Hits and Misses

Henry Waxman to retire. :) henry_waxman-618x400

Medicaid managed care studies: they don’t save money and they don’t improve quality. But I know some who claim to do both.

Are nurses about to replace doctors in VA hospitals?

Gallup: only 4% think inequality is a major problem.

Comments (17)

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  1. PJ says:

    Henry Waxman to retire.

    Oh gosh. What a loss for us all.

  2. Sarah T. says:

    Gallup: only 4% think inequality is a major problem.

    Tell that to the President.

  3. Lucy says:

    Waxman probably wants to get off of that Obamacare health plan.

  4. KZ says:

    I think Gallup is credible. It is not a good time to start a so-called class warfare.

  5. Buster says:

    Henry Waxman to retire.

    Thank you Jesus! :-)

  6. Sherif says:

    Enjoy the retirement

  7. Steve says:

    Of course people don’t put inequality as the first problem. With all sides of government constantly yelling at each other, who can hear or think of anything BUT government dysfunction?

  8. Ava says:

    A combination of factors — advancing age, Congress’ sorry image, hyper-partisanship, and political burnout — have contributed to the wave of congressional retirements.

    That sounds like enough to make anyone retire.

  9. Ted says:

    The Veterans Health Administration is taking heavy fire from doctor groups over a proposal to let nurses with advanced training practice medicine without physician supervision throughout the VHA system—even in states where laws require more oversight.

  10. John R. Graham says:

    On Medicaid managed care, I will take responsibility for endorsing the idea.

    In 2009, I wrote a study that ranked states by various measurements of health regulation. The paper is online at http://tinyurl.com/kgcvcls and the discussion of Medicaid managed care is on pp. 16-17.

    It is clear that there is no general theory of managed care and folly to seek one. With respect to Medicaid managed care, because state and county bureaucrats make the contracts with the managed-care plans, they suffer from the usual problems of government procurement.

    If individuals, rather than the state, chose their managed-care plan, I expect the results would be significantly better.

    However, I predict that the performance of managed-care plans will get worse under Obamacare’s Medicaid expansion. Because almost all the money for the expansion comes from the federal government, the highest priority for state and country bureaucrats will be to spend it quickly, rather than responsibly.

    The usual poor incentives to government procurement are amplified when the government that spends the money is not the same government as the one that taxes or borrows it.