The former Policy Director for Governor Mitt Romney’s Presidential campaign 2012, Lanhee Chen is a fellow at the Hoover Institution and Stanford University. His latest column for Bloomberg, ‘Fix doctors’ pay and improve health too’ is well worth a read on the US medical care system.
Lanhee opens his discussion highlighting that the current fee-for-service system is unsustainable – one of the few points that Medicare, Republicans and Democrats all agree on. Although the SGR have promised cuts in physician fees since 2002, most years Congress have postponed these.
This is a problem which Lanhee urges Congress to address quickly, he advocates replacing the SGR with an improved physician payment system. He suggests that a not fee-for-service system would reward quality of care rather than quantity and the move from SGR would be a “golden opportunity for better data collection”.
Lanhee acknowledges how expensive this reform would be – an estimated $138 billion, yet he firmly believes it is necessary to “replace the flawed payment system for doctors” and would be the first stage in strengthening Medicare for future generations.
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Interesting article in The Telegraph by Conservative MP Douglas Carswell and Daniel Hannan MEP titled “A new dawn for Parliament?”. Discussing the unlikelihood of the government’s talks of reform becoming a reality and “what has gone wrong”, Douglas and Daniel suggest “But the case for recall and primaries is now surely overwhelming. This isn’t just about restoring the authority of Parliament; it’s about restoring honour and purpose to the act of voting.”
As NATO’s military involvement in Libya drags on, The Economist calls for the world to ‘keep calm’ and ‘keep going’ in maintaining sustained pressure on Muammar Qaddafi. The ‘West must hold its nerve, increase the military pressure, buttress the rebels, and accept that the campaign may last several more months.’
Is it a question of if or when for the Libyan dictator?
Meanwhile, on the BBC’s HARDtalk , presenter Stephen Sackur interviewed Egyptian liberal intellectual Tarek Heggy, who advocates wholesale reform in the Middle East. During the discussion Tarek pointed out that Egyptians need ‘real jobs and real salaries’ to allay the deep seated socio-economic unrest. Change is necessary to cement the ideals of the revolution.
Chartwell recently interviewed Marco Vicenzino on the Arab Spring and the death of Osama bin Laden. Marco argued that business prospects in the region would depend upon security and stability within powerful, strategic nations such as Egypt and Saudi Arabia.
He provides geo-political risk analysis and regular commentary for global media outlets and is director of Global Strategy Project. Marco Vicenzino is an expert speaker on Middle Eastern politics and global geo-strategy.
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