John R. Graham

California

A Strange Way to Help Patients: California Nurses Association Strikes Again!

I suppose if I were a patient at one of Sutter Health’s ten hospitals in Northern California, now at the mid-point of a ten-day long nursing strike, I might find some cold comfort in the California Nurses Association’s claim that this walk-out by 4,000 RNs is a “dramatic stand for ...
Commentary

Convenient Clinics: Becoming Part of the Problem?

I hate to write this, but there are increasing signs that one of the most significant disruptive forces in American health care today is slowly being sucked into the same old way of doing business. I speak of the convenient clinics. I’m not saying the news is all bad. The ...
California

Out of the Wreckage of ABX1 1, Consumer Watchdog Plans Another Shake-Down

You would think that anyone seriously wanting to improve health care in America would want to reduce, not increase the administrative, bureaucratic burden of over regulation, in order to ensure more dollars go to patient care. But if you profit from the regulatory burden, you’d hardly make that a serious ...
Commentary

Twilight of the Medieval Guilds? Scope of Practice Laws Examined

The California HealthCare Foundation, hardly a bunch of right-wing fanatics like us at PRI, has published a sober, but assertive, analysis of how California regulates the scope of practice of health professionals, along with recommendations for improvement. It’s written by scholars at the University of California, San Francisco’s Center for ...
California

California Health Care Deforminator Model ABX1 1: A Requiem

The Health Affairs blog has just wrapped up a series of posts from a number of folks who supported, to various degrees, the so-called “reform” that Governor Schwarzenegger and his allies recently tried to foist on California. I suppose that one could generally identify these ladies and gentlemen as “Clintonista” ...
California

California’s Convenient Clinics: Some Win, Some Lose, All Change

The Sacramento Business Journal (subscribers only) has surveyed the “drop-in” clinics that have sprouted up around the state’s capital city in the last three years or so. It’s amazing what a diverse group they are! Sutter Express Care, owned by a large non-profit, hospital chain, has been hoping to use ...
Commentary

Massachusetts’ Commonwealth Connector’s Compliance Confusion

Advocates of so-called “universal” health care often cite the “fragmentation” of the status quo as reason enough to increase taxes and fines so that everybody has health insurance – whether we like what’s offered or not. And, they have a point: the employer-based health care system lets a lot of ...
Commentary

Forced health coverage unhealthy

In 1949, Pennsylvania became the first state to impose benefit mandates on health insurance, requiring plans to pay for osteopathy and dentistry services. It was a watershed event that led to a flood of legal requirements in other states. Unfortunately, it also laid the groundwork for today’s bloated health care ...
California

“Thinking Small” on California Health Reform? Not Small Enough!

Using a very appropriate headline, the features editor of the California Healthline points out that California’s “health reformers try again on a smaller scale”. Unfortunately, they are not trying small enough. Although the Schwarzenegger-Nuñez Health Care Deforminator Model ABX1_1 failed in the Senate health committe last month, after a year ...
California

Healthy San Francisco: Wouldja Like An Employee Voluntary Waiver with Those Fries?

I’ve not only criticized the Healthy San Francisco employer “pay or play” mandate that has dropped a payroll tax of $1.17 to $1.76 per hour on the city’s struggling businesses; I’ve actually proposed an alternative. But…..they went ahead and did it anyway. Pending the Golden Gate Restaurant Association’s legal appeal ...
California

A Strange Way to Help Patients: California Nurses Association Strikes Again!

I suppose if I were a patient at one of Sutter Health’s ten hospitals in Northern California, now at the mid-point of a ten-day long nursing strike, I might find some cold comfort in the California Nurses Association’s claim that this walk-out by 4,000 RNs is a “dramatic stand for ...
Commentary

Convenient Clinics: Becoming Part of the Problem?

I hate to write this, but there are increasing signs that one of the most significant disruptive forces in American health care today is slowly being sucked into the same old way of doing business. I speak of the convenient clinics. I’m not saying the news is all bad. The ...
California

Out of the Wreckage of ABX1 1, Consumer Watchdog Plans Another Shake-Down

You would think that anyone seriously wanting to improve health care in America would want to reduce, not increase the administrative, bureaucratic burden of over regulation, in order to ensure more dollars go to patient care. But if you profit from the regulatory burden, you’d hardly make that a serious ...
Commentary

Twilight of the Medieval Guilds? Scope of Practice Laws Examined

The California HealthCare Foundation, hardly a bunch of right-wing fanatics like us at PRI, has published a sober, but assertive, analysis of how California regulates the scope of practice of health professionals, along with recommendations for improvement. It’s written by scholars at the University of California, San Francisco’s Center for ...
California

California Health Care Deforminator Model ABX1 1: A Requiem

The Health Affairs blog has just wrapped up a series of posts from a number of folks who supported, to various degrees, the so-called “reform” that Governor Schwarzenegger and his allies recently tried to foist on California. I suppose that one could generally identify these ladies and gentlemen as “Clintonista” ...
California

California’s Convenient Clinics: Some Win, Some Lose, All Change

The Sacramento Business Journal (subscribers only) has surveyed the “drop-in” clinics that have sprouted up around the state’s capital city in the last three years or so. It’s amazing what a diverse group they are! Sutter Express Care, owned by a large non-profit, hospital chain, has been hoping to use ...
Commentary

Massachusetts’ Commonwealth Connector’s Compliance Confusion

Advocates of so-called “universal” health care often cite the “fragmentation” of the status quo as reason enough to increase taxes and fines so that everybody has health insurance – whether we like what’s offered or not. And, they have a point: the employer-based health care system lets a lot of ...
Commentary

Forced health coverage unhealthy

In 1949, Pennsylvania became the first state to impose benefit mandates on health insurance, requiring plans to pay for osteopathy and dentistry services. It was a watershed event that led to a flood of legal requirements in other states. Unfortunately, it also laid the groundwork for today’s bloated health care ...
California

“Thinking Small” on California Health Reform? Not Small Enough!

Using a very appropriate headline, the features editor of the California Healthline points out that California’s “health reformers try again on a smaller scale”. Unfortunately, they are not trying small enough. Although the Schwarzenegger-Nuñez Health Care Deforminator Model ABX1_1 failed in the Senate health committe last month, after a year ...
California

Healthy San Francisco: Wouldja Like An Employee Voluntary Waiver with Those Fries?

I’ve not only criticized the Healthy San Francisco employer “pay or play” mandate that has dropped a payroll tax of $1.17 to $1.76 per hour on the city’s struggling businesses; I’ve actually proposed an alternative. But…..they went ahead and did it anyway. Pending the Golden Gate Restaurant Association’s legal appeal ...
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