Know the Basics of Why Obamacare Stumbled Before Adopting Trumpcare

“Of course, it’s too much to ask these days for a reasoned discussion of the underlying economics of health care in Washington. However, without such a discussion, the most likely result will increase the cost of health care to you and your family. Real reform will require a hard look at the economics of our health care system — its strengths and its failings,” writes Dr. Kevin Schulman, a professor of medicine.

Read More in The Plain Dealer

Cuts To EPA, NIH Budgets Would Hurt Local Economy

President Donald Trump’s proposed federal budget includes cuts to two federal agencies that could make a noticeable dent in the Triangle economy if it wins congressional approval. Dr. Nancy C. Andrews, dean of the School of Medicine, says in a statement she hopes Congress rejects any reduction of NIH funding and funding for other programs critical to people’s health and well-being. “Everywhere you turn, there is clear evidence of the impact of science and biomedical research on human lives,” she says.

Read More in The News & Observer

A Matter of Life and Death

“During the campaign, Donald Trump promised to repeal and replace Obamacare with something “terrific,” something that would cover “everybody.” This new proposal is opposite. In the service of cutting taxes for a few, it will shorten lives for many. America must reject it,” writes Mark Paul, postdoctoral associate at the Samuel DuBois Cook Center on Social Equity, and a colleague.

Read More on Inside Sources

Boiling Down the GOP Health Care Plan

“In summary, this bill is a tax cut for high income folks that is funded by cuts to the Medicare program as compared to the ACA new baseline. In addition, it provides a fundamental change of the federal governments financial commitment for Medicaid which weakens the safety net we have, while wiping out coverage gains from Medicaid expansion,” writes health policy scholar Don Taylor.

Read More on the FreeForAll Blog

GOP Health Care Plan: ‘Seems DOA in 24 Hours’

Health policy scholar Don Taylor talks about the new Republican plan to repeal and replace the Affordable Care Act (7 minute mark). “My first thought was, ‘It took you guys six years to come up with this?’ And it seems DOA in 24 hours. I think what it shows is there’s really never been a consensus in the Republican Party about what to do about health care policy other than to counter-punch the Affordable Care Act.”

Watch on TWC’s “Capital Tonight”


As Trump Targets Carbon Rules, Green Groups Promise a Legal Fight

With President Trump poised to issue an executive order aimed at undoing a key pillar of the Obama administration’s climate-change agenda, environmental activist groups have joined forces for what they say will be a tooth-and-nail legal battle that could drag on for years. “Altering a final rule, like the Clean Power Plan, isn’t as simple as the stroke of a pen. It will likely require the EPA to undertake a new rulemaking process including public notice and comment that could last a few years,” says Tim Profeta, director of the Nicholas Institute for Environmental Policy Solutions

Read More in The Washington Times

Millions Risk Losing Health Insurance in Republican Plan

Millions of people who get private health coverage through the Affordable Care Act would be at risk of losing it under the replacement legislation proposed by House Republicans, analysts said Tuesday, with Americans in their 50s and 60s especially likely to find coverage unaffordable. The result, says health policy professor Donald Taylor, is that people who buy coverage are sicker, causing the cost of premiums to soar. “This looks like to me adverse selection on steroids,” he says. “I don’t see how it doesn’t crater the individual market.”

Read More in The New York Times

Trump’s Criticism Of Drug Approval Process

President Donald Trump has called the approval process “slow and burdensome” and said he wants to speed it up. Dr. Mark McClellan, director of the Margolis Center for Health Policy at Duke and a former FDA commissioner, talks about whether that’s feasible.

Read More on NPR

Focus On Trump’s Acts, Not His Psychology

“Many people still don’t understand that Trump can be a world class narcissand still not qualify for a mental disorder. … Lumping him with the mentally ill is an insult to them, not him. … Opposition to Trump’s power grab must be based on politics, not psychology,” writes Allen Frances, professor emeritus of psychiatry and behavioral sciences.

Read More in The Huffington Post

Research: How Medicare Could Save Millions

Medicare has long struggled with the most efficient way to reimburse hospitals for the care they provide. Professor Ryan McDevitt, an economist at The Fuqua School of Business, studied stays at long-term care hospitals and found on average they discharge patients based on when they get federal payments rather than for medical reasons. His research also shows an alternative payment system could save Medicare millions of dollars without affecting standards of care.

Read More From The Fuqua School

Former Affordable Care Act Chief Offers Health Care Prescription

Andy Slavitt was the point person in the Obama administration for the federal Affordable Care Act. He’s now trying to save it. “He’s both a good communicator and a technical expert, as well as a committed supporter of improving health care,” Dr. Mark McClellan, a former administrator of the Centers for Medicare & Medicaid Services now director of Margolis Center for Health Policy at Duke, says of Slavitt. “So, all that’s a good combination for having an impact.”
Read More in the Star Tribune

Obamacare on the Ropes

Is the unraveling of the Affordable Care Act imminent, as many Republicans predict? “The Affordable Care Act is fundamentally stable in most states. Enrollment has been increasing and insurers are projecting better results. Insurers with effective strategies tailored to local demand for high-quality, low-cost health care have been able to show profitability on the exchanges,” says David Anderson, an analyst at Duke’s Margolis Center for Health Policy.

Read More in The Huffington Post