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Ethical Decision Making in Nursing and Health Care

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Be the first to comment - What do you think? Posted by admin - January 4, 2011 at 3:18 am

Categories: Social Security Tags: Care, Decision., Ethical, Health, Making, Nursing

HQP enters into agreement with Aetna to provide nurse care management services

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Home Page > Finance > Insurance > HQP enters into agreement with Aetna to provide nurse care management services

HQP enters into agreement with Aetna to provide nurse care management services

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Posted: Jan 08, 2010 |Comments: 0
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Health Quality Partners (HQP) has entered into a three-year agreement with Aetna to provide nurse care management services to Aetna Medicare Advantage Plan members with certain chronic health conditions who receive their care at participating practices in Bucks, Montgomery, Lehigh and Northampton counties in Pennsylvania. The HQP Care Management Program is designed to help Medicare beneficiaries improve their health and quality of life and live more independently.

“We respect and value Aetna’s strong commitment to innovation and collaboration and look forward to working together to help improve the health of their Medicare Advantage plan members.”

Since 2002, HQP has participated in the Medicare Coordinated Care Demonstration, a national demonstration project sponsored by the Centers for Medicare and Medicaid Services (CMS). HQP’s care management model has proven successful in reducing hospitalizations and health care costs, and in improving health outcomes for Medicare beneficiaries at higher risk.

This unique model of community-based nurse care management incorporates well-established, evidence-based interventions designed to help reduce cardiovascular and geriatric risks for Medicare beneficiaries with chronic health conditions. Essential to the model’s effective implementation are the long-term relationships between the nurse care managers, patients and their families, primary care providers, other health care professionals and community resources.

“Aetna is very excited to offer access to this highly regarded program to our Medicare Advantage plan members in this area,” said Eric Cormier, general manager of Aetna Medicare in Pennsylvania. “Health Quality Partners has been a leader in providing outstanding, cost-effective care management programs to seniors in our region, and they share Aetna’s commitment to continually improving the quality of care received by our members to help them live healthier lives.”

“Every day, millions of older adults with chronic illnesses suffer needlessly and wind up using costly health care services for health problems that may have been prevented. Programs like HQP’s community-based nurse care management program can help improve quality of care and potentially reduce health care costs, according to the latest research,” said Dr. Ken Coburn, president and CEO of Health Quality Partners. “We respect and value Aetna’s strong commitment to innovation and collaboration and look forward to working together to help improve the health of their Medicare Advantage plan members.”

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This Week in Health Care Reform EasyToInsureME health insurance

JANUARY 22, 2010

This Week in Health Care Reform

After months of public debate and private negotiations, health care reform discussions stalled following Tuesday’s Senate vote in Massachusetts. The Democratic Senate lost its 60th vote supermajority when Republican Scott Brown was elected to the United States Senate in the Massachusetts special election.

Health Care Reform Negotiations Post-Massachusetts Special Election

Massachusetts Election of Senate Republican Recasts Debate: Following the election of Republican Scott Brown to the Massachusetts Senate seat Tuesday night, Democratic leaders have been scrambling to revive what could now be a dying bill. The loss of the Democrat’s 60th vote in the Senate opens up the legislation to a Republican filibuster – something the Democrats have managed to avoid thus far in the debate.

House and Senate Democrats met this week to discuss how to move forward with the reform legislation in light of this election and promised Wednesday that they would push ahead. There are a number of options that Democrats are considering, but at this point they have not charted their course.

On Wednesday, Speaker of the House Nancy Pelosi (D-CA) attempted to rally House Democrats around a strategy to push the Senate bill through the House and onto President Barack Obama’s desk so as to avoid the need to again secure 60 Senate votes. However, the Speaker indicated on Thursday morning that she did not believe she has the needed 218 House votes necessary to move forward. This option would have allowed lawmakersto then propose additional modifications to the approved legislation through a process called “reconciliation,” which only requires 51 votes in the Senate.

