute that it had to be acknowledged.

    Why do I think plans such as the Massachussetts plan are doomed? Because their primary goal is to pay for health care; they do little or nothing to help alleviate the costs of delivering health care. Therefore I believe that such "solutions" will be unsustainable because costs will continue to run ahead of our ability to pay for them.

    John Fembup

    By Anonymous Anonymous, at 10:40 PM  

    Post a Comment

    This page is powered by Blogger, the easy way to update your web site.

    Main Page


    Home   |   Archives

    Copyright 2006