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- 401 - Obamacare's Olympian Premiums – "I couldn’t afford it," says Mary Lou Retton (Guest: Kansas State Sen. Beverly Gossage)
Olympian Mary Lou Retton made a stunning revelation when asked why she didn’t have health insurance while she was in intensive care fighting for her life. “I couldn’t afford it,” Retton told the Today Show on January 8 when she was faced with a life threating pneumonia recently. Retton’s daughter started a “Go Fund Me” page to help her mother pay for what was likely to be tens of thousands of dollars in hospital bills.
Health Care News managing editor AnneMarie Schieber talked to Kansas State Senator Beverly Gossage as to why Retton may have gone without health insurance. The likely answer is Obamacare, the only option for people without an employer health plan. Gossage discusses what Retton might have paid for an Obamacare plan without subsidies and why there are almost no other options today for middle income people. She also discusses what Congress needs to do about it.
PHOTO: ROBIN MARCHANT/GETTY IMAGES NEWS
Thu, 29 Feb 2024 - 400 - Are Hospitals Prematurely Ending Life for Organs? – Heidi Klessig, M.D.
You see the reports in the news all the time, a patient on life support has given the “gift of life” by donating organs. Few people realize but organ donors needs to be alive to do this. Hospitals can legally declare people with a brain death diagnosis allowing them to take their vital organs for transplant. Dr. Heidi Klessig is author of The Brain Death Fallacy. She discusses whether brain death is irreversible and how the organ transplant business has grown since the decision in 1968 to include brain function in the legal definition of death.
Klessig: “People defined to be brain dead or dead by neurological criteria have beating hearts, digest food, excrete urine, and even gestate pregnancies and deliver healthy babies. These people are not biologically dead, and their spirits have not departed. Brain death is not death. Many people who were diagnosed as being brain dead have recovered. If brain death was real death,people should not recover even once.”
Klessig also discusses the Uniform Declaration of Death Act, and how New Jersey is the only state that allow families to demand treatment for patients declared “brain dead.” Patients and families can take measures before a crisis to make sure hospitals do not violate their wishes when it comes to life and death issues. For more information, see respectforhumanlife.org
Wed, 07 Feb 2024 - 399 - Consumers Have Spent Billions on Decongestants that Don’t Work
In this episode of Health Care News, we delve into the recent revelation by the Food and Drug Administration (FDA) that certain over-the-counter decongestants, specifically those labeled with "PE" (phenylephrine), are no more effective than a placebo. Our guest, Dr. Jeffrey Singer, a practicing surgeon from Phoenix, Arizona, and a senior fellow at the Cato Institute, sheds light on how these medications found their way onto store shelves.
Dr. Singer traces the issue back to the Combat Methamphetamine Epidemic Act (CMEA), enacted 18 years ago in response to the methamphetamine crisis. This legislation pushed pseudoephedrine, an effective decongestant, behind the counter, leading drug companies to modify their formulas to include PE for over-the-counter sales.
The factors that led the FDA to reconsider its stance on over-the-counter decongestants.An overview of different decongestant drugs and tips for consumers to differentiate them.The process for purchasing pseudoephedrine, the effective decongestant.An exploration of why the FDA initially overlooked the ineffectiveness of PE.The sales strategies of drug manufacturers for OTC decongestants.Evaluating the CMEA's impact on the Meth epidemic.The potential for a class-action lawsuit against this misleading practice.The future: Is there a possibility that Congress will repeal the CMEA?
Throughout the episode, Dr. Singer discusses several key points:For further insights, don't miss Dr. Singer’s op-ed in Health Care News, linked in the episode description.
Tue, 09 Jan 2024 - 398 - The Domino Effect of Medicare Hospital Reimbursements on Soaring Health Costs
For years, Medicare has paid hospitals and their affiliates more for services than it has to others. The reasons are complex, but this policy significantly incentivizes hospitals to absorb independent practices, creating “monopolies” that reduce competition and increase prices for everyone. Dr. Richard Kube, M.D., founder and CEO of the Prairie Spine and Pain Institute—an independent practice in Illinois—experiences first-hand how this policy and other top-down government regulations work against patients. Kube, an advocate for “site-neutral” payment, recently discussed this topic in Newsweek.
“Site-neutral payment would end the unfair policies promoting consolidation and encouraging higher prices,” Kube writes. “Such proposals have bipartisan support in Congress. Several congressional committees are currently debating a health reform package, including provisions to establish site neutrality under limited circumstances. This would be an essential first step, one that physicians nationwide hope will soon extend to other services. After all, reimbursing providers equally for the same service is only fair.”
In the podcast, Kube discusses:
- The reasons why Medicare pays more money to hospitals for the same service
- Examples of the differences in costs
- How this policy leads to increased consolidation in the healthcare industry and raises costs for everyone
- The track record of Congress and the administration, including under Trump and Biden, in promoting site-neutral payments
- The influence of the hospital lobby and the feasibility of implementing site-neutral payments
- Actions the public can take to support the advancement of more free-market policies
Thu, 16 Nov 2023 - 397 - Four-Year-Old Child Trapped in Hospital Getting Against Parents' Will (Guest: Hope Schacter, Mother)
For almost 4 weeks, four-year-old Autumn Schall has been virtually trapped at Lucile Packard Children’s Hospital, in Palo Alto, CA against the will of her parents. Today, mother Hope Schacter joins the program to discuss Autumn’s situation.
Autumn was admitted to the teaching hospital for an e-coli infection but within days, she became critically ill, receiving care in the ICU, being given intravenously a cocktail of risky drugs, and eventually put on a ventilator. When the parents questioned the treatment, the hospital reported them to Child Protective Services. They are working with advocates and a lawyer to have her moved to another hospital where their daughter won’t be viewed as a “case study,” and the family is treated like an ally not an adversary.
Autumn was referred to Lucile Packard Children’s Hospital for a diagnostic work to examine her bowel after a week-long case of diarrhea. Her bowel was normal, but the hospital diagnosed an e-coli condition and wanted to admit her. After the parents agreed, the hospital proceeded with an aggressive treatment plan including powerful drugs such as Lasix, Diarel, and Aminophalen.
“Their protocol was very aggressive. My daughter was never on Tylenol before. She was never really sick and when they’re throwing all these diuretics at you, and given the side effects these can produce, I just thought it was a lot for her constitution,” said Hope Schacter.
The family has been working with Remnant Nursing advocacy services which has identified multiple ethical and clinical lapses.
Schacter believes the hospital is trying to cover up clinical errors at the beginning of care that damaged her daughter’s kidneys and caused her to have a seizure. They complied with all treatment recommendations, even an MRI, which required intubation. Autumn has also had to undergo a blood transfusion. There was a hearing involving the CPS complaint. The hospital is trying to get the parents to sign off on all intervention deemed “emergency,” but the parents say it has been vaguely defined.
Related Health Care News articles on patient advocacy in hospitals:
Minnesota Legislature Considers ‘Trusted Doctor’ Bill, May 3, 2023
Down Syndrome Patient’s Family Sues Hospital for Do Not Resuscitate Order, June 20, 2023
Judge Plans Three Week Jury Trial in Do Not Resuscitate Case, August 1, 2023
Patient Takes Hospital to Court for Life-Saving COVID -19 Treatment, Feb. 12, 2021
Ivermectin obstacles during COVID
Thu, 09 Nov 2023 - 396 - Removing Medicaid Loopholes to Improve Long-Term Health Care
Stephen Moses, one of the leading experts on long-term care in the U.S., says the nation can dramatically improve the quality of our health care system if we could get rid of the loopholes that allow nearly everyone to qualify for Medicaid coverage. The current system encourages few people save for long-term care because it is widely accepted that the government will pick up the tab. While this may be true, government control limits innovation and leads to worsening health outcomes.
Moses, and the Paragon Institute released their latest report on the problems with long term care in the U.S., called Long-Term Care: The Solution. In October 2022, Moses and Paragon outlined the problems in Long-Term Care: The Problem.
People prefer to live out their final years in the comfort of their own home but surprisingly, many of the elderly end up in institutional care. That is no accident. Medicaid is the largest payer of long-term care, and one reason is because you don’t have to be impoverished to qualify. This has put a huge strain on the federal budget, on Medicaid reimbursements and significantly compromised the quality and supply of care. Few innovations exist because there is little presence of a free market. As a result, institutional care has become the “go-to.”
This podcast begins with a discussion on Medicaid loopholes, the response from Congress, whether a solution is workable immediately, and how special interests might respond to closing off loopholes. The conversation then turns to why the public needs to be better educated on long-term care. The idea that it must be debilitatingly expensive isn’t true.
