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ADVANCE Perspective: HIM

(Mis)information Overload

Published August 13, 2009 3:27 PM by Lisa Algeo

(Editor's note: The following is a guest blog from Mark McGraw, staffer on ADVANCE for Health Information Executives)

Earlier this week, Bob Mitchell, our managing editor here at ADVANCE, posted a blog chastising the behavior of some overzealous attendees at a recent public debate on U.S. health care reform held in the Philadelphia area.

But the City of Brotherly Love isn't the only place where the "discussion" surrounding proposed health care legislation has turned ugly, as amped-up activists from around the country have joined the fray as well.

(Click here for news on related incidents in Florida, Missouri and Georgia)

Instead of engendering thoughtful debate, many public meetings to discuss health care reform have instead devolved into shouting matches and in some cases violence.

And -- not at all surprisingly -- opinions on the legislation are largely split down the political aisle. The health care issue is certainly complex, but in its simplest terms, the party lines generally go something like this:

From the left -- The current U.S. health care system is in dire need of an overhaul, and the proposal put forth by the Obama administration would ultimately mean more choices and more affordable care for more Americans, and would allow doctors and patients to make health care decisions that work for them, not the insurance companies.

From the right -- Obama's proposed legislation would be financed by cutting Medicare benefits, would hurt small business, would force many Americans out of their current insurance plans and ultimately send us down a slippery Socialist slope that ends with the federal government controlling individual health care decisions.

A true, complete picture of the Obama plan for reform has yet to emerge, as the legislation is still being drafted. But the argument becomes more contentious by the day, as both sides passionately plead their case for or against the presidential plan to revamp health care. And, as in many arguments, facts and logic have at times been obfuscated by rhetoric and bluster.

In an effort to clear up misconceptions about the proposed legislation, the White House has launched a Web site, www.whitehouse.gov/realitycheck/, aimed at providing visitors to the site with "the latest ‘reality checks' and tools to combat misinformation," according to a White House official.

The site features a variety of videos from White House officials and health care experts attempting to dispel claims that reform would amount to a "government takeover" of health care or that reform would encourage or even require euthanasia for seniors, for example.

The new site may be intended to bring the facts to the surface, but reform opponents have quickly countered that the White House is only muddying the waters further.  

The site is "full of errors, misstatements and falsehoods," House Minority Leader John A. Boehner (R-Ohio) said in the Aug. 11 edition of the Los Angeles Times.

White House officials "don't know how many employers are going to drop their coverage altogether if their plan goes into effect," Boehner told the paper, adding that the White House is wrong to say that individuals would be able to keep their current insurance plans if they so desired.

As a rebuttal to detractors, House Speaker Nancy Pelosi (D-CA) and Majority Leader Steny Hoyer (D-MD) penned an opinion piece that appeared in USA Today on Aug. 11. In it, they accused health care reform critics of engaging in an "ugly campaign" bent on drowning out opposing views and preventing members of Congress and their constituents from conducting a "civil dialogue" on health care reform.

And on it goes. However it happened, anything resembling a civil dialogue about health care reform seems to have been muted by the sound of an angry mob elbowing its way to the podium to demand its say, differing opinions be damned. And if that's the track we're on, what are the chances of the health care situation being adequately addressed anytime soon?

4 comments

The Democrats are equally gulity of name-calling and  ignoring those who disagree with them.  Did they ever stop and ask themselves why people are angry?

Margaret Nahmias August 20, 2009 2:13 PM

Good News !

A staff writer at The New Yorker and some experts have examined Medicare data from the successful hospitals of 10 regions, and they have found evidence that more effective, lower-cost care is possible.

Please be 'sure' to visit http://www.nytimes.com/2009/08/13/opinion/13gawande.html?hp  for credible evidence !

Some have followed the Mayo model with salaried doctors employed, Other regions, too, have found ways to protect patients against the pursuit of revenues over patient.

And  a cardiac surgeon of them said they had adopted electronic systems, examined the data and found that a shocking portion of them were almost certainly unnecessary, possibly harmful.

According to analysis, their quality scores are well above average. Yet they spend more than $1,500 (16 percent) less per Medicare patient than the national average and have a slower real annual growth rate (3 percent versus 3.5 percent nationwide).

Surprisingly, 16 % of about $550 billion (the total of medicare cost per year) is around $88 billion per year, except for Medicaid (total cost of around $500 billion per year), medicare 'alone' can save $880 billion over the next decade.  

In addition, under the reform package, along with the already allocated $583 billion, the wastes involving so called "doughnut hole" , the unnecessary subsidies for insurers, abuse, exorbitant costs by the tragic ER visits etc are weeded out, the concern over revenue might be a thing of the past.

(( Net Medicare and Medicaid savings of $465 billion + the $583 billion revenue package = $1048 billion - the previously estimated $1.042 trillion cost of reform = $6 billion surplus - $245 billion (the 10-year cost of adjusting Medicare reimbursement rates so physicians don’t face big annual pay cuts) = the estimated deficit of $239 billion ))

In modernized society, the business lacking IT system is unthinkable just like pre-electricity period, nevertheless, the last thing to expect is happening now in the sector requiring the best accuracy in respect to dealing with human lives. Apparently the errors by no e-medical records have spawned the crushing lawsuits (Medical malpractice lawsuits cost at least $150 billion per year), and these costs have led to the unnecessary tests, treatments, even more profits so far. And in different parts of the U.S., patients get two to three times as much care for the same disease, with the same result.

Thank You !

hsr0601 hsr0601 August 14, 2009 2:06 PM

Throw The Healthcare Obstructionist Out!