Other remaining options:

1.
House and Senate Democrats could also quickly complete the merging of the two bills and vote on the combined package before Mr. Brown is sworn in.
2.
Democratic leaders could attempt to re-engage Sen. Olympia Snowe (R-ME), the only Republican who voted for the Senate Finance Committee’s bill passed in October. Democrats would need to allow her to amend the bill so that she could support its passage and give Democrats the needed 60th vote; or,
3. House and Senate Democrats could essentially start over in their respective chambers and propose scaled-back versions of the bill under “reconciliation” procedures or regular order. Reconciliation procedures would greatly limit the scope of the legislation to issues only related to raising or spending federal funds; therefore, many provisions, such as creating new insurance exchanges and an individual mandate, might be excluded.

President Obama seemed to indicate that he favors having House and Senate lawmakers start over again and produce a scaled-back bill. In addition, more moderate Senate Democrats – hesitant to push through such a huge partisan bill in light of the Massachusetts election – urged leaders to slow down.
Sen. Jim Webb (D-VA) has called on Senate leaders to suspend voting on health care reform until Mr. Brown is sworn into office. President Obama and Senate Majority Leader Harry Reid (D-NV) have iterated this same message. Further, Sen. Joe Lieberman (D-CT) called for a bipartisan effort as the best way to achieve health care reform legislation.

Health Care Reform Negotiations Prior to Massachusetts Special Election

Senators Urge Guarantee of Government Savings: In a letter sent last Thursday to Sen. Reid, five Democratic Senators asked for the inclusion of a “fail-safe mechanism” in the final bill. This mechanism would give Congress “the tools to keep costs under control should the current savings estimates fail to materialize.”

Both the Senate and House versions of the bill rely heavily on reductions in government spending, particularly around Medicare, to help pay for reform. Republicans and some nonpartisan analysts believe the government will not follow through on these spending reductions, which will lead to soaring costs.

President Obama Pushes for Less Protection for Biologic Drugs: Last Thursday President Obama pushed for a change in the health care reform legislation that would reduce the number of years that biologic drugs were patent protected from generic competition, previously set at 12 years. White House officials and Rep. Henry Waxman (D-CA) were negotiating for 10 years protection or less.

Members of the news media speculated that the move to reduce biologic drug protections could be a leverage point for President Obama to pressure the drug industry to increase contributions to pay for health care reform. In fact, the Wall Street Journal reported that Congressional Democrats had already asked drug companies to contribute an additional billion or more, over and above the billion which the industry agreed to early on in the reform negotiations.

President Obama Strikes Deal with Unions: Last week Democratic negotiators struck a deal with union officials and conceded to union demands to scale back a tax on high-end insurance plans. The deal would exempt union workers from having to pay the tax until 2018, five years after the tax would apply to other workers. While the deal would help gain union support for the bill, it would also reduce the amount of tax revenue generated by about 40 percent, to billion. As such, Democratic leaders would need to find other sources of revenue to make up the difference.

Public Opinion

Exit Poll Indicates Health Care Reform as Hot Button Issue: As the ballot polls closed on Tuesday night’s Massachusetts Senate election, an exit poll conducted by Frabrizio, McLaughlin & Associates indicated that 52 percent of voters said that they oppose the federal health care reform measure and 42 percent said they cast their ballot to help stop President Obama from passing this legislation. In addition, 48 percent said that health care was the single issue driving their vote.

Polls Show Discontent: The latest Wall Street Journal/NBC News poll indicated that almost half of Americans believe the health care reform bill in Congress is a bad idea (46 percent). This figure is up dramatically from April when only 26 percent believed the plan was a bad idea. Further, just 33 percent say the plan is a good idea. Nearly half of those surveyed (48 percent) believe that passing the current legislation would be a “step backward.”

In addition, a new Quinnipiac University poll showed that public support for health care reform continues to decline. Thirty-four percent mostly approve, while 54 percent mostly disapprove. At the end of December, 53 percent of Americans mostly approved, while 36 mostly disapproved.

Looking Ahead

Currently, the path to health care reform is unclear. Democrats seek a way to secure the necessary votes to pass the legislation, and some now question the value of pushing such a large bill. President Obama had hoped to see a final bill prior to his State of the Union address, which has been scheduled for January 27; however, it appears this goal is likely out of reach.