Tue, 07 Nov 2023 - 395 - Woke Lawsuits Target Affordable Healthcare (Guest: Hal Frampton)
Join us as Hal Frampton, senior counsel at Alliance Defending Freedom, delves into a pivotal legal case in Michigan's Sixth Circuit U.S. Court of Appeals. He's representing Christian Healthcare Centers (CHC) and Sacred Heart Academy as they navigate the expanded civil rights protections in Michigan, which now encompass "gender" and "sexual preference." Both institutions could potentially be compelled to hire individuals who don't align with their religious principles.
Established in 2018, the Grand Rapids-based Christian Healthcare Centers offers a unique, direct-pay primary care model that also caters to patients' spiritual well-being. While they serve all patients irrespective of sexual preference and identity, their hiring process requires employees to resonate with their religious beliefs and confirm this with a signed statement. Potentially, CHC could be sued for not hiring someone who does align with its mission.
In this episode, Frampton addresses:
1. If there has been no fine or penalty yet against CHC, why is it being sued?
2. The significance of faith in CHC's practice model.
3. The quagmire that can be presented by expanding civil rights protections to include “gender” and “sexual preference.”
4. The potential of this case reaching the U.S. Supreme Court.
Read more:
Christian Healthcare Centers, Inc.v.Dana Nesselet. al., U.S. District Court for the Western District of Michigan Southern Division, August 29, 2023: https://adfmedialegalfiles.blob.core.windows.net/files/ChristianHealthcareCentersComplaint.pdf
(appellate briefs will be submitted mid-October)
Health Care News articles on Christian Healthcare Centers
Health Care News articles on Alliance Defending Freedom
Wed, 18 Oct 2023 - 394 - Was Obamacare Designed to Fail?
Is it possible that Obamacare was intentionally set up to falter, leading frustrated Americans to implore the federal government to assume control of health care? Devon Herrick posits this theory, having recently explored the topic on the Goodman Health Blog. He highlights that without the crutch of subsidies, Obamacare is destined to collapse — a prediction echoed by many during the 2009-2010 debates surrounding the inception of the Affordable Care Act.
Herrick delves into various topics, including the expansion of Medicaid, and the concept of Medicare for All — or as he terms it, “Medicaid for All.” Since the enactment of the ACA, 21 states have contemplated bills advocating for single-payer systems. However, the majority of these proposals were thwarted due to their exorbitant costs. For instance, Vermont terminated its program, while California’s initiative never came to fruition. Colorado’s electorate decisively rejected a similar proposition. Currently, Michigan is weighing the adoption of a single-payer system, prompting Herrick to pose crucial questions that demand consideration. These include whether employers will participate, if employees will face surcharges for the state plan, and if the state will request the federal government to allocate all Medicaid and Medicare funds directly to the state’s program.
Moreover, the “Medicare for All” concept continues to persist, with a bill garnering the support of 100 legislators introduced this past May. Herrick and Schieber engage in a discussion about the public’s susceptibility to the false promise of efficient government-managed health care as opposed to a free-market approach. They ponder why the public readily embraces the free market in sectors like retail and technology — which have witnessed significant innovation and competitive pricing — yet hesitates to do the same for health care.
Tue, 03 Oct 2023 - 393 - Obamacare’s Dirty Little Secret (Guest: John C. Goodman, Ph.D.)
Hidden within the intricacies of Obamacare lies an unsettling truth that many are unaware of. Dive deep with us as we uncover how this renowned health care reform might not be the safety net for the genuinely ill as it's often portrayed. Join Host AnneMarie Schieber and guest John C. Goodman, Ph.D., co-publisher of Health Care News and founder of the Goodman Institute for Public Policy Research, to learn the layers behind this revelation.
Goodman shed light on the problems with Obamacare in his recent article for the Wall Street Journal. He delves into the financial burdens faced by families with severe health challenges who, without an employer plan, turn to Obamacare exchanges. For these families, Obamacare effectively becomes a staggering 182% "tax." Even with insurance subsidies, they face the pitfalls of Obamacare's limited networks. Alarmingly, both Democrats and Republicans remain silent on this issue, and Goodman sheds light on their reticence.
Despite the U.S. pouring billions into health care across both private and public sectors, glaring coverage gaps persist, leading to mounting medical debts for many. Goodman believes there's a viable solution: the Health Care Fairness for All Act, proposed by Rep. Pete Sessions (R-TX). He also explores the potential of a "Medicare Advantage" style program to revolutionize public health care and insurance exchanges. Goodman contends that insurers should vie to support those with health issues, rather than shying away.
Wed, 20 Sep 2023 - 392 - How Cancer Exposes Obamacare’s Flaws (Guest: Robert Fioretti)
On this episode of "Health Care News," former Chicago and Illinois politician Robert "Bob" Fioretti shares his experience as a cancer survivor and highlights the challenges he faced navigating the healthcare system, even with "Cadillac" health care coverage.
Fioretti discusses his cancer diagnosis and how he was never formally informed of it. He also shares the difficulties he faced in making treatment decisions and how rising costs impacted his mental health. His book, My Cancer Journey, documents his experiences and offers insights into how the healthcare system could be improved, including the use of "center of excellence" insurance plans tailored for cancer care.
To stay in the know, follow Robert Fioretti's on Twitter.
Fri, 15 Sep 2023 - 391 - Personalized Care Act Could Open the Door for Direct Care
Direct primary care (DPC) gets rave reviews from patients and doctors. So why aren’t more people gravitating to this affordable, no-hassle care that provides care outside that of the health insurance maze? Dr. Lee Gross, a direct primary care physician in southwest Florida, discusses how the Personalized Care Act can open the market for more choice, including better access to DPC. Dr. Gross describes how small business were the ones who encouraged him into opening a DPC practice for their employees, and he has not looked back.
The Personalized Care Act, reintroduced in Congress by Rep. Chip Roy (R-TX), and the U.S. Senate by Sen. Ted Cruz (R-TX) will address one of the biggest obstacles to DPC: freedom. The government restricts health savings accounts to high deductible health insurance plans, which removes options for people who don’t have employer health care and don’t want government plans or be confined to Medicaid. The bills also give workers without employer health insurance the same tax advantages to pay for health care that are now only given to employers.
Useful links:
DPC Action: https://dpcaction.com/personalized-care-act-for-healthcare-transformation/
How Four Pages Could Transform Health Care, January 1, 2020, Townhall
Congress has a Prescription for Health Care’s Sickly Status Quo, January 27. 202, Real Clear Policy
Wed, 13 Sep 2023 - 390 - Independent vs Corporate Medicine (Guest: Dr. Hal Scherz)
It's not hard to find someone not complaining about healthcare these days, but it's not because we lack talented health professionals, it's the delivery system. There is an ongoing battle going on in healthcare that many patients might not realize, and that battle is independent practice versus corporate medicine.
Dr. Hal Scherz, Fonder of Docs for Patient Care Foundation and a doctor at Georgia Urology, where 24 physicians were ranked "best" by Atlanta Magazine joins Health Care News Podcast to discuss the difference between small independent private practice and large corporate health care.
Thu, 10 Aug 2023 - 389 - If You’re Incapacitated, Will the Hospital Save You? (Guest: Dr. Heidi Klessig)
Starting July 21, the Uniform Law Commission (ULC) will be meeting to consider two options that would expand the legal definition of death. The first option is what currently exists in the Uniform Determination of Death Act and includes loss of total brain function, not just the brain stem. Dr. Heidi Klessig, a retired anesthesiologist and authority on clinical death, explains what the options are and how families and patients can best prepare themselves.
The American Academy of Neurology has petitioned the ULC to revise the legal definition of death. Option one uses the word “irreversible,” and Option 2 uses the word “permanent.” Klessig says Option 2 will give hospitals and doctors huge discretion in whether to give or continue life-sustaining treatment. Klessig will discuss cases of patients, such as Zack Dunlap, who survived sustained unresponsiveness and went on to describe their level of consciousness during that time.
Canada has now adopted provisions similar to “Option 2.” Two factors may be driving the change in the U.S.: the live donor organ transplants where patients need to be alive for their organs to be harvested and given to others (i.e., heart, lung) and legal liability, where an expanded definition of death might potentially protect hospital defendants in wrongful death actions.
Key links for patients and families:
Declared Brain Dead – the story of Zack Dunlap
Uniform law commission: determination of Death Committee
Redefining Definition of Clinical Death Under Consideration, Kevin Stone, Health Care News, February 24, 2023
Procedure to Harvest Live Organs Raises Red Flags, Kevin Stone, Health Care News, January 6, 2023
Would I Receive a Transplant, Heidi Klessig, M.D., American Thinker, April 22, 2023
Canada Updates Death Determination Standards. Is America Next?, Heidi Klessig, M.D., Health Care News, July 24, 2023
Mon, 31 Jul 2023 - 388 - Is the Government Changing HIPAA to Block State Law Enforcement?