More than two thirds of the American people want a single payer health care system. And if they cant have a single payer system 76% of all Americans want a strong government-run public option on day one (85% of democrats, 71% of independents, and 60% republicans). Basically everyone.

We have the 37th worst quality of healthcare in the developed world. And the most costly. Costing over twice as much as every other county. Conservative estimates are that over 120,000 of you dies each year in America from treatable illness that people in other developed countries don't die from. Rich, middle class, and poor a like. Insured and uninsured. Men, women, children, and babies. This is what being 37th in quality of healthcare means.

I know that many of you are angry and frustrated that REPUBLICANS! In congress are dragging their feet and trying to block TRUE healthcare reform. What republicans want is just a taxpayer bailout of the DISGRACEFUL GREED DRIVEN PRIVATE FOR PROFIT health insurance industry, and the DISGRACEFUL GREED DRIVEN PRIVATE FOR PROFIT healthcare industry. A trillion dollar taxpayer funded private health insurance bailout is all you really get, without a robust government-run public option available on day one. Co-OP's ARE NOT A SUBSTITUTE FOR A GOVERNMENT-RUN PUBLIC OPTION. They are a fraud being pushed by the GREED DRIVEN PRIVATE FOR PROFIT health insurance industry that is KILLING YOU!

YOU CANT HAVE AN INSURANCE MANDATE WITHOUT A ROBUST PUBLIC OPTION. MANDATING PRIVATE FOR PROFIT HEALTH INSURANCE AS YOUR ONLY CHOICE WOULD BE A DISASTER. AND UNETHICAL, CORRUPT, AND MORALLY REPUGNANT. AND PROBABLY UNCONSTITUTIONAL AS WELL.

These industries have been slaughtering you and your loved ones like cattle for decades for profit. Including members of congress and their families. These REPUBLICANS are FOOLS!

Republicans and their traitorous allies have been trying to make it look like it's President Obama's fault for the delays, and foot dragging. But I think you all know better than that. President Obama inherited one of the worst government catastrophes in American history from these REPUBLICANS! And President Obama has done a brilliant job of turning things around, and working his heart out for all of us.

But Republicans think you are just a bunch of stupid, idiot, cash cows with short memories. Just like they did under the Bush administration when they helped Bush and Cheney rape America and the rest of the World.

But you don't have to put up with that. And this is what you can do. The Republicans below will be up for reelection on November 2, 2010. Just a little over 13 months from now. And many of you will be able to vote early. So pick some names and tell their voters that their representatives (by name) are obstructing TRUE healthcare reform. And are sellouts to the insurance and medical lobbyist.

Ask them to contact their representatives and tell them that they are going to work to throw them out of office on November 2, 2010, if not before by impeachment, or recall elections. Doing this will give you something more to do to make things better in America. And it will make you feel better too.

There are many resources on the internet that can help you find people to call and contact. For example, many social networking sites can be searched by state, city, or University. Be inventive and creative. I can think of many ways to do this. But be nice. These are your neighbors. And most will want to help.

I know there are a few democrats that have been trying to obstruct TRUE healthcare reform too. But the main problem is the Bush Republicans. Removing them is the best thing tactically to do. On the other hand. If you can easily replace a democrat obstructionist with a supportive democrat, DO IT!

You have been AMAZING!!! people. Don't loose heart. You knew it wasn't going to be easy saving the World. :-)

God Bless You

jacksmith — Working Class

I REST MY CASE (http://krugman.blogs.nytimes.com/2009/07/25/why-markets-cant-cure-healthcare/)

Republican Senators up for re-election in 2010.

* Richard Shelby of Alabama

* Lisa Murkowski of Alaska

* John McCain of Arizona

* Mel Martinez of Florida

* Johnny Isakson of Georgia

* Mike Crapo of Idaho

* Chuck Grassley of Iowa

* Sam Brownback of Kansas

* Jim Bunning of Kentucky

* David Vitter of Louisiana

* Kit Bond of Missouri

* Judd Gregg of New Hampshire

* Richard Burr of North Carolina

* George Voinovich of Ohio

* Tom Coburn of Oklahoma

* Jim DeMint of South Carolina

* John Thune of South Dakota

* Kay Bailey Hutchison of Texas

* Bob Bennett of Utah

jack smith August 14, 2009 2:05 PM
dalla TX

Are you kidding me? Do you think a website sponsored by the White House will do anything to dispel the angst, confusion, fear, and opposition of those who object?    From what I have discerned, it seems that the divide is not necessarily party-related, rather it splits right down the middle between those who have insurance, and those who do not have insurance.  If I were in the "have-not" group, I may be a bit more open to the idea.  And I do realize, that I am only as far away from the "have-not" as a pink slip.  Yes, something needs to be done.  But not this.  Please not this.  And I almost wonder if the Obama folks aren't spinning some of the rumors, thereby working the opposers into a frenzy... in order to portray them as 'unamerican, ignorant, violent, rednecks' on television.  I don't believe all the rumors out there, but I do believe that the supporters are being fed a bunch of crap.  An insurance card will get you in the door of an ER or a doctor's office.  Granted.  What's going to happen when the bill comes?  Many people still won't be able to pay for it.  Everyone, including me, will have their medical care all right... up until the day that nobody wants to go to medical school.  I am vehemently opposed to this plan.  I think, however, that more important than trying to get "them" to abandon the idea, is that we have our representatives SLOW DOWN THE PROCESS.  This is not a situation that we found ourselves in overnight, and we shouldn't try for a quick fix.  Delay the vote, get more information.

Cathy, acute care - transcriptionist, hospital August 13, 2009 6:29 PM
GA

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