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Categories: Medicare Tags: Care, EasyToInsureME, Health, Insurance, Reform, THIS, Week

health care reform failed to cure prices

The health-care law of 2010 is, as Vice President Biden put it, a “big [expletive] deal.” It sets us on the road to universal health insurance. It is a favorite target for Republicans gunning to take over Congress. Lawmakers who supported it could lose their jobs. And it will remain a central focus after the midterms, as Democrats defend it against legal and political challenges through 2014, when it takes full effect. Easy To Insure ME

But the Democrats’ effort to sell the law to the public may be undermined by what even some ardent supporters consider its biggest shortfall. The overhaul left virtually untouched one big element of our health-care dilemma: the price problem. Simply put, Americans pay much more for each bit of care — tests, procedures, hospital stays, drugs, devices — than people in other rich nations.

Health-care providers in the United States have tremendous power to set prices. There is no government “single payer” on the other side of the table, and consolidation by hospitals and doctors has left insurers and employers in weak negotiating positions.

“We spend fewer per capita days in the hospital compared with other advanced countries, we see the doctor less frequently, and we swallow fewer pills,” said Jon Kingsdale, who oversaw the implementation of Massachusetts’s 2006 health-care law. “We just pay a lot more for each of those units than other countries.”

The 2010 law does little to address this. Its many cost-control provisions are geared toward reducing the amount of care we consume, not the price we pay. The law encourages doctors and hospitals to join “accountable care organizations” that have financial incentives to limit unnecessary care; it beefs up “comparative effectiveness research” to weed out inefficient treatments; and it will eventually tax the most expensive insurance plans to restrain consumers’ superfluous use of health care.

Such measures could reduce redundant tests, emergency room visits and hospital readmissions, which would help control the costs of Medicare, where the government sets rates. But they are less likely to lower prices outside Medicare and stem the growth of private insurance rates.

The main reason for this is politics. Remember how drawn-out the health-care battle was? It started in the spring of 2009 and was waged for a full year. The bill’s proponents in the White House and in Congress had some inkling of how tough the fight with the insurance companies would be. Taking on hospitals, doctors, and drug and device manufacturers as well — the people you’d face in a showdown over prices — might have been fatal.

So there was no price fight. The law will go on to face a likely post-midterm Republican onslaught — and dismantling it may be easier if Americans think it does little to restrain costs. It is one of those fine political ironies: The law derided as socialism may have had an easier time winning favor from a skeptical public if it was, well, a little more socialist.

It’s pretty far from socialist as it stands. The administration decided not to seek lower drug rates for Medicare, and it didn’t press for a “public option,” a government-run insurance plan that people under 65 could buy into. While supporters of the public option sold it as a way to compete with insurers, the real target was hospitals and doctors. A public option would have created a nationwide purchaser of health care that could have exerted leverage on providers to cut prices. This would have lowered the law’s costs by reducing the subsidies needed to make insurance affordable.

To avoid the wrath of hospitals and doctors, proponents of the bill rarely emphasized this cost-control argument. Nonetheless, when conservative “Blue Dog” Democrats weakened the public option in committee, they cited opposition from providers. And when the bill’s supporters floated a close alternative to the public option — letting people over 55 buy into Medicare — the reaction from Sen. Olympia Snowe, the moderate Maine Republican, said it all: “I am talking to a lot of my providers . . . and I know they are mighty unhappy.” Snowe exposed where the lobbying strength lay: No senator ever spoke of listening to “my insurers.”

“The public hates the insurance industry and trusts doctors and hospitals,” said Richard Kirsch, head of the liberal coalition Health Care for America Now. “But what killed the public option was the hospitals, not the insurance industry.”

