Former Centers for Medicare & Medicaid Services (MedPAC) Administrator Donald Berwick is right about one thing: regardless of the Supreme Court ruling on the Affordable Care Act (ACA), health care reforms are already being driven in the private sector marketplace.
In a speech Monday at the American Health Lawyers Association’s annual meeting in Chicago, Berwick noted that the “reform train has already left the station.” He added that many changes, such as the shift toward team-based care structures and the implementation of care coordination programs are already meeting their goals in terms of lowering healthcare costs.
While the power and import of the Supreme Court, the President and Congress are preeminent in the context of law and regulatory policy, the dynamism of the U.S. private sector and the healthcare marketplace itself is the primary driver of transformative changes that elevate quality and comparative provider costs to the fore, where they belong.
Tax breaks for small businesses are popular, and that’s some welcome news for those of us who run small corporations, and shoulder the lion’s share of the U.S. tax burden. Taxes are up, costs are up, and, while profits are up, working seven days is just a fact of life. Thus, working for yourself is just like a campaign — seven day work weeks. Fortunately, work is fun — but we still need to see lower tax rate, and some new data provides hope.
The good news is that a new United Technologies/National Journal Congressional Connection Poll finds tax breaks for businesses are popular. When asked what Congress could do to help the economy and create jobs, the top answer picked by poll respondents (37 percent of them) to improve the economy was “passing tax cuts for small businesses to encourage them to hire more workers.” Republicans particularly embraced that approach (52 percent), but it was also the most popular option selected among both Democratic voters (35 percent) and independents (32 percent).
Help on the horizon.
While all eyes are on the Wisconsin recall tonite, and no declared winner yet, am going to have to say how slow DC moves in recognizing Mitt Romney is more likely than not to win the Presidency. Unsurprisingly, most of official Washington is relatively oblivious to the unfolding dynamic.
When Obama senior campaign adviser David Axelrod showed up in Boston to lead the thrashing of Mitt Romney, this was reminiscent of the Bush/Quayle ’92 campaign — which dispatched a team to Little Rock to trash Bill Clinton’s Arkansas record.
Unfortunately, I was there, and one of those in charge (to my chagrin).
It didn’t work then, and it won’t work now.
The only issue is jobs and economic leadership.
Barack Obama will likely take his place along side George H.W. Bush as a one term president. The current President, like Bush, is slowly sinking into the quicksand caused by poor economic stewardship.
Plain and simple.