The Biden administration recently proposed a new rule to change health care privacy protections under the HIPAA (Health Insurance Portability and Accountability Act). The rule would limit access to medical records if inquired in the interest of “reproductive health.” The proposed rule has created huge blowback because it is seen as a way to get around state laws regulating abortion and transgender procedures. Twila Brase says the change reveals what a myth HIPAA is in protecting health data and only now in the interest of protecting abortion and child transgender treatments, does it decide to beef up HIPAA.
Topics discussed:
1. Is the proposed HIPAA rule a tacit admission that privacy under HIPAA is a myth?
2. What is the proposed rule? Will it block states from investigating providers who violate their laws?
3. What is the “personal representative” as mentioned in Biden’s proposed rule?
4. What about protecting minors who flee to other states for “reproductive health” services - will this rule encourage that?
5. Does HIPAA protect any medical information?
6. Do you expect Biden to eventually sign this legislation into law?
Read more on the issue here:
Congress Moves to Protect Abortion With New Privacy Rules - https://heartlanddailynews.com/2023/07/hhs-wants-to-change-hipaa-privacy-to-protect-reproductive-health-care-by-annemarie-schieber/
Mon, 17 Jul 2023 - 387 - Did the FDA Sabotage a Non-Addictive Pain Killer? (Guest: Charles L. Hooper)
Did the FDA destroy what could have been a non-addictive pain killer that might have staved off the opioid crisis before it ever stood a chance? Several decades ago, the agency approved the drug Toradol, the first non-addictive pain killer that had pain killing effects of morphine without the addictive potential. However, the FDA set the desired peak dosage, known as the loading dose, far higher than manufacturer Syntex desired. The company reluctantly complied. 97 people prescribed Toradol dies within the first few years as a result.
With their drug no longer used in it’s original form, pharmaceutical company Syntex tried to introduce the drug in an oral form. However, the FDA overcompensated for their initial error, restricting dosage to levels not useful for medicinal applications
Today’s guest, Charles L. Hooper worked at Syntex when Toradol was coming onto the market as a nonsteroidal anti-inflammatory drug. This was a time of excitement for the company says Hooper. They were eager to cooperate with the FDA for a successful launch.
What went wrong? Hooper discusses how a decision on something like the “loading dose” can come down to a single person, and people are fallible. The FDA’s position of final the final say had disastrous consequences, leading credence to the position that they should act as a “guiding agency. Even with all the FDA’s power and authority, nothing is a certainty.
On April 19, 2023, when asked about the opioid crisis, FDA Commissioner Robert Califf told the Senate Appropriations subcommittee it would help if pharma could develop a “non-addictive” pain medicine. “It is a tough job, but we are not successful in having nonaddictive pain medicines coming through the pipeline. We need to do everything we can do to push industry and make this happen.”
Learn more here: FDA Commissioner Called Out for Remark on Non-Addictive PainkillersRead Charles Hooper’s article in the Wall Street Journal for more: How the FDA Helped Fuel the Opioid Epidemic
Tue, 11 Jul 2023 - 386 - Killing “Certificate of Need” Laws (Guest: Marcello Hochman, M.D.)
This episode of Health Care News focuses on the recent repeal of the Certificate of Need and financial credentialing in the healthcare industry by Governor Henry McMaster on May 17. Dr. Marcello Hochman, a surgeon in Charleston and president of the organization "IndeDoc," has been advocating for healthcare market reforms since 2019. In an interview, Hochman explains the process of passing the bill and how it will enhance competition in the healthcare market, ultimately leading to reduced prices.
The discussion covers various topics such as:
1. The need for patience in passing healthcare reforms, as it sometimes takes multiple attempts.
2. The concept of "financial credentialing" by hospitals and its negative impact on consumers.
3. How the Certificate of Need hinders competition and increases costs.
4. The events leading up to the bill's passing in 2023.
5. Non-compete clauses that hospitals require healthcare professionals to sign and how it affects market competition.
6. The role of "Indy Docs" in advocating for healthcare market reforms.
7. The challenges physicians face in remaining independent and having ownership in their practice.
Mon, 26 Jun 2023 - 385 - Did This Hospital Intend to Kill Grace Schara?
In early spring of 2021, the family of Grace Schara, a 19-year-old young woman with Down’s Syndrome, brought their daughter to an emergency room at the direction of an urgent care clinic due to wavering blood oxygen levels from COVID-19. According to her father Scott Schara, this was a grave mistake.
Schara claims the hospital, St. Elizabeth’s in Appleton, Wisconsin, became an adversary, not an ally, in treating Grace. The relationship broke down when the Schara's were not convinced Grace needed to be put on a ventilator, a treatment encouraged by the federal government with financial incentives. Within a matter of days, Grace was dead. Her family discovered the physician put a Do Not Resuscitate (DNR) order in place and infused a combination of powerful anesthesia drugs into her system. As a result, they've filed a lawsuit claiming the hospital engaged in euthanasia.Schara insists that this lawsuit extends beyond mere malpractice. He says his family initiated the legal battle to highlight concerning issues related to hospital care, COVID-19 treatment policies, financial incentives, DNR orders, and the rights of the disabled. Supporting his argument, Scott shared three documents: Section 1553 of the Affordable Care Act (Public Law 111-148, March 28, 2010), which tackles the "prohibition against discrimination on Assisted Suicide," a letter from Jennifer Garrett of the Wisconsin Department of Safety and Professional Services which refers to Chapter 154 of WS Statutes indicating there was no action against the physician who implemented the DNR order against Grace, and policy guidance from the Palliative Care Network of Wisconsin outlining how medical professionals should treat individuals with Down Syndrome. To learn more about Grace and her case, click here.
Scott also addressed his removal from the hospital by a security guard due to his stance of being "against medical advice."
Wed, 14 Jun 2023 - 384 - Milton Friedman's Vision: A ‘Plan for America’ and the Future of Entitlements
Milton Friedman was a staunch advocate for privatizing Medicaid and Social Security, relying on the free market to regulate healthcare. The 'Plan for America' (PFA) is a proposal to bring this vision to life. Terry Nager, one of the co-authors of this plan, aimed to fortify the nation's entitlement programs, alleviate the country's deficits, debts, and unfunded liabilities, and provide Americans with personal accounts that they could grow using compound interest. These accounts would grant individuals the freedom and resources to purchase private lifetime health insurance.
Nager provides an in-depth discussion on how the PFA would operate, the origins of the plan, why attempts to privatize entitlement programs failed under President George W. Bush, why the plan would appeal to younger generations, and how it could guarantee the same benefits currently associated with Social Security and Medicare. He also addresses the prospect of most people accruing sufficient funds in their accounts to bequeath a financial legacy to their families.
The PFA has recently held its inaugural major conference and is in the midst of updating its future projections.
To learn more, click these links:
‘Plan for America’ Pushes Private Accounts to Fix Entitlement Programs, Health Care News, May 16. 2023 (includes links to the first PFA conference, April 28, 2023, Principia College)
Plan for America, A Public-Private Partnership: https://www.theplanforamerica.us
Terry Nager, CFP, CHFC, CLU, Eric Nager, CRPS, Kyre Lahtinen, Ph.D.
The Plan for America: How to Place the American Dream on a Sure Foundation Forever, (2020),
Wed, 07 Jun 2023 - 383 - Will the U.S. Supreme Court be the Arbiter of Drug Safety? (Guest: Rik Mehta)
How is it that Mifepristone was approved in the first place? The drug has high risk implications and because of that was authorized under a specific protocol that the Biden administration is now trying to change after the Dobb’s decision last year that reversed Roe v. Wade. Guest Rik Mehta comes onto the podcast to discuss the legal nature of it all.
Wed, 26 Apr 2023 - 382 - Why Are There Prescription Drug Shortages? (Guest: John Goodman)
Have you ever visited a pharmacy only to discover that your prescription medication was out of stock? This issue is not limited to drug stores; it also occurs in hospitals and medical clinics, and the cause is rarely due to a lack of raw materials. John Goodman, the president of the Goodman Center for Public Policy Research and co-publisher of Health Care News, testified about prescription drug shortages before the U.S. Senate Committee on Homeland Security. He argued that the primary source of the problem lies in flawed public policy that constrains the pharmaceutical market.
Goodman revealed that between 186 and 308 drugs experience shortages, including some life-saving medications. As a result, hospitals and doctors are often forced to delay treatment or use alternative drugs, which can lead to even more significant issues down the line. One contributing factor is the FDA's stringent regulations, which make it exceedingly difficult for drug manufacturers to swiftly respond to fluctuations in demand. Consequently, competitors struggle to fill the gap.
