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Morning Briefing

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Friday, Feb 12 2016

Full Issue

Viewpoints: For Sanders And Clinton, More Sparring Over Health Care; Autism As A Campaign Issue

A selection of opinions on health care from around the country.

Former Secretary of State Hillary Clinton and independent Sen. Bernie Sanders revived their oft-contentious sparring over health care Thursday night in Milwaukee during the latest Democratic presidential debate, this one on PBS. It was the first debate since Sanders' big win in the New Hampshire primary on Tuesday, and the last before the candidates compete again in the Nevada caucus on Feb. 20. For Sanders, the debate was an opportunity to keep the Bernie train rolling after an impressive victory; for Clinton, it was a chance to step in and re-take control of a race in which she is still the front-runner, but that is looking more complicated than it once did. (Pat Garofalo, 2/12)

Vermont Senator Bernie Sanders has some big plans for America, including ending the reign of money in politics and reshaping the US economy. But sweeping changes like single-payer health care, free college tuition, and guaranteed parental leave don鈥檛 come cheap. They require an abundance of new tax dollars, not just from the rich but from virtually all classes of society. (Evan Horowitz, 2/11)

For the second Democratic presidential debate in a row, health care came up right away. And for the second debate in a row, what followed was a serious, substantive discussion that put the different perspectives of Bernie Sanders and Hillary Clinton into sharp relief. (Jonathan Cohn, 2/11)

So far this election cycle, Hillary Clinton has been the only candidate to offer a detailed position on autism. Odds are she won鈥檛 be the last, considering that the Centers for Disease Control and Prevention estimates that there are more than 3 million Americans with a diagnosis of autism spectrum disorder, and most of those people have families. That鈥檚 a constituency worth wooing. But let the wooers be warned: Autism has its own politics, and they are fraught. (John Donvan and Caren Zucker, 2/11)

There are three ways to increase the sustainability of Medicare, the deservedly much-loved program that provides affordable, quality health coverage to almost 50 million mostly older Americans: cut spending, raise more revenues and/or slow the growth of health costs. (Another way would be to deport the aging boomers who are increasingly coming onto the Medicare rolls, but while I should technically recuse myself from that solution, let鈥檚 just not go there.) (Jared Bernstein, 2/11)

鈥淲ellness programs鈥 offered by employers are all the rage. Intended to improve workers鈥 health and hold down insurance costs, they are broadly defined. As one shrewd researcher told a Register editorial writer: 鈥淚f you鈥檝e seen one wellness program, you鈥檝e seen one wellness program.鈥 And workers are frequently not interested in participating. (2/11)

If we鈥檙e to unlock the potential of value-based health care for driving improvement, outcomes measurement must accelerate. That means committing to measuring a minimum sufficient set of outcomes for every major medical condition 鈥 with well-defined methods for their collection and risk adjustment 鈥 and then standardizing those sets nationally and globally. (Michael E. Porter, Stefan Larsson and Thomas H. Lee, 2/11)

It is frequently said that, unfortunately, Americans disdain government. It is more usefully said that, unfortunately, they have abundant reasons for doing so. In coming days, the Supreme Court, by deciding to hear a case from Connecticut, can begin limiting a contemptible government abuse that the court鈥檚 passive deference to legislatures has encouraged. The case concerns a minor economic activity, teeth whitening, but a major principle: Can a state limit Americans鈥 opportunities by restricting access to particular professions for no reason other than the enrichment of people entrenched in those professions? (George F. Will, 2/10)

If you get sick, New York City and Long Island are among the best places to be for medical care, I've heard. I'm not feeling that at the moment. (Alison Kosik, 2/11)

As of January 2016, endemic transmission of polio caused by wild polioviruses (WPVs) had been interrupted in all countries except Pakistan and Afghanistan ... Getting to this point has not been easy. Sustaining our wins and traversing the last mile of the eradication journey calls for escalation of global immunization activities on an unprecedented scale. (Manish Patel and Walter Orenstein, 2/11)

A bill has been introduced in the Iowa Legislature entitled the Iowa Death With Dignity Act. This bill ... would make Iowa the sixth state to allow terminally ill patients who meet specific and stringent criteria to have some degree of control over their dying process. (John Westefeld, 2/11)

It鈥檚 d茅j脿 vu all over again for Florida鈥檚 controversial medical marijuana amendment, which is back on the ballot in November, two years after it failed, barely, to get the necessary votes. Back then, the measure received 58 percent approval 鈥 just short of the 60 percent required for an amendment to pass. But this time, there鈥檚 a different political scenario. A presidential election likely will double voter turnout 鈥 and the chances for the amendment鈥檚 passage. (2/11)

Though the debate over the future of the Affordable Care Act almost certainly will rage on whatever the outcome of the 2016 elections, everyone seems to agree that the future growth rate in health care costs, which historically has outpaced general inflation, must somehow be reined in. (Robert Litan, 2/11)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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