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	<title>Comments on: Thoughts on Controlling Health Care Costs by John McDonough</title>
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	<link>http://commonhealth.wbur.org/past-contributors/2007/07/thoughts-on-controlling-health-care-costs-by-john-mcdonough/</link>
	<description>CommonHealth</description>
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		<title>By: Lpg</title>
		<link>http://commonhealth.wbur.org/past-contributors/2007/07/thoughts-on-controlling-health-care-costs-by-john-mcdonough/comment-page-1/#comment-7237</link>
		<dc:creator>Lpg</dc:creator>
		<pubDate>Tue, 06 May 2008 18:39:44 +0000</pubDate>
		<guid isPermaLink="false">http://www.wbur.org/weblogs/commonhealth/?p=173#comment-7237</guid>
		<description>this”affordable insurance”.don’t they know this?I will be forced out and so</description>
		<content:encoded><![CDATA[<p>this”affordable insurance”.don’t they know this?I will be forced out and so</p>
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		<title>By: Mark Johnson</title>
		<link>http://commonhealth.wbur.org/past-contributors/2007/07/thoughts-on-controlling-health-care-costs-by-john-mcdonough/comment-page-1/#comment-5630</link>
		<dc:creator>Mark Johnson</dc:creator>
		<pubDate>Thu, 27 Dec 2007 08:26:03 +0000</pubDate>
		<guid isPermaLink="false">http://www.wbur.org/weblogs/commonhealth/?p=173#comment-5630</guid>
		<description>We need real change in our nation&#039;s health care policy.  At least the democrats are proposing solutions, while the republicans just offer excuses as to why we shouldn&#039;t nationalize healthcare.</description>
		<content:encoded><![CDATA[<p>We need real change in our nation&#8217;s health care policy.  At least the democrats are proposing solutions, while the republicans just offer excuses as to why we shouldn&#8217;t nationalize healthcare.</p>
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		<title>By: estetik</title>
		<link>http://commonhealth.wbur.org/past-contributors/2007/07/thoughts-on-controlling-health-care-costs-by-john-mcdonough/comment-page-1/#comment-5333</link>
		<dc:creator>estetik</dc:creator>
		<pubDate>Mon, 03 Dec 2007 11:01:21 +0000</pubDate>
		<guid isPermaLink="false">http://www.wbur.org/weblogs/commonhealth/?p=173#comment-5333</guid>
		<description>I think health care costs should rise.</description>
		<content:encoded><![CDATA[<p>I think health care costs should rise.</p>
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		<title>By: Ann E Malone, RN, MSN</title>
		<link>http://commonhealth.wbur.org/past-contributors/2007/07/thoughts-on-controlling-health-care-costs-by-john-mcdonough/comment-page-1/#comment-3042</link>
		<dc:creator>Ann E Malone, RN, MSN</dc:creator>
		<pubDate>Wed, 01 Aug 2007 15:41:37 +0000</pubDate>
		<guid isPermaLink="false">http://www.wbur.org/weblogs/commonhealth/?p=173#comment-3042</guid>
		<description>In reply to this post and to Vijay:

If we are truly sincere about achieving cost controls then we must get on course to enact the widely embraced reform for an expanded and improved Medicare For All program on the national level (as in HR 676) and provide leadership toward that goal on the state level (as in SB 730 here in MA).

Anything less is mere tinkering that keeps the elements of our broken, wasteful, and harmful system firmly in place and may indeed make things worse, as Vijay points out that the MA Chap 58 law will likely do. I and many others firmly agree.

Canada&#039;s reform that led to the civilized model of guaranteed comprehensive care for all began one province at a time and evolved into a national program.

At present the Canadian Universal Medicare program is underfunded; spending about 1/2 less per person than we spend in the U.S. on HC. But it is a good model that uses streamlined single payer financing to guarantee cost effective access to needed care for everyone.

We Americans are a smart and caring people who, if given the choice, would gladly take the option to modify such clearly preferable models such as Canada&#039;s and France&#039;s to meet our needs and our budgets and enact an improved Medicare For All U.S. health care program.

After all, healthcare should be for people, not for corporate profit and individual fortune, right?