Other factors exacerbating the situation include a rule that mandates pharmacies to utilize the least expensive alternative for a drug, often a generic version. This regulation suggests that the only critical aspect of a drug is its price. Moreover, rules governing Medicare Part B can contribute to shortages, as well as a lesser-known program called 340B. This program enables large hospital corporations to acquire drugs at extremely low prices and then mark them up for third-party payers.
Goodman’s testimony can be read here.
Wed, 19 Apr 2023 - 381 - Can You Trust Your Hospital Doctor? (Guest: Twila Brase)
Can the doctor taking care of you in the hospital be trusted? In this episode of "Health Care News," Twila Brase, R.N., a leading voice on patient advocacy and privacy, explains how hospitals are employing "hospitalists" who are more accountable to the hospital corporation than to patients. While physicians cannot mistreat patients or neglect their care due to liability and licensing concerns, those employed by hospitals may have to follow standardized treatment protocols that may not be tailored to individual patients.
Minnesota is considering a bipartisan "Trusted Doctor" bill, the first of its kind in the country, that allows patients to choose a trusted physician to treat them, regardless of whether the physician has hospital privileges. This issue arose during the pandemic when family physicians were prevented from treating hospitalized COVID-19 patients with drugs like Ivermectin, as hospitals followed other protocols. Outside physicians were even banned from treating their patients in hospitals from New York to Florida.
Brase discusses when the trend that led to hospitalists really took off, which was during the introduction of the Accountable Care Organizations under Obamacare. Hospitals could receive revenue based on the ACA's "shared savings programs," and so physicians were pressured to be more accountable to their hospital employers.
Additionally, Brase highlights the continued work on HIPAA, the often-misunderstood privacy protection provision in healthcare.
Tue, 04 Apr 2023 - 380 - Cancer Can Expose the Health Care Shortcomings Under Obamacare
In this episode, host AnneMarie Schieber dives into the story of Robert "Bob" Fioretti, an influential figure in the world of Chicago and Illinois politics and cancer survivor. Bob's journey through the healthcare system in the last decade, specifically during treatment for throat cancer, sheds light on the challenges faced by many in the age of Obamacare. Despite having "Cadillac" health coverage, Bob was overwhelmed with over $100,000 in out-of-pocket costs for his treatment. He also explains how he was never formally notified of his cancer diagnosis and how the system made him feel like just a dollar sign.
His book, "My Cancer Journey," details the many factors that he needed to consider for his quality of life while fighting cancer, and how ever rising bills impacted his mental health. Bob and AnneMarie discuss potential solutions, such as "center of excellence" insurance plans tailored specifically for cancer care. Tune in to hear an eye-opening account of navigating the healthcare system as a cancer patient.
Thu, 30 Mar 2023 - 379 - Will Biden Declare Abortion a Public Emergency? (Guest: Rik Mehta)
In this episode of Health Care News, we explore the possibility of the Biden administration declaring a public health emergency to override state regulation of abortion. Our guest, Rik Mehta, a former consumer safety officer at the Food and Drug Administration and an adjunct professor of law at Georgetown University Law Center, sheds light on this contentious issue.
Mehta discusses how the public health emergency declaration has gone beyond its original mission, and what authority the Public Health Services Act gives the federal government. He explains the potential implications of this decision and how it could impact state regulations on abortion.
The discussion also touches on the expected Texas court decision on whether the FDA overstepped its authority in approving the chemical abortion pill, mifepristone, and how it is driving the Biden administration's decision. Mehta explains how a public health emergency declaration for abortion will allow the federal government to override this decision and discusses the history of the Act, and what Congress can do about it.
Don't miss this informative episode on a pressing issue in the healthcare sector. And for more free market perspectives on health care, subscribe to Health Care News, a monthly newspaper. To get your free subscription, email HealthCareNews@protonmail.com with your name and mailing address.Mon, 20 Mar 2023 - 378 - How the AARP Works Against, Not For, Seniors (Guest: Chris Jacobs)
Most people recognized the acronym AARP. It’s for the American Association of Retired Persons. But few realize that rather than represent the interests of seniors, AARP acts to promote the interests of the health insurance industry at the expense of retirees and their pocketbooks.
Chris Jacobs, founder of Juniper Research, has been investigating the AARP’s cozy deals with health insurance companies for years. Jacobs joins the podcast to discuss his new analysis of the AARP as well as the organization’s support of anti-Medicare policies. He also highlights the hidden surcharges the AARP collects off Medigap policies it promotes.
Jacob’s new analysis, which can be found here, found that the AARP collected $627.2 million in surplus fees that were secretly tacked on to health insurance policies AARP promoted for the United Health Group. The fees comprise 69 percent of the AARP’s revenue. Not surprisingly, the AARP supports policies such as drug price controls contained in the recent Inflation Reduction Act (IRA) that work more to the benefit of insurers than policy holders.
In the podcast, host AnneMarie Schieber and Jacobs discuss:
1) How the IRA reduced Medicare spending by more than $250 billion. The cut comes at the expense of a position the AARP purports to favor.
2) How insurance companies benefit from the IRA, which AARP supported.
3) The arrangement AARP has with United Health and the surcharges that are tacked on to Medigap policies which are not fully disclosed to policy holders.
4) How to turn this cronyism around.
Thu, 16 Mar 2023 - 377 - The Expansion of Government Power Through Social Determinants in Health (Guest: Matt Dean)
Don't miss out on this insightful conversation that will leave you questioning the role of the government in our healthcare system.
Mon, 06 Feb 2023 - 376 - More Fake COVID Deaths to Create Fear (Guest: Joel Hirshhorn)
Details are now emerging just how much the Centers for Disease Control and Prevention overstated deaths from COVID-19.
Tue, 31 Jan 2023 - 375 - The White House Covid Censorship Machine (Guest: Jenin Younes)
Social media companies have defended their role in aiding the government control the COVID narrative by invoking the 1st amendment.
Fri, 20 Jan 2023 - 374 - Medicaid Expansion Moves Low-Income Children to the Back of the Line (Guest: Charles Blahous)
The Medicaid expansion in Obamacare has proven to remove health care access for low-income children compared to free-market reforms.
Mon, 09 Jan 2023 - 373 - Republican Controlled House Must Fix These Health Care Policies (Guests: Brian Blasé and Drew Keyes)
Republicans are set to take the U.S. House next month. Here’s the four key health care policy errors they need to fix.
Fri, 23 Dec 2022 - 372 - Veterans Affairs Is Failing on Suicide Prevention (Guest: Sally Pipes)
The VA highlights why Americans should fear transitioning towards a single-payer health care system.
Mon, 12 Dec 2022 - 371 - Is Long COVID the Next Excuse for Expanding Government and Mask Mandates? (Guest: Rik Mehta)
Reports have a knack for becoming public policy, and the latest report released by the Department of Health and Human Services (HHS) on Long COVID could be the next case in point.
Mon, 05 Dec 2022 - 370 - Think Twice Before Signing that Organ Donation Card (Guest: Heidi Klessig, M.D.)
You may want to rethink checking that box making you an organ donor. Unlike tissue donation, organs often need to be harvested from a live person in order to be viable for a transplant. Heidi Klessig, M.D., retired anesthesiologist, pain management specialist, and co-founder of respectforhumanlife.com, highlights how hospitals have harvested organs from live patients for the last few years. This procedure makes the person brain dead and then resuscitates their heart to keep blood flowing to the organs. According to Klessig, this goes against the Uniform Definition of Death Act (UDODA). UDODA, passed in 1981, states that to declare someone legally dead, there must be irreversible cessation of cardiopulmonary function or irreversible cessation of all functions of the entire brain, including the brain stem. These determinations are to be made in accordance with accepted medical standards, but hospitals can never be 100 percent sure. Klessig says there are many cases where people have been resuscitated and survived 10 minutes after the heart stopped beating, but a transplant team may begin the harvest of organs in a matter of minutes. The procedure is banned in Australia and the American College of Physicians has asked for a pause until legal and ethical issues can be ironed out. Yet, hospitals have been vigorously pushing the procedure to increase the supply of organs which require a patient to be alive before they can be harvested. She also discusses: How hospitals can take your live organs if you are incapacitated, no family can be reached, and they determine your condition is “irreversible,” which Klessig says, “is terrifying because their interest lies in what money can be made from your organs, not what is in your best interest.” Organs can be worth about $5 million to transplant centers. The only way to prevent this is by carrying a card: https://halovoice.org/wp-content/uploads/donor_refusal_card.pdf How putting all resources into “live organ harvesting” has nearly eliminated research and development of alternatives to people with failing organs Ethical donations (tissue after death, kidney or lobe of liver from healthy donors)
Mon, 28 Nov 2022 - 369 - Does Eugenics Exist in U.S. Health Care? (Guest: Robert F. Graboyes, Ph.D.)