Politicians wanted to avoid a confrontation over providers’ prices. So a different policy argument took hold: The real reason everything cost so much was the overuse of health care, not the actual prices of treatment.
This argument came primarily from Dartmouth College researchers who had amassed data showing wide disparities in Medicare spending among different regions. Hospitals in the lower-spending areas, mostly in the Upper Midwest and the Northwest, seized on the study to argue that the key to controlling costs was to reward providers like them. The case was popularized by Atul Gawande’s widely read New Yorker article in June 2009 focusing on McAllen, Tex., one of the highest spenders in the Dartmouth rankings. If health-care delivery in places such as McAllen could be brought in line with lower-spending places such as the Mayo Clinic’s home town, Rochester, Minn. — through the formation of integrated networks of salaried doctors — costs could be reined in.

The theory caught fire at the White House. It gave President Obama and his then-budget guru Peter Orszag a way to talk about costs without taking on doctors and hospitals; instead, the White House could simply differentiate between providers that offer “value” and those that don’t.

But the Dartmouth rankings, and the concept they supported, did a “disservice” to the debate, said Robert Berenson of the Urban Institute. For one thing, he and others say, the figures overstate regional differences in Medicare spending, which shrink when socioeconomic factors are taken into account. Second, rates of Medicare spending are not necessarily representative of health-care spending for people under 65. Some of the places that do well in the Dartmouth rankings charge high prices for non-Medicare patients — and were, not surprisingly, among those pushing hardest against a public option.

More broadly, the skeptics argue that merely providing care in smaller quantities will not sufficiently lower costs. They note that Americans already have shorter hospital stays and fewer doctors’ visits than people in other advanced countries. What sets us apart is our high prices for these health-care “units” — a finding trumpeted in a landmark 2003 paper by Princeton’s Uwe Reinhardt and others titled “It’s the Prices, Stupid.” The price problem is only getting worse, researchers and antitrust investigators have found, because of consolidation among providers, and it could be exacerbated by goading them to form even bigger networks.

But the notion that we pay more, despite using health care less, never caught on during the long march to reform. The main culprits driving our health-care costs were deemed to be inefficient doctors in a few corners of the country and demanding consumers — say, people seeking unnecessary surgery or patients with unhealthy habits and chronic conditions.

The camp that believes volume is the main problem disputes the idea that bigger networks of hospitals and doctors would make the price problem worse. “The more we’re able to encourage integrated systems of care, the better,” the new Medicare director, Donald Berwick, a Dartmouth data champion, told me before his nomination by Obama.

Berwick and his allies say they never meant for overuse of care to become the sole focus. Elliott Fisher, the lead Dartmouth researcher, said he did not intend for his data to be “interpreted as letting off the hook” those providers that kept overuse in check but charged high prices. “We clearly need to do both” prices and volume, he said.

But we didn’t do both in the health-care law, which raises the question of what will happen once the overhaul proves inadequate to the price problem. Perhaps the public option will be reconsidered, as many liberals hope. Perhaps there will be a new push for lower drug prices. Or maybe there will be a return to the rate-setting that prevailed decades ago, when hospitals, insurers and state officials worked together to agree on prices. Maryland is the only state that still does this, and data suggests that it has kept its cost growth lower than average. Massachusetts is considering a similar approach.

Would such measures have a chance? Perhaps. For one thing, as skeptical as insurers are of government intervention, they are glad to discuss reform that aggressively goes after providers. “We have a major cost problem, and we have to get on with the job of attacking it — with every stakeholder who is responsible for that,” said Karen Ignagni, the insurance industry’s chief lobbyist.

And the public? The Brookings Institution’s Henry Aaron predicts that there may be support for tougher action on high prices once the principle of universal health coverage is established, since taxpayers will be on the hook for more of the cost of insurance. “If we attacked costs right at the front end, [the legislation] would have died,” he said. “Now, we’ll have a mechanism that will force us to address it. There are only so many fronts you can fight a war on at the same time.”

That’s assuming, of course, that the law survives long enough to enjoy any embellishment.

