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|Articles - July/August 2014|
|Friday, July 11, 2014|
Page 2 of 6
The Big Pill
The Oregon coordinated-care solution seeks to align hospital and doctor incentives. “Everybody has looked out for themselves. That’s the way the system was built,” observes Davidson. “Breaking down those walls, you have hope for creating a system that’s incented to do less with less.”
There’s one problem: Not all the walls have come down. Drug companies and medical-equipment manufacturers, for instance, remain outside the purview of reform, despite the fact that their products are huge drivers of health care costs. “Oregon hospitals and physicians have bought into this concept, but drug companies and medical-equipment manufacturers clearly have not — and they threaten to sink it,” says Dannenhoffer.
He points to a $1,000 pill: a new hepatitis-C drug he calls useful but ridiculously priced. “It’s hard to live within a 3% or 4% increase a year when some of the component costs are going up at a far greater rate.”
Long-term care providers, too, have managed to avoid transformation. “They negotiated a great political deal to not be included,” Davidson notes.
But health care reform is inherently political and therefore requires compromise. “We can’t let the perfect be the enemy of good,” says Davidson. “Drugs aren’t in. Durable medical equipment’s not in. Long-term care’s not in. And we need to have policy conversations about adding them in. But we had to do something to get everybody in the same tent.”
Monday, October 06, 2014
BY LINDA BAKER | OB EDITOR
Intel's manufacturing way station; Merkley's attack dog; Diamond Foods gets into the innovation business.
Sunday, October 12, 2014
BY LINDA BAKER
Cylvia Hayes, tabloid vs. watchdog journalism and the looming threat of a Cascadia earthquake.
Friday, October 24, 2014
A majority of respondents agreed: Local vineyards should remain Oregon-owned and quality is the most important factor when determining where to eat or buy groceries.
Friday, October 17, 2014
BY TOM COX | OB BLOGGER
How can you move from a command-and-control leadership model to one of true empowerment and accountability? David Marquet did, and he took notes along the way.
Wednesday, November 26, 2014
BY NISHANT BHAJARIA | OP-ED CONTRIBUTOR
By now, anyone who knows about it has a position on President Obama’s executive order on immigration. The executive order is the outcome of failed attempts at getting a bill through the normal legislative process. Both Obama and his predecessor came close, but not close enough since the process broke down multiple times.
Wednesday, October 22, 2014
We didn’t intend this issue to have an election season theme. But politics has a way of seeping into the cracks and fissures.
Wednesday, October 22, 2014
BY JOE ROJAS-BURKE
The black soldier fly’s larvae are among the most ravenous and least picky eaters on earth.
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