President Obama didn’t have a teleprompter. On November 14, the president held a press conference to announce that he was implementing yet another “administrative fix” to the Obamacare without the consent of Congress. When he got to the Q&A with reporters, it got interesting. More on that in a moment.
October 1 is a phony deadline. Ignore it. Nobody has to sign up for Obamacare. Absolutely nothing has to happen on October 1. Instead, October 1 is the first day to refuse to enroll in Obama's exchanges (refuse2enroll.org). In six days, you can begin your own personal Obamacare resistance campaign. Our motto: Resist. Repeal. Reclaim.
CCHF maintains that the speed of implementation will result in insufficient data protections in a PPACA technology infrastructure that is a rich target for data thieves and that patient data will be compromised, and therefore implementation must be halted until patient data security can be assured.
Do conservative organizations all sing the same health care tune? No, writes John Goodman at the National Center for Policy Analysis. In fact, I'd argue that sometime they are singing in complete dissonance.
CMS has issued a request for comments, including a list of questions, on how to redesign health care through the Exchanges. It's under the rubric of Obamacare's "National Quality Strategy" (Section 3011) and it follows the Section 1311 requirement that Exchanges pay health plans more if they improve health outcomes through government reporting, case management, care coordination, chronic disease management, medication and care compliance initiatives, health IT, wellness activities, and reduction of "health disparities." Read the questions for clarity of intrusions to come.
St. Paul, Minn.—One patient advocate has many concerns about Obamacare and the new state exchanges being created to implement the Affordable Care Act. But perhaps the most pressing concern for Twila Brase, co-founder of Citizens’ Council for Health Freedom, is the federal “System of Records (SRO),” an expansive, government-run database that will store Americans’ private information through the state exchanges.
As reported by Bloomberg/BNA's Health IT Law and Industry Report (10/29/12), Tom Frieden, director of the CDC wasnts doctors and hospitals to use EMRs to "track and refer tobacco users to public hotlines that offer support to patients working to quit smoking." In Stage 2 of "meaningful use" (MU), doctors and hospitals receive incentive payments if they record the smoking status of more than 80 percent of all patients 13 years or older. Patients may of course refuse to answer the questions or assist in the data collection. The CDC letter also suggests that EHRs should "automatically retrieve information from immunization registries." Click to read the CDC's letter.
Jeffrey Shuren, FDA: "...To date, FDA has largely refrained from enforcing our regulatory requirements with respect to HIT devices. Nevertheless, certain HIT vendors have voluntarily registered and listed their software devices with the FDA, and some have provided submissions for premarket review. Additionally, patients, clinicians, and user facilities have voluntarily reported HIT-related adverse events. In the past two years, we have received 260 reports of HIT-related malfunctions with the potential for patient harm —including 44 reported injuries and 6 reported deaths. Because these reports are purely voluntary, they may represent only the tip of the iceberg in terms of the HIT-related problems that exist...."
WALTER MCCLURE, who worked with Paul Ellwood to create the HMO, was interviewed in August 2012. Minnesota's health care system is close to where he wants health care to be with outside analysis of patients and doctors. From the Interview: "When [McClure's] team started on [cost and quality] assessment in the 1980's, the idea that someone would be looking over a physician's shoulder was considered communism. Physicians were convinced of their right to autonomy. However, by 2008 Minnesota's private and voluntary sector had accomplished a sea change in this culture with 85 percent of providers in the state participating in having their outcomes measured." [our emphasis]