Many people think the field of eugenics disappeared after the Nazi’s were defeated in WWII. But eugenics, a controversial program to perfect the human race, exists in various forms in modern times. Robert Graboyes, economist, journalist, consultant at RFG Counterpoint, decided to write about the topic. Graboyes was also a panelist that covered the topic in a webinar hosted by The Foundation Against Intolerance and Racism. Eugenics has a long history going back way before the Nazi’s practiced it in World War Two. It really got its origins in Victorian England and it got some cover because it was associated with an emerging field at the time, statistics. Graboyes said it entered the U.S. before the Nazi’s came into power and practitioners at first, and in a much more gruesome way. Euthanasia was too controversial, so sterilization of was the weapon of choice and the practice continued well into the 20th century when it was discovered prisons were sterilizing people who were incarcerated. Graboyes also discusses the expansion of euthanasia in Canada and even in the U.S. He discusses whether it could be used for nefarious purposes.
Thu, 17 Nov 2022 - 368 - Should This Non-mRNA Vaccine Have Been Authorized Early in the Pandemic? (Guest: Raymond March)
The FDA recently gave emergency use authorization (EUA) to the Novavax COVID-19 vaccine. Unlike the vaccines Americans received as a result of Operation Warp Speed, Novavax is not an mRNA vaccine. It was bypassed for EUA early in the pandemic because of a decision to put all resources into mRNA vaccines as it was thought this provided the best approach to get a vaccine out quickly. Our guest today, Raymond March, a research fellow for the Independent Institute and assistant professor of agribusiness and applied economics at North Dakota State University, says this was a costly mistake. In an op-ed, March explains why it took so long for the U.S. to get access to the Novavax vaccine. March discusses Novavax’s different technology, the history of protein-based vaccines, and the dangers in using a one-size-fits-all approach when dealing with a public health threat. Novavax Authorization: https://ir.novavax.com/2022-10-19-U-S-FDA-Grants-Emergency-Use-Authorization-for-Novavax-COVID-19-Vaccine,-Adjuvanted-as-a-Booster-for-Adults Op-ed: https://blog.independent.org/2022/08/12/take-so-long-novavax-vaccine/
Sat, 12 Nov 2022 - 367 - How Medicaid Compromised Long-Term Care (Guest: Stephen Moses)
Poverty is no longer a requirement to qualify for long-term care under Medicaid. An entire industry has cropped up over the years instructing families on how to maximize Medicaid’s loose financial guidelines. While families save a bundle of money by having the government now pay for this care, the system has had a negative impact on the long-term care market. Reimbursement rates under Medicaid do not cover the actual cost of care which impacts quality and supply. Families no longer save for long term care knowing that Medicaid can come to the rescue. Stephen Moses, president of the Center for Long-Term Care Reform, has studied long-term care for decades. He joins the show to discuss the first segment of his new report with the Paragon Institute, ”Long Term Care: The Problem.” Read the report: https://paragoninstitute.org/wp-content/uploads/2022/10/202208_Moses_LongTermCareTheProblem_FINAL_2.pdf Seventy percent of people who reach age 65 today will require a severe need for long-term care. Long-term care provides medical and social services for those who are unable to care for themselves. 48 percent will receive paid care. The need spikes after age 85. In ten years, the baby boomers will reach that threshold, causing demand for long-term care to soar. Due to the loose financial guidelines, even well-off families can qualify for Medicaid coverage. This market manipulation crowds out private long-term care services. Our guest, Stephen Moses is about to release part two of a report which covers the solutions to this Medicaid problem. His hope is that a new Congress will be open to better alternatives that improve care at more affordable prices. In the interview, Moses discusses: 1. How easy is it to get Medicaid to pay for long-term care? 2. How has this compromised the quality of long-term care over the decades? 3. Who will need long term care? Can any of us live independently until we die? 4. Baby boomers…most are now 65…what kind of pressure will that put on long-term care and Medicaid in 10, 20, and 30 years from now? 5. What about counting on family members to care for you? How about covering your care with your own wealth and investments?
Tue, 01 Nov 2022 - 366 - Biden Wants More Money for COVID-19 Relief (Guest: Chad Savage, M.D.)
President Biden told 60 Minutes in October that COVID-19 was essentially over. If that's true, why is he still lobbying Congress for billions of dollars in more COVID-19 relief? Biden also extended the emergency declaration another 90 days, further going against his stated position. Dr. Chad Savage, founder, Your Choice Direct Care, thinks the spending is not only unhealthy for the American economy, but “unnecessary, harmful, and blind to Americans’ real needs and problems. Savage says there is plenty of COVID-19 relief money unspent, just sitting on the sidelines. As a physician, Savage worries how more government spending will drive inflation further, increasing costs for working families. COVID is now becoming an excuse for Congress to continue its spending binge. Savage wrote about COVID-19 relief spending in an op-ed in Real Clear Health this summer. He also discussed the emergency declaration extension, now scheduled to end in December. Savage covers opportunity costs involved when funds are directed to COVID-19 versus where our health care priorities should be. Real Clear Health Op-Ed: https://www.realclearhealth.com/articles/2022/07/06/dont_buy_into_the_covid_relief_spending_spree_111363.html
Wed, 26 Oct 2022 - 365 - CVS Fires Employee for Religious Beliefs (Guest: Kevin Theriot)
Late this summer, CVS fired a nurse practitioner for refusing to prescribe ‘Plan B’ ‘Morning After’ pills at the “Minute Clinic” where she had worked for 2 ½ years. CVS had been aware of Paige Casey’s religious objections to prescribing the abortifacients, exempted her from doing so, and even gave her favorable job reviews. In August, CVS changed its mind and told Casey she would no longer be given an exemption. Casey is suing CVS and is being represented by the Alliance Defending Freedom. Increasingly, health care professionals are being reprimanded, attacked and even fired for refusing to perform procedures that violate their religious convictions. It is not clear why CVS changed its position this summer regarding Casey. Interestingly, the MinuteClinic where Casey worked is located in Virginia where there are conscience protections in the law. CVS has stated it did not believe the “Morning After” bills are abortifacients but contraception. Kevin Theriot, an attorney with the Alliance Defending Freedom, discusses the facts of the case, the arguments, how the Dobbs decision comes into play, how there will likely be more cases similar to this, and the possibility that the issue could end up in the U.S. Supreme Court. Alliance Defending Freedom: https://adflegal.org/paige-casey
Wed, 19 Oct 2022 - 358 - The New York Times Runs a “Hit Piece” on Medicare Advantage Plans (Guest: John C. Goodman)
Increasingly, the private component of Medicare, Medicare Advantage (MA), is coming under attack. The latest salvo was a front-page article on October 8, 2022 in the New York Times, titled “The Cash Monster Was Insatiable – How Insurers Exploited Medicare for Billions.” The article claims “most large insurers in the program have been accused in court of fraud.” Today’s guest, John C. Goodman, points out that the “fraud” insurers are accused of is not the typical fraud seen in Sixty Minutes exposes in which the perpetrators are sent to prison. Rather, the “fraud” alleged often involves the risk payments MA plans receive for taking care of sicker enrollees. Goodman says MA attacks are no accident. There is a huge force against privatization in Medicare by the government, politicians and the corporate media. Goodman discusses why MA is the better alternative for both enrollee and taxpayers. On his health care blog, Goodman posted a rebuttal to the NY Times article on the day it was published. In the blog post, “Another Hit Job on MA Plans,” Goodman explains why risk payments are not overpayments, and certainly are not something that constitute fraud. Goodman points out in the podcast that some of the accusations come from whistleblowers who may receive rewards for their claims. Traditional fee-for-service Medicare has long been victimized by fraudsters and is rife with waste. Goodman points out MA plans, because they are private, have an incentive not to waste money. Medicare Advantage is the only system in the health care market that actually competes to take care of sick people. New York Times Article: https://www.nytimes.com/2022/10/08/upshot/medicare-advantage-fraud-allegations.html John Goodman Article: https://www.goodmanhealthblog.org/another-hit-job-on-ma-plans/
Thu, 13 Oct 2022 - 357 - Are Doctors Ignorant, Cowards, or Just Biased? (Guest: Joel Hirschhorn)
Can we trust doctors today to act in our best interest? Joel Hirschhorn, editor of the Pandemic Blunder Newsletter and author of Pandemic Blunder, returns to the podcast to discuss how the corporate takeover of healthcare is impacting patient care. This reached a pinnacle during the pandemic when doctors pushed investigational vaccines, discredited alternative therapies, and supported measures such as masks, lockdowns, and mandates which have done little to stop COVID-19. Hirschhorn reminds listeners that COVID is NOT over. People are still dying from the virus, and some continue to have side effects. Hirschhorn presents a list of questions patients should ask doctors next time the issue of COVID is discussed. Hirschhorn’s list of questions: https://joelshirschhorn.substack.com/p/most-physicians-are-ignorant-cowards?utm_source=email About today’s guest: Joel Hirschhorn is the editor of the Pandemic Blunder Newsletter, and author of the book Pandemic Blunder. He has been working tirelessly on the issue of the pandemic since the onset and was one of the earliest voices to ring the alarm bell on the “new age” in health care in which the bio-pharma industrial complex has taken control. As a full professor at the University of Wisconsin, Madison, he directed a medical research program between the colleges of engineering and medicine. As a senior official at the Congressional Office of Technology Assessment and the National Governors Association, he directed major studies on health-related subjects. Hirschhorn has testified at over 50 U.S. Senate and House hearings and authored hundreds of articles and op-eds in major newspapers. He served as an executive volunteer at a major hospital for more than 10 years. Finally, he is a member of the Association of American Physicians and Surgeons and America’s Frontline Doctors. Topics of discussion: 1. Has the relationship between doctor and patient changed over the years and why? 2. For most of us, COVID seems like history. Are doctors still bringing it up and recommending COVID shots? 3. Questions patients should ask if the subject of COVID comes up and their doctor says “get the vaccine.” 4. What letter did Hirschhorn receive from a doctor that prompted him to draft these patient questions? 5. Could this same scenario happen with a different virus? 6. Should wearing a mask in a doctor’s office, a practice we never did years ago, be a red flag to a patient?