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Be the first to comment - What do you think? Posted by admin - December 8, 2010 at 7:18 am

Categories: Medicare Tags: Care, Cure, failed, Health, Prices, Reform

Managing Your Patient’s Wound Care

View this Lecture for FREE by signing up at www.prolibraries.com Viewany number of our other 28000 sessions from over 280 conferences by going to www.prolibraries.com Speaker(s) Donna Bednarski, MSN, RN, ANP-BC, CNN, CNP Managing Your Patient’s Wound Care – American Nephrology Nurses Association Fall Meeting 2007 ANNA’s Fall Meeting for Nephrology Nurse Managers, Advanced Practice Nurses, and Clinicians offers you an opportunity to learn, experience, and recharge for a productive return to your practice. If your daily practice includes nurse management, advanced practice, or clinical practice, this program will provide valuable information and help you improve your skills! No matter what your clinical setting or area of expertise, the Fall Meeting has something for you. A hot topic on this year’s program agenda is the Conditions of Participation for Organ Transplant Centers recently released by the Centers for Medicare and Medicaid Services (see Sessions 215 and 225). Other sessions will address topics that you’ve requested – lab values, coagulopathies, fluid removal, home hemodialysis, wound care, depression in chronic illness, diagnostics in cardiovascular disease, fad diets and dietary supplements, continuous quality improvement, customer service, cultural diversity, healthy work environments, and much more!The presence of any product, company, or corporation in any recording or content in no way signifies an endorsement of the product, company or corporation by ANCC …

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Categories: Centers for medicare and medicaid services Tags: Care, Managing, Patients, Wound

Older People?s Lives Will Be Put At Risk By Budget Cuts To Social Care, Warns Age UK

(PRWeb UK) June 24, 2010

In response to the Emergency Budget today, Michelle Mitchell, Charity Director at Age UK, said:

“If the Chancellor’s projection of a one quarter cut to public service budgets is applied to older people’s care thousands of lives will be lost.

“Our research shows that cuts of this scale will be disastrous for older people who rely on state supported care services. There would be almost no money to support people in their own homes, as councils will have no option but to support the most disabled living in care homes. As the number of people over 80 needing support grows, the current crisis will only escalate over the next four years.

“Unless the Chancellor safeguards social care spending in the Autumn spending review, he will fail in his quest to protect the most vulnerable from budget cuts.

In addition, Michelle Mitchell said: “We are delighted the Government is introducing a ‘triple guarantee’ to raise the basic state pension from April, and also a matching increase for Pension Credit which will help the poorest in later life. But this is offset by the rise in VAT which will hit poorer households hardest, including low income pensioners.

“The consultation on phasing out the Default Retirement Age is another welcome shuffle forward towards ending this unfair and unsustainable law. But to give tens of thousands of older workers the job security they deserve, we need a definitive commitment and timetable.”

Read up more on what the Emergency Budget means to all of u s.

Notes to editors

Age UK is the new force combining Age Concern and Help the Aged. The Age UK family includes Age Scotland, Age Cymru and Age NI.

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Be the first to comment - What do you think? Posted by admin - December 4, 2010 at 3:20 am

Categories: Pension Tags: Budget, Care, Cuts, lives, Older, People's, Risk, Social, warns

Rep. Anthony Weiner Issues an Impossible Challenge on Health Care

REP. ANTHONY WEINER: Name a single thing a private insurance company does to make anyone healthier, to save anyone money. Health insurance companies operate like they’re supposed to. They’re businesses. They operate to make profits. How do you make profits? By giving away as little, and collecting as much. It’s the opposite of the imperative that we have as the representatives of the people. But this is so utterly predictable because you didn’t vote for Medicare. Your party didn’t vote for Social Security. You had control of the House, the Senate, the Judiciary, the presidency for eight years and you didn’t do anything. No, I shouldn’t say that. You passed Medicare Part D, which said, let’s see if we give them enough money if they’ll do the right thing. Donut hole, anyone? You know, this is like Jabberwocky, which was the language spoken in Alice in Wonderland, isn’t that right Mrs. Baldwin? Through the Looking Glass. You know, if you say these words enough, sooner or later they take on a little life of their own. Well, you can feel free to do that, but the American people know you’re standing in defense of a system that everyone knows is broken, everyone knows is too expensive, everyone knows doesn’t work, and we were elected to change that. Can’t name a single thing ourselves at www.michaelmoore.com

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Categories: Social Security Tags: Anthony, Care, Challenge, Health, Impossible, Issues, Rep., Weiner

An Open Letter To President Obama on Health Care Reform and What It Means To My Family

An Open Letter To President Obama on Health Care Reform and What It Means To My Family

Mr. President:

I know that you are a very busy man so I will try to keep my questions about health care reform and the recently passed legislation as short and simple as possible.