To learn more visit
http://www.DefendHealth.org
and
http://www.MassCare.org/legislation</description>
		<content:encoded><![CDATA[<p>In reply to this post and to Vijay:</p>
<p>If we are truly sincere about achieving cost controls then we must get on course to enact the widely embraced reform for an expanded and improved Medicare For All program on the national level (as in HR 676) and provide leadership toward that goal on the state level (as in SB 730 here in MA).</p>
<p>Anything less is mere tinkering that keeps the elements of our broken, wasteful, and harmful system firmly in place and may indeed make things worse, as Vijay points out that the MA Chap 58 law will likely do. I and many others firmly agree.</p>
<p>Canada&#8217;s reform that led to the civilized model of guaranteed comprehensive care for all began one province at a time and evolved into a national program.</p>
<p>At present the Canadian Universal Medicare program is underfunded; spending about 1/2 less per person than we spend in the U.S. on HC. But it is a good model that uses streamlined single payer financing to guarantee cost effective access to needed care for everyone.</p>
<p>We Americans are a smart and caring people who, if given the choice, would gladly take the option to modify such clearly preferable models such as Canada&#8217;s and France&#8217;s to meet our needs and our budgets and enact an improved Medicare For All U.S. health care program.</p>
<p>After all, healthcare should be for people, not for corporate profit and individual fortune, right?</p>
<p>To learn more visit<br />
<a href="http://www.DefendHealth.org" rel="nofollow">http://www.DefendHealth.org</a><br />
and<br />
<a href="http://www.MassCare.org/legislation" rel="nofollow">http://www.MassCare.org/legislation</a></p>
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		<title>By: Vijay Goel, M.D.</title>
		<link>http://commonhealth.wbur.org/past-contributors/2007/07/thoughts-on-controlling-health-care-costs-by-john-mcdonough/comment-page-1/#comment-3019</link>
		<dc:creator>Vijay Goel, M.D.</dc:creator>
		<pubDate>Wed, 01 Aug 2007 00:25:16 +0000</pubDate>
		<guid isPermaLink="false">http://www.wbur.org/weblogs/commonhealth/?p=173#comment-3019</guid>
		<description>Controlling health care costs will be critical going forward.  While it is ok to expand access in one phase and then address cost in another, it is critical that one doesn&#039;t expand care at the expense of cost, which I think is a good possibility with the current approach.  I talk more about this in my blog article on &lt;a href=&quot;http://consumerfocusedcare.blogspot.com/2007/07/mandatory-health-insurance-tax-on.html&quot; rel=&quot;nofollow&quot;&gt;Mandatory Health Insurance&lt;/a&gt; and its disincentives for innovation in medical practice.</description>
		<content:encoded><![CDATA[<p>Controlling health care costs will be critical going forward.  While it is ok to expand access in one phase and then address cost in another, it is critical that one doesn&#8217;t expand care at the expense of cost, which I think is a good possibility with the current approach.  I talk more about this in my blog article on <a href="http://consumerfocusedcare.blogspot.com/2007/07/mandatory-health-insurance-tax-on.html" rel="nofollow">Mandatory Health Insurance</a> and its disincentives for innovation in medical practice.</p>
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		<title>By: Ron Norton</title>
		<link>http://commonhealth.wbur.org/past-contributors/2007/07/thoughts-on-controlling-health-care-costs-by-john-mcdonough/comment-page-1/#comment-2982</link>
		<dc:creator>Ron Norton</dc:creator>
		<pubDate>Fri, 27 Jul 2007 16:12:35 +0000</pubDate>
		<guid isPermaLink="false">http://www.wbur.org/weblogs/commonhealth/?p=173#comment-2982</guid>
		<description>Norma,