Tue, 04 Oct 2022 - 356 - Did Pharma Royalty Payments Influence Government COVID-19 Policies? (Guest: Adam Andrzejewski)
On September 14, Sen. Rand Paul grilled Dr. Anthony Fauci on royalty payments government scientists receive from private third-party entities. The non-profit watchdog, Open the Books has been relentlessly investigating these private royalty payments because the public has been drastically impacted by public health guidance. Adam Andrezejewski, CEO and founder of Open the Books, says it is important to understand how government health agencies make their decisions when decision makers have personal wealth gains on the line. He believes the payments over the past ten years come close to $400 million. Fauci announced he is retiring from the National Institutes of Health (NIH) in December, but Andrezejewski believes he will still have much influence in the loop between regulators and pharma. Open the Books has been investigating Fauci and the NIH regarding his salary and retirement package as well as the hundreds of media appearances during the pandemic. Now the group, through FOIA is trying to get the names, amounts and payers of royalty payments government scientist get from private companies if their research is eventually licensed by a private company. Discussed during the 20-minute podcast: 1. Should this be a bi-partisan concern? 2. What about Fauci’s point that guidance, vaccine approval came from non-NIH agencies? 3. Why Open the Books got interested in probing royalty payments 4. How the payments work. Shouldn’t these royalty payments go back to taxpayers for funding the salaries of the researchers? (Federal law allows the payments) 5. How forthcoming has NIH been on document requests? 6. Does Fauci get royalty payments? Where will Fauci go after he retires from NIH in December? Andrezewjewski speculates Useful links: REP. MOOLENAAR, U.S. House Appropriations hearing: https://www.openthebooks.com/nih-acting-director-admits-royalty-payments-have-appearance-of-conflict-of-interest/ Homeland Security Government Accountability Committee Letter To NIH: https://www.paul.senate.gov/news/dr-rand-paul-and-hsgac-republicans-send-letter-acting-director-nih-requesting-information
Thu, 22 Sep 2022 - 355 - Two Bills Are About to Become Law in California and Why We Should All be Concerned – Marilyn Singleton, M.D., J.D.
SB 107 would allow California to become a “sanctuary state” for a parent and minor to pursue gender altering surgery and care against the wishes of another parent. AB 2098 redefines the meaning of “unprofessional conduct” to now included the dissemination of COVID-19 misinformation or disinformation. Physicians and Surgeons could potentially lose their license if found to be in violation. Singleton discusses the ramifications of these bills and how variations could spread to other states. Singleton and Schieber discuss: 1. Who will determine what COVID “misinformation” is 2. The possibility that a physician could lose their medical license over COVID misinformation? 3. Will this chase doctors out of state? 4. Could Anthony Fauci be in violation given his flipflopping on COVID -19? 5. What could happen if SB 107 is signed into law? 6. Will the constitutionality of this law likely be challenged in court? 7. What would happen if a minor runs away to CA and seek emancipation? 8. How these policies could spread to other states Check out more of Dr. Marilyn Singleton’s work on her website.
Tue, 13 Sep 2022 - 354 - What the U.S. Can Really Do to Bring Down the Costs of Biotech Drugs (Guest: Gregg Girvan)
Americans have a right to complain that some prescription drugs are unaffordable. But the answer is not to have the government (taxpayers) pick up more of the tab. A better solution is to get costly regulatory obstacles out of the way. Gregg Girvan, a scholar at The Foundation for Research on Equal Opportunity (FREOPP), says it is a myth that brand name drugs have to be excessively priced to guarantee future research and development. He also says regulatory obstacles are standing in the way of making biosimilars, a cheaper alternative to biologic drugs, more available. Europe outpaces the U.S. in allowing biosimilars to be more widely available. All Americans should be pushing for reform before health care spending pushes out other spending even more than it does today. Ninety percent of all prescription drugs sold are generic. Generic drugs are replicas of small molecule drugs (the drugs commonly taken in tablet form) and are cheap and affordable. They have been revolutionary in driving down drug spending. Biologic or biotech drugs are the cutting-edge drugs that account for most drug spending and are used by a small percentage of consumers. Yet, there is no to few cheaper alternatives to these drugs due to regulatory obstacles and “patent padding” that can and are giving drug makers monopoly markets for decades. In the interview, Gregg and AnneMarie discuss: - Evidence that high drug prices don’t necessarily guarantee more research and development. - What are biologic drugs are and why are prices for so high? Do they cost more to research and produce? - Do biosimilars do the same thing as their biologic counterparts? - State of biosimilar market in the U.S. - How is the biosimilar market in Europe different and why? - Biosimilar Council’s efforts to change the thinking of consumers, pharmacists - Interchangeability/concerns with the pharmacies - Why we ALL should be pushing for these reforms Girvan and Avik Roy have produced a growing body of articles and papers here: https://freopp.org/ The Growing Power of Biotech Monopolies Threatens Affordable Care, Sept. 15, 2020: https://freopp.org/the-growing-power-of-biotech-monopolies-threatens-affordable-care-e75e36fa1529 The Fair Care Act of 2020: Market Based Universal Coverage: https://freopp.org/the-fair-care-act-of-2020-market-based-universal-coverage-cc4caa4125ae Drug Companies are Warning that Pricing Reform Spells Doom. (They’re wrong): https://www.washingtonpost.com/opinions/2022/08/08/drug-companies-medicare-pricing-reform/ Push is on to Promote Cheaper Biosimilars: https://heartlanddailynews.com/2022/08/biosimilars/ Europe is Light Years Ahead in Biosimilar Adoption: https://heartlanddailynews.com/2022/09/biosimilar/
Tue, 06 Sep 2022 - 353 - CDC Director Dr. Rochelle Walensky Calls for Overhaul of the Agency (Guest: Dr. Marilyn Singleton)
On August 17, Dr. Rochelle Walensky, director of the Centers for Disease Control and Prevention, recently stated that the CDC needs a complete overhaul. How serious is her call? As director, can she fix all that is wrong with the agency? Or, is this something Congress needs to address? Our guest for today’s episode of Health Care News is Dr. Marilyn Singleton. Dr. Singleton previously served as president of the Association of American Physicians and Surgeons. She’s also written and spoken extensively on how the CDC and other government health agencies politicized COVID-19. She says that at the very least, it’s time for an independent investigation of the CDC. During an interview, CDC Director Dr. Rochelle Walensky made comments on the state of the agency. Dr. Walensky said the CDC is facing three problems: unclear communication, a fragmented public health system, and action reactively, not proactively. Dr. Walensky made these comments as the agency is facing increasing criticism over its handling of COVID-19. The CDC has received criticism for delving into issues beyond its mission such as critical race theory, climate change, transgender medical treatments for children, and teens. Singleton discusses whether Walensky has called for a complete overhaul to take heat off the agency right before the midterm election. Singleton discusses her paper, “COVID-19: A Weapon to Fundamentally Transform America,” which highlights the CDC’s other mistakes related to COVID: diagnostic testing, flip-flopping guidance, and early treatment. Dr. Singleton’s work can be found at her website https://marilynsingletonmdjd.com.