- I could ask you why you think this is a good piece of legislation even though I truly believe that it will be a failure and will come very close to bankrupting the country. The basis for my conclusion has nothing to do with political partisanship (in fact, I have never voted for a Republican for national office in my life.) From my perspective, “Obama Care” never effectively addressed the root causes of our escalating health care costs: Americans eat too much of the wrong kinds of food, they exercise far too little, they are overweight, they smoke too much, and they are getting older. This legislation does not address these causes, it just raises taxes and moves money around within the bureaucracy. I could ask you about this but I will not.

- I could ask you why you have not stepped forward and denounced those in your party that have likened Americans like myself, i.e. those that have legitimate and honest concerns about this health care reform bill, to the racists who fought against the civil rights movement from the 1960s. I thought that we lived in a free country where citizens could freely address their elected representatives without being slurred in the most debasing way possible, just for having a different opinion. Your lack of fortitude to oppose those Democrats who frequently use the term “racist” to malign myself and those Americans expressing their honest opposition, cheapens the bravery and contributions of those from long ago that fought actual racism. I could ask you about this but I will not.

- I could ask you why you felt it necessary to pass this legislation by the back door called reconciliation. This is a major, major issue in the country that will affect every American for decades to come. Sneaking it in the back door, without using the traditional, time honored method of passing laws in his country, belittles the approach and makes it look like it was forced through without the full weight of the democratic process behind it. I could ask you about this but I will not.

Here is what I will ask you about. But first, some background facts:

- Let me reiterate that both my wife and myself have never voted for a Republican for national office in our lives.

- We both spent several decades of our lives working hard for AT&T, retiring several years ago, secure in our thinking that AT&T’s promise of health care benefits and coverage for our long years of service was a good bet.

- We both try to eat well, we exercise at our local YMCA on an almost daily basis, neither of us smoke, and we rarely drink. In other words, we take personal responsibility for our health and our health care.
One reason for our personal responsibility behavior is that we are on a high deductible insurance plan with AT&T. We are each responsible for the first ,200 of our annual health care costs before we get any insurance coverage at all. However, for this personal responsibility, we also pay nothing in annual premiums.

- During the debate leading up to the passage of health care reform, you reiterated more than once that those of us that currently had health care coverage would be able to keep it. However, in a recent article in Fortune magazine, the CEO of AT&T, Randall Stephenson, was interviewed (several pages of the article are attached). Towards the end of the interview, he was explicitly asked whether AT&T would consider dropping health care insurance coverage for its employees and retirees. His response made it clear that this was a very viable option for two reasons. First, from a business profitability perspective, under the new health care reform law, “you’re better off paying the government a fine and dropping health care coverage for your employees”, improving AT&Ts bottom line. Second, he talks about “economic gravity” which appears to be code words for “if others in his industry do it, AT&T will have no choice but to do it also.”

Thus, a few quick questions for you:

1) Were you just naive when you made the comments that we could all keep our current health care insurance, not realizing the simple fact that companies are in business to make money and if this bill makes it easier for them to make more money by not insuring their workforce, that is what they will do? Or were you being disingenuous, knowing that this would happen and deliberately misinforming the country to help get your health care reform bill passed? Naive or disingenuous, in either case you will be making millions of American voters unhappy in November and in 2012 when we are forced out of our current health care coverage and will blame you for either ignorance or arrogance in this situation.

