Politicians and Policy Experts Agree that Healthcare Reform Will Pass, but Disagree on Key Details, Including How to Pay for It

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Thu Oct 8, 2009 3:07pm EDT

Politicians and Policy Experts Agree that Healthcare Reform Will Pass, but
Disagree on Key Details, Including How to Pay for It
Politics magazine brings together current and former lawmakers and other
stakeholders to discuss healthcare reform





WASHINGTON, Oct. 8 /PRNewswire-USNewswire/ -- At a healthcare forum hosted by
Politics magazine, current and former members of Congress said they believed
President Obama would sign some sort of a healthcare reform package, most
likely later this year. "There would be too much political damage done if
something doesn't pass, so Congress will find a way," said Congressman Michael
Burgess, MD (R-TX).


Former Governor Howard Dean, MD; Senator John Barrasso, MD (R-WY); and other
healthcare industry opinion leaders joined Burgess and more than 150 attendees
from congressional offices, advocacy organizations, private industry, and
health insurers at the 2(nd) annual Politics magazine Health Policy Summit.


The day's first discussion panel looked at the future of healthcare reform and
public funding. Moderated by Julie Barnes, Deputy Director of the Health
Policy Program at the New America Foundation, the panel featured Burgess,
Barrasso, former Congressman Martin Frost and former Congresswoman Nancy
Johnson. The subject of how to fund healthcare reform generated passionate
debate. Senator Barrasso stated that "whatever comes out is going to cost $1
trillion, and will include about $500 billion in cuts for those people who
depend on Medicare. And it will involve $400 billion in new taxes."


Former Congressman Frost spoke about the challenges of paying for insurance
coverage for millions of currently uninsured Americans. "The problems with
pre-existing conditions, inability to change insurance coverage, lack of
access across state lines--everyone agrees for the most part on those issues.
Where we may depart is what to do about the millions who don't have insurance
now, and can't afford to have insurance. How much subsidy should the
government provide for those [who can't afford] coverage? And how do you pay
for it without adding a single penny to the deficit?"


The second panel, which was moderated by Michael Chernew, PhD, professor of
healthcare policy in the Department of Health Care Policy at Harvard Medical
School and co-editor of the American Journal of Managed Care, featured Carol
Kelly, Senior Vice President, Government Affairs and Public Policy for NACDS;
Christopher J. Badgley, Vice President State Government Affairs for PhRMA;
John Rother, Director of Policy and Strategy for AARP; and former Governor
Howard Dean, MD. Discussion focused on the implications of reform for
healthcare providers, managed care, pharmacy, and patients.


Rother said that a much bigger issue is the need for significant improvements
in public health. "Screening individuals has a microscopic impact [compared
to] getting people to stop smoking or lose weight." Those things have a
monumental impact, he said, and patients should be incentivized to make better
choices. 


Kelly said that pharmacists will play a key role in improving overall care,
partly through medication therapy management and other methods that encourage
patient compliance with treatment. Kelly advocated a better-organized delivery
system and greater use of technology to eliminate duplication of effort and
promote "the high-quality care all Americans deserve." 


The panelists agreed that hospitals, specialist physicians, and health
insurers faced the greatest risk if healthcare reform passes. Badgley said,
"If you look at where healthcare costs come from, the hospital sector is the
biggest part of it. Going forward on the healthcare policy side you have to
get everyone in a larger pool to reduce the rates, including what I call the
'young invincible.'" 


Former Governor Dean said that for-profit healthcare creates its own
inefficiencies. "Every dime that is collected as profit is money that does not
go to improving health. If you don't have a public option--a real public
option--we're not going to allow people to make real choices. The public
option is a way to get private insurers to offer Americans better choices.
It's not a stepping stone on the path to a single-payer system."


Dean also argued that passing some sort of healthcare reform is crucial for
Democrats politically if they want to hold onto their majority. He closed the
event by arguing for increased compensation for primary care physicians,
perhaps even through a salary structure that would allow them to spend more
time with patients. "If physicians were paid in a lump sum, rather than by the
procedures and tests they perform, we could deliver extraordinary care," he
said. 


Full video of the 2(nd) annual Politics magazine Health Policy Summit will be
available shortly on the Politics magazine website (www.politicsmagazine.com),
as well as on HCPLive.com, AJMC.com, and PharmacyTimes.com. 


For more information, contact Jordan Lieberman, Publisher, at
jsl@politicsmagazine.com or call 703-778-4025.




About Politics Magazine
Politics magazine educates, informs, entertains and connects all those who
touch politics, from high-profile players to political junkies and casual
observers. The magazine is published 13 times per year by Political World
Communications, LLC. For more information, visit www.politicsmagazine.com. 


About the American Journal of Managed Care
The American Journal of Managed Care is an independent, peer-reviewed
publication dedicated to disseminating clinical information to managed care
physicians, clinical decision makers, and other healthcare professionals. Its
aim is to stimulate scientific communication in the ever-evolving field of
managed care. The American Journal of Managed Care addresses a broad range of
issues relevant to clinical decision making in a cost-constrained environment
and examines the impact of clinical, management, and policy interventions and
programs on healthcare and economic outcomes.


About Pharmacy Times


Pharmacy Times is dedicated to providing pharmacists with practical,
authoritative information with the ultimate goal of improving patient care.
Accredited by the Accreditation Council for Pharmacy Education (ACPE) as a
provider of continuing pharmacy education, the publication covers important
topics such as medication safety, drug interactions, pharmacy technology,
disease state management, patient counseling, and pharmacy law. The
publication was formed in 1897, and to this day remains an influential
industry leader.


SOURCE  Politics Magazine

Jordan Lieberman, Publisher, +1-703-778-4025, jsl@politicsmagazine.com
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