Mon, 22 Aug 2022 - 352 - Doug Seaton: Covid Vaccine Lawsuits
Attorney Doug Seaton joins Health Care News managing editor Anne Schieber to discuss a $10.3 million settlement involving hospital employees who were forced to take Covid vaccines against their wishes.
Thu, 11 Aug 2022 - 351 - Democrats Go After Medicare to Shore up Obamacare (Guest: Phil Kerpen)
Congressional Democrats are pushing through a plan that shift $288 billion away from Medicare drug spending and into Obamacare plans and Green New Deal ventures. Extended Obamacare plans from the pandemic expire around the midterm elections. Premiums will likely skyrocket at a critical time: the midterm elections. The plan will authorize the federal government, through Medicare Part D and B spending, to hit drug makers with a 95 percent tax on total sales if they fail to lower drug prices to the satisfaction of federal regulators. One economic study found drug research and development fell by 18.5 percent. This tax will also lead to supply shortages of pharmaceuticals. Dems are selling the plan as “drug negotiation,” but Phil Kerpen, president of American Commitment, tells AnneMarie Schieber that it’s a classic mob-style ‘offer you can’t refuse.’ The drug price control measure is being salvaged from the Build Back Better bill that collapsed in Congress a few months ago. Given the upcoming mid-term election, it is likely the Dems will succeed in getting it through. Sen. Joe Manchin is on board, prompted after the Dems changed the name of the bill to the “Inflation Reduction Act of 22.” Kerpen says there is nothing inflation busting about drug price controls. The key to fighting inflation is increasing supply. Kerpen explains how this bill will send a huge chill through the pharmaceutical industry. Companies will not develop drugs if they think the government will dictate the price. See Kerpin’s latest blog post: https://www.americancommitment.org/content/democrats-want-raid-medicare-pay-obamacare-–-again
Tue, 02 Aug 2022 - 350 - Is Medicare Advantage a Bad Deal? (Guest: John Goodman)
Medicare Advantage (MA) is under attack after a report by the Health and Human Services’ Office of Inspector General. John Goodman, a health care economist, president of the Goodman Institute for Public Policy Research, and co-publisher of Health Care News, is a champion of MA plans. Goodman says the report looks at a tiny fraction of enrollees and fails to consider the overall popularity of MA. Not only can MA save Medicare enrollees a significant amount of money; they are the closest thing to doing what all health care plans should do: cover the essentials when people really need the coverage, when they get sick. Don’t raise prices and overcover individuals. MA plans are the only plans that seek out enrollees with particular health risks and are incentivized to provide care that matters. Medicare Advantage plans have been around for a while. They can save seniors money because they are managed, inclusive plans and spare them the need to buy something called Medigap insurance. Medigap insurance covers things that traditional Medicare does not. But recently, MA plans have come under attack with critics saying they’re a bad deal. In the discussion, Schieber and Goodman cover the following: 1. What is Medicare Advantage, how does it differ from traditional Medicare? 2. How do the plans work, sign up for a lifetime or can you go back and forth? 3. Why has Medicare Advantage been under attack most recently? 4. Let’s address the criticisms, first denial of authorized service 5. Are the risk payments a perverse incentive to declare someone sicker? 6. Are the plans accurately priced. Is the government paying more than it should? 7. Do you take a risk if you become critically ill and you’re in an MA plan? 8. What can be done to make MA better? Goodman also discussed a new service at the Goodman Institute, the “Health Care Toolkit.” Political candidates can use it to become better educated about health care free-market reforms. Goodman defended Medicare Advantage in his column in Forbes: Are America’s Best Health Plans Being Attacked Unfairly? https://www.forbes.com/sites/johngoodman/2022/07/13/are-americas-best-health-plans-being-unfairly-attacked/?sh=3f67e3073974
Mon, 25 Jul 2022 - 349 - Why Is Biden Pushing Medical Debt Relief if the Affordable Care Act Is Working?
Obamacare was supposed to be affordable, but on April 11, the White House announced new actions to “lessen the burden of medical debt and increase consumer protection.” Why are consumers being flanked with extra medical bills if the Affordable Care Act (ACA) was doing its job? Devon Herrick, a health care economist, discusses Obamacare’s narrow networks and high deductibles as being a big part of the problem and how a free market in health could solve the problem of “medical debt.” This is the fact sheet the White House released describing the need for medical debt relief and the actions it plans to take: https://www.whitehouse.gov/briefing-room/statements-releases/2022/04/11/fact-sheet-the-biden-administration-announces-new-actions-to-lessen-the-burden-of-medical-debt-and-increase-consumer-protection Herrick discusses the following: 1. Wasn’t medical debt what the ACA was designed to prevent? 2. Fact sheet says the feds pay $1.5 trillion towards health care, why are people getting bills at all? 3. Do you have any concerns with preventing credit agencies not being allowed to use medical debt in credit ratings, would this send a chill to providers, might they restrict care unless you can first prove you can pay your extra bill? 4. Medical Debt forgiveness for low income vets…aren’t vets supposed to get free health care, period? 5. One action is informing consumers about their rights through the Consumer Financial Protection Bureau. Do we even consider this in industries where the free market is able to rein? 6. Pete Sessions bill: What’s in it and how are its chances for success in Congress? Devon Herrick’s health care blog at the Goodman Institute can be found here: https://www.goodmanhealthblog.org
Thu, 21 Jul 2022 - 348 - Could Too Much Telehealth Drive Up Medicare Costs? (Guest: Josh Gordon, Ph.D.)
Telehealth soared in popularity soon after Medicare started covering telehealth claims during the pandemic. There is a five-month time limit on reimbursing claims after the pandemic emergency declaration ends, which is now expected after the mid-term election. Before making reimbursements permanent, Josh Gordon, Ph.D., Director of the Health Policy Committee for a Responsible Federal Budget, recommends putting guard rails in place to prevent waste, fraud, and abuse of telehealth claims, especially in a fee-for-service model such as Medicare. Congress will also have to reconsider pay parity, since telehealth should cost less than a physical visit. To most, telehealth is relatively a new phenomenon. Before the pandemic, Medicare barely covered it. First, Medicare patients had to be living in an underserved rural area. If they did receive a telehealth visit, it had to be done at an approved health care facility. When the pandemic hit, and states instituted lock downs, telehealth was a saving grace because it was the only way many patients could get health care. Telehealth visits are fully covered by Medicare, but only during a public health emergency. Gordan talks about how telehealth could lead to higher health care utilization which would drive up Medicare costs. He also addresses telehealth innovation and whether “guardrails” could slow this down. The Committee for a Responsible Federal Budget released this paper on the topic on April 21, 2022. https://www.crfb.org/papers/fiscal-considerations-future-telehealth
Fri, 01 Jul 2022 - 347 - Should We Give the COVID-19 Shot to Infants and Toddlers? (Guest: Dr. Jane Orient)
The U.S. Food and Drug Administration has approved emergency use authorization of the Pfizer and Moderna COVID-19 shots for infants and toddlers six months and older. Should parents get them for their young children? The shots have been in use among the general population for 1.5 years. There have been 60,442 adverse events related to the shots on the FDA’s Vaccine Adverse Event Reporting System. More, millions of people have gotten the shots and COVID is still with us. Jane Orient, M.D. is the executive director of the Association of American Physicians and Surgeons. She minces no words, calling the trial used to support approval “a disgrace.” Dr. Orient points out the lack of effort to measure not just efficacy, but safety, in giving the shots to an age group with zero to no risk of dying from COVID-19. Jane Orient, M.D. covers a range of questions about the infant and toddler COVID-19 shot approval. Details of the clinical trial include the fact that 67 percent of participants dropped out. What prompted this interest in wanting to provide these shots to young children and why did the trial reverse this trend in parents? Orient and host AnneMarie Schieber also go over the history of other childhood vaccines. How long did it take to get those approved and how do those diseases compare to COVID? Why are parents so fearful of COVID-1919 infecting their children even though many have been exposed to it, show antibodies and had few to no symptoms? Orient believes the COVID shots will like be part of the panel of recommended shots for children, perhaps mandated for entry to school, yet there has been no effort to examine whether the shots will cause heart damage, already demonstrated in some trials.