I agree.  This law effectively enslaves us all to the health insurance industry that skims 31 cents off of every dollar spent on health care.  This is not a serious effort at reform, since even if we could afford to buy these policies, we could not afford to use them.  It is time that we contact our legislators and demand that they do better!  We are the last industrialized nation on Earth that does not have some real form of universal access.</description>
		<content:encoded><![CDATA[<p>Norma,</p>
<p>I agree.  This law effectively enslaves us all to the health insurance industry that skims 31 cents off of every dollar spent on health care.  This is not a serious effort at reform, since even if we could afford to buy these policies, we could not afford to use them.  It is time that we contact our legislators and demand that they do better!  We are the last industrialized nation on Earth that does not have some real form of universal access.</p>
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		<title>By: Norma</title>
		<link>http://commonhealth.wbur.org/past-contributors/2007/07/thoughts-on-controlling-health-care-costs-by-john-mcdonough/comment-page-1/#comment-2981</link>
		<dc:creator>Norma</dc:creator>
		<pubDate>Fri, 27 Jul 2007 13:58:03 +0000</pubDate>
		<guid isPermaLink="false">http://www.wbur.org/weblogs/commonhealth/?p=173#comment-2981</guid>
		<description>my question is why does the state want to force business and citizens to move out of the state because of this outrageous law? people can&#039;t afford this&quot;affordable insurance&quot;.don&#039;t they know this?I will be forced out and so will others.</description>
		<content:encoded><![CDATA[<p>my question is why does the state want to force business and citizens to move out of the state because of this outrageous law? people can&#8217;t afford this&#8221;affordable insurance&#8221;.don&#8217;t they know this?I will be forced out and so will others.</p>
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		<title>By: HealthBlawg</title>
		<link>http://commonhealth.wbur.org/past-contributors/2007/07/thoughts-on-controlling-health-care-costs-by-john-mcdonough/comment-page-1/#comment-2977</link>
		<dc:creator>HealthBlawg</dc:creator>
		<pubDate>Thu, 26 Jul 2007 21:13:37 +0000</pubDate>
		<guid isPermaLink="false">http://www.wbur.org/weblogs/commonhealth/?p=173#comment-2977</guid>
		<description>&lt;strong&gt;We have met the enemy and it is us&lt;/strong&gt;

The Massachusetts universal coverage plan and the next-stage efforts at health care cost containment get somewhat cynical, yet sobering, coverage at CommonWealth magazine. The article in the current issue is titled Cost Unconscious. MassINC, which publ...</description>
		<content:encoded><![CDATA[<p><strong>We have met the enemy and it is us</strong></p>
<p>The Massachusetts universal coverage plan and the next-stage efforts at health care cost containment get somewhat cynical, yet sobering, coverage at CommonWealth magazine. The article in the current issue is titled Cost Unconscious. MassINC, which publ&#8230;</p>
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		<title>By: A Healthy Blog &#187; We Talk about Health Care Cost Control</title>
		<link>http://commonhealth.wbur.org/past-contributors/2007/07/thoughts-on-controlling-health-care-costs-by-john-mcdonough/comment-page-1/#comment-2969</link>
		<dc:creator>A Healthy Blog &#187; We Talk about Health Care Cost Control</dc:creator>
		<pubDate>Thu, 26 Jul 2007 15:27:34 +0000</pubDate>
		<guid isPermaLink="false">http://www.wbur.org/weblogs/commonhealth/?p=173#comment-2969</guid>
		<description>[...] Commonhealth blog. We talk about health care cost control &#8212; or the lack thereof&#8230;click here to see the post and [...]</description>
		<content:encoded><![CDATA[<p>[...] Commonhealth blog. We talk about health care cost control &#8212; or the lack thereof&#8230;click here to see the post and [...]</p>
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		<title>By: Charley on the MTA</title>
		<link>http://commonhealth.wbur.org/past-contributors/2007/07/thoughts-on-controlling-health-care-costs-by-john-mcdonough/comment-page-1/#comment-2967</link>
		<dc:creator>Charley on the MTA</dc:creator>
		<pubDate>Thu, 26 Jul 2007 12:51:34 +0000</pubDate>
		<guid isPermaLink="false">http://www.wbur.org/weblogs/commonhealth/?p=173#comment-2967</guid>
		<description>John -- Speaking at least for myself, the Q&amp;C Council&#039;s recommendations don&#039;t get any play because I don&#039;t see how they have the teeth, or budget, or time, or energy, or power to do anything other than make a website and &quot;set goals&quot;. Quality and cost are the central battle in the reform, as far as I&#039;m concerned, but I don&#039;t see how the Council is set to contribute.</description>
		<content:encoded><![CDATA[<p>John &#8212; Speaking at least for myself, the Q&amp;C Council&#8217;s recommendations don&#8217;t get any play because I don&#8217;t see how they have the teeth, or budget, or time, or energy, or power to do anything other than make a website and &#8220;set goals&#8221;. Quality and cost are the central battle in the reform, as far as I&#8217;m concerned, but I don&#8217;t see how the Council is set to contribute.</p>
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