Sukses Main Mahjong Ways Best808 Pahami Scatter dan Kombinasinya Mahjong Ways Best808 Simbol Scatter Meningkatkan Peluang Menang Kesalahan Umum Pemain Mahjong Ways di Best808 Auto Jackpot Strategi Terbaik Fitur Scatter Mahjong Ways Best808 Mahjong Ways Best808 Panduan Scatter Wild Hasil Maksimal Pola Mahjong Ways Best808 Gacor Scatter Menang Bongkar Misteri Mahjong Ways Best808 Kunci Kemenanganmu Mau Cuan Maksimal di Mahjong Ways Best808 Trik Menggunakan Scatter Agar Lebih Untung Main Mahjong Ways di Best808 Kenali Pola Scatter Free Spin Gandakan Kemenanganmu Rahasia Scatter Mahjong Ways Best808 Strategi Jitu Menang Jackpot Besar Misteri Scatter Mahjong Ways Tol777 Kunci Jackpot Besar Bongkar Rahasia Mahjong Ways Tol777 Fitur Scatter Pola Menang Mahjong Ways Tol777 Simbol Scatter Kemenangan Besar Main Mahjong Ways di Tol777 Cara Memanfaatkan Scatter Strategi Mahjong Ways Tol777 Rahasia Scatter Trik Menang Jackpot Analisis Pola Permainan Mahjong Ways Keunggulan Mahjong Ways Tol777 vs Tradisional Kombinasi Simbol Tertinggi Mahjong Ways Langkah Meningkatkan Keahlian Mahjong Ways Mahjong Ways Tol777 Berbeda dari Permainan Mengapa Mahjong Ways Tol777 Diminati Dunia Optimalkan Putaran Mahjong Ways Tol777 Sejarah Mahjong Ways Tol777 dan Keunikan Simbol Mahjong Ways Tol777 dan Pemanfaatannya Strategi Lanjutan Mahjong Ways Tol777 Live RTP Dan Kasino Online Live RTP Dan Kasino Online Live RTP Dan Kasino Online Live RTP Dan Kasino Online Live RTP Dan Kasino Online Live RTP Dan Kasino Online Live RTP Dan Kasino Online Live RTP Dan Kasino Online Live RTP Dan Kasino Online Live RTP Dan Kasino Online Cara Cepat Kuasai Mahjong Ways Tol777 Mengapa Mahjong Ways Tol777 Populer Mitos & Fakta Mahjong Ways Tol777 Strategi Pemula vs Pro Mahjong Ways Teknik Profesional Mahjong Ways Tol777 Mahjong Ways Tol777: Keberuntungan atau Skill? Mahjong Ways Tol777: Tradisi dan Inovasi Panduan Mahjong Ways Tol777 untuk Pemula Rahasia Menang Mahjong Ways Tol777 Tips Efektif Main Mahjong Ways Tol777 Kasino Online Kasino Online Kasino Online Kasino Online Kasino Online Kasino Online Kasino Online Kasino Online Kasino Online Kasino Online main mahjong ways di malam hari jackpot profit mengamati permainan mahjong ways dengan baik dan benar merasa bosan pada malam hari? coba cara bermain mahjong ways ini minum kopi memotivasi bermain mahjong ways nelayan tebing tinggi pola mahjong ways hasil mencengangkan pelajar bandung download mahjong ways peluang besar trik dan pola mahjong ways pemuda belanda tato mahjong ways mengenang jackpot satu miliar pola rtp mahjong ways terbaik resep bermain mahjong ways dengan mudah slot mahjong ways dikenal sejak abad ke-11 hingga zaman milenial video mahjong ways viral menghebohkan warga indonesia warga jayamakmur dulu diremehkan, bermain mahjong ways hidup berlimpah harta unik keren bali cendera mata mahjong ways rp100000 warga bingung merek cat dinding sama mahjong ways

Government Planning Makes Long-Term Planning Impossible

I envy the good people of Massachusetts at least one thing: (in my humble opinion) the Boston Globe has the best coverage of local health policy. (Pity me, I’m stuck with the Los Angeles Times, and its kin.)

Prompted by the BoGlo’s coverage of out-of-control health-care spending in the wake of the Bay State’s April 2006 law mandating so-called “universal” health care, governor Deval Patrick has threatened the health-care industry (both insurers and providers) with price controls.

His administration has asked health-care bosses, especially Partners HealthCare (which owns most of Boston’s hospital-capacity) and the state’s largest insurer, Blue Cross & Blue Shield of Mass., “to refrain from signing new contracts that cover patient care beyond this year, until the government has time to consider potential reform measures.”

It’s remarkable because these two elephants signed a multi-year contract last year that covers annual cost-increases of 5% to 6%. So, the governor is demanding that the state’s largest hospital system and largest health insurer stop long-term planning until the state’s government gets its act together on health “reform”. (It’s hard to remember that it was supposed to have been “reformed” less than three years ago!)

While the BoGlo’s investigative reporters have determined that hospitals in Boston have cost-variances of 30%, with no difference in quality, the governor is trying to put the brakes on private initiatives to respond to this information.

Fortunately, it looks like these initatives continue, despite the governor’s flailing. Blue Cross & Blue Shield just signed a contract with Tufts Medical Center that includes a type of pay-for-performance that they call an “alternative quality contract.”

It must be incredibly difficult for payers and providers to negotiate such a contract, in the face of Massachusetts’ spiralling health-care costs, which are driven by “universal” health care. Governor Patrick would serve the public interest by keeping his nose out of it. Massachusetts politicians have done enough already, to mess up health care in the Bay State.

Nothing contained in this blog is to be construed as necessarily reflecting the views of the Pacific Research Institute or as an attempt to thwart or aid the passage of any legislation.

Scroll to Top