Thu, 23 Jun 2022 - 346 - Woke Culture Infects Health Care (Guest: Dr. Marilyn Singleton)
In a recent article, a physician used the terms “assigned male at birth (AMAB)” and “assigned female at birth (AFAB)” instead of male and female. The article was published by The Cleveland Clinic. Dr. Marilyn Singleton, a board-certified anesthesiologist in California and former president of the Association of American Physicians and Surgeons, discusses why use of such language in health care should set off alarm bells. AFAB, AMAB, and other terms such as “pregnant persons” are increasingly being used by health care institutions, experts, and writers to show deference to woke ideology. Dr. Singleton also weighs in on the announcement this week that Dr. Anthony Fauci has tested positive for COVID, an ironic development for someone who was the leading champion of vaccines, masks, and other restrictions. Topics of discussion: - How widely used are the terms AMAB and AFAB? - How have physicians have responded to this new terminology? - What about the use of “pregnant persons” in some bills in California? Do they believe someday men could be altered to give birth? - It is easy to joke about woke language, but could patients be at risk? - What did Supreme Court Justice Kentanji Jackson mean at her confirmation hearing when she said that she couldn’t describe what a woman was because she was not a biologist? - Will there be any turning back if woke terminology is used more in articles? How about legislative bills? Is the intent to change the public’s thinking? Dr. Marilyn Singleton’s website: https://marilynsingletonmdjd.com
Tue, 21 Jun 2022 - 345 - If the Public Had More Say, Could We Have Avoided COVID Lockdowns? (Guest: Hugh McTavish)
Hugh McTavish, gubernatorial candidate in Minnesota of the Independence Alliance Party, is an outspoken critic of COVID-19 lockdown measures. These lockdowns prompted him to make a bid to be Minnesota’s next governor, unseating Gov. Tim Walz (D). McTavish, a Ph.D. immunologist, biochemist, patent attorney, entrepreneur, and author, is proposing an innovative “jury democracy” system. Before McTavish signs any important or controversial bill into law, he will submit it to a statistically significant citizen jury of at least 500 people. “If the jury approves the bill, I will sign it into law; if it rejects the bill, I will veto it. Effectively, I will not be governor—WE ALL WILL BE! I will give the power to you!” McTavish’s inspiration to empower regular Americans comes from Abraham Lincoln. Lincoln said that government should be “of the people, by the people, for the people.” McTavish discusses how “jury democracy” would work and how it could produce better policy outcomes. Juries would be selected in a similar fashion to juries in a court case. He envisions every registered voter would have a chance to weigh in on bills every four years. McTavish considers himself an out of the box thinker, in line with Jesse Ventura, Minnesota’s governor from 1999 – 2003. Both men are part of the Independence Alliance Party. Incumbent Governor Tim Walz is seeking reelection on the Democrat ticket. There are also a number of candidates seeking the Republican nomination. McTavish has written several books. His latest, “Covid Lockdown Insanity” was published in June 2021 and makes the case from a scientific point of view why the lockdowns are failures in trying to stop a virus like COVID-19.
Mon, 06 Jun 2022 - 344 - Preserving Telehealth Beyond the COVID-19 Emergency Declaration (Guest: Dr. Josh Umbehr)
Telehealth was allowed in the early days of COVID-19 under the emergency declaration. Josh Umbehr, M.D, a pioneer in free market health care delivery and founder of Atlas MD, believes telehealth is here to stay. He discusses some of the tough questions that may arise as the gates close on telehealth beyond the emergency declaration for the pandemic. How do we protect patient privacy? How do we stop waste, fraud and abuse? Patients and health care professionals embraced telehealth during the pandemic. What steps must Congress take to make sure it stays and can be successful. Patient rights are under threat as the emergency declaration enacted during COVID-19 concludes as expected in mid-July. This theoretically leads to the end of telehealth. Josh Umbehr is the founder of Atlas MD, one of the first direct primary care practices (DPC) in the U.S. DPC has long been using telehealth to help patients faster and more affordably. Because DPC is independent and not reliant on third-party payers, it can bypass restrictions on telehealth. Umbehr also talks about tele-care, gathering patient data using high tech devices, sharing the data to help patients and deliver better care, and related privacy concerns. Additionally, he discusses the recent case where a telehealth company was red-flagged for writing an unusual number of prescriptions for a controlled substance. Dr. Josh Umbehr’s March 3 op-ed on telehealth is in RealClearHealth: https://www.realclearhealth.com/articles/2022/03/03/is_telehealth_here_to_stay_yes_but_only_if_we_stick_the_landing__111324.html Atlas MD: https://atlas.md/wichita/about-us/our-team/josh-umbehr-md/
Tue, 24 May 2022 - 343 - Direct Primary Care Center Saves a Small Community (Guest: Mark Blocher)
The big hospital healthcare systems have left the rural town of Newaygo, Michigan in the dust. Residents in this small, rural community have had to travel sometimes an hour to get basic primary health care service. In comes Christian Health Care Centers to the rescue. Newaygo community leaders ask the direct primary care practice (DPC) if it would consider opening a second facility in their town. Christian Health Care Centers is a facility-based DPC that opened in 2017 and has had remarkable success. The community and CHC worked together to make it happen and on May 10, 2022, they celebrated the grand opening of a new 8,150 square foot facility. Residents are thrilled they don’t have to travel for basic health care and they’ll save a bundle of money under the direct-pay, membership model. Websites: Christian Health Care Centers: https://www.chcenters.org Heartland articles featuring Mark Blocker: https://heartlanddailynews.com/?s=blocher
Wed, 11 May 2022 - 342 - Do We Suffer From TOO Much Health Care? (Guest: George Hosu)
We’ve heard the saying that treatment can be worse than the disease. Sometimes too many choices and treatment options make health outcomes, worse, not better. Every treatment presents a risk. This includes over the counter, self-help measures. It is hard to measure the benefit of doing nothing versus seeking some sort of treatment. Sometimes, conditions resolve more quickly with no intervention. George Hosu, founding engineer of Eureka Health, joins the show to discuss his recent article on Medium, “Why Doesn’t Healthcare Improve Health?” Hosu cites the extensive work of Robin Hanson, presents several hypothesis on why spending more and increasing access may not improve outcomes, and explains how he personally determines the value of an intervention. The healthcare industry gobbles up 19.7 percent of the nation’s gross domestic product. According to the Centers for Medicare and Medicaid Services, the U.S. spends about $12,530 a person on health care. Yet there are gaps in outcomes. The U.S. ranked 18th in highest number of COVID-19 deaths. Deaths from drug overdoses are on the rise. The U.S. has one of the highest obesity rates in the world. Hosu and host AnneMarie Schieber discuss the value of placebos, the limitations of randomized control trials, and how the third-party payer system impacts personal health care decisions.
Thu, 05 May 2022 - 341 - Masks Caused Schools to Close More Often, Not Less (Guests: Phil Kerpen)
Throughout the pandemic, the Centers for Disease Control, the Department of Education, and school districts claimed ordering children to wear masks would keep schools open. Phil Kerpen, president of American Commitment, along with Emily Burns and Josh Stevenson, looked back to see if that was actually the case. The researchers examined school closure in 500 of the nation’s largest school districts to find out if mask mandates kept schools open more often. What they found was the opposite. The report, “No Masks Don’t Help Keep Kids in School” can be found here. The most pernicious mask mandates existed in the nation’s public schools. If schools were open, in many school districts, children were ordered to mask-up. Kerpen has a hypothesis as to why masked schools closed their doors more often than those that made masks voluntary. Kerpen also discusses the work he did on the latest analysis by the National Bureau of Economic Research, A Final Report Card on the States’ Response to COVID 19, that ranked states on economic, health and education outcomes during the pandemic. At the top of the list, were states that had the least heavy handed COVID policies.
Mon, 25 Apr 2022 - 340 - A Non-drug, Non-invasive Treatment for Pain – Light Waves (Guest: Scot Faulkner)
In wake of the opioid epidemic (overdose deaths in 2020, 91,799), doctors and patients are turning to a FDA cleared, non-drug approach to treating pain called photobiomodulation (PBM). PBM uses red and near-infrared light to stimulate cell growth and reduce inflammation. It is increasingly being used at cancer centers, on veterans, and on individuals who want non-drug alternatives. Scot Faulkner is a senior advisor to the PBM Research Foundation. He discusses how there have been over 800 randomized clinical trials showing the effectiveness of PBM and how the treatment is changing the lives of millions of patients. PBM has been around for about 60 years. It is now getting more attention as patients and physicians seek alternatives to prescription pain medication which can lead to chronic dependence. Since its inception, PBM has been used on 100 million people. Patients can get treated at centers or self-treat at home using FDA approved devices. Faukner discusses how PBM provides a long-lasting solution to pain by repairing the cell structures that lead to pain, how much the treatment costs, how