2) I am 57 years old and my wife is 56 years old and if Mr. Stephenson does decide to terminate AT&T’s health care coverage for employees and retirees, where do you suggest that my wife and I get coverage? What insurance company is going to want to pick us up, and millions of other older Americans who lost their coverage, at our ages even though we are both healthy and taking personal responsibility for our continued good health?

3) If we are forced out onto the market for health care insurance coverage, our new coverage is likely going to be much more expensive. Our annual health care costs will go from a maximum of ,200 each to a minimum of several thousand dollars each. Is this how you planned to reduce health care costs for middle class America? Is so, then you need to explain the math to me. Maximum of ,200 to a minimum of several thousand dollars, does not make sense out here in the real world. How does this reduce the escalating health care costs for the 90% of Americans that already had health care insurance prior to the passage of this bill?

Thus, I am not going to ask you about why you and the rest of Congress did not address the root causes of high health care costs in your legislating process. I am not going to ask why you have sat back and been silent while those Americans with legitimate and honest dissent against this bill have been likened to racists by members of your party. I thought you represented all Americans, not just those that agreed with your policies. I will not ask you about why you did not have the courage and guts to pass this legislation the right way, through the front door like every other piece of legislation, but instead snuck it through the back door of reconciliation.

However, I will ask you or your staff to contact me and explain where and how I can get health care coverage at my age if AT&T and the rest of corporate America decides it is a better economic choice to pay a government fine than to cover their employees and retirees with health insurance. I will ask you to explain whether you were naive or disingenuous when explaining that we would be able to keep our current health insurance coverage. And finally, please explain how paying no more than ,200 a year under my current coverage (with many years paying nothing for coverage during healthy years) is a better deal then finding new coverage at my age and paying several thousand dollars a year for the privilege.

Although I have written to the White House many times, I have never received any answer to my questions on a wide variety of topics even though you promised to have the most open and responsive administration of all time. That has not happened yet. However, in this case I do require, in fact I demand specific answers to my three questions above. For your political sake I hope to receive those answers before early November and certainly before 2012.

Thank you for your time,

Walter “Bruno” Korschek

[Follow up note: a month after sending this to the White House, no answers to the questions have been received or even a simple confirmation that this letter was received has been forthcoming from the Obama adminstration.]

Walter “Bruno” Korschek is the author of the book, “Love My Country, Loathe My Government – Fifty First Steps To Restoring our Freedom and Destroying The American Political CLass,” which is available at www.loathemygovernment.com and online at Amazon and Barnes & Noble. You can join our daily dialog on freedom in America at www.loathemygovernment.blogspot.com.

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Categories: Social Security Tags: Care, Family, Health, Letter, means, Obama, Open, President, Reform

License To Steal: How Fraud bleeds america’s health care system

An explanation of how thieves exploit the U.S. health system and steal more than 0 billion each year.Fraud and abuse bleeds more than 100 billion dollars each year out of the U.S. health system. This detailed examination shows the problem is worse than almost anyone knows, mostly invisible, and still far from controlled. Sparrow reveals that current control systems fail by presenting fraud perpetrators with a safe, easy-to-hit target: fully automated check-printing systems, which only

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Categories: Medicare Tags: america’s, bleeds, Care, Fraud, Health, License, Steal, System.

The Healing of America: A Global Quest for Better, Cheaper, and Fairer Health Care

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Important and powerful…a rich tour of health care around the world.”
-Nicholas Kristof, The New York Times

How is it that all other industrialized democracies provide health care for their citizens as a reasonable cost-something the United States has never managed to do? In The Healing of America, New York Times bestselling author T.S. Reid shows how they do it, bringing to bear his talent for explaining complex issues in a clear, engaging way. In his global quest to find a pre

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Managing Your Patient’s Wound Care

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Rep. Anthony Weiner Issues an Impossible Challenge on Health Care

An Open Letter To President Obama on Health Care Reform and What It Means To My Family

License To Steal: How Fraud bleeds america’s health care system

License To Steal: How Fraud bleeds america’s health care system

The Healing of America: A Global Quest for Better, Cheaper, and Fairer Health Care

The Healing of America: A Global Quest for Better, Cheaper, and Fairer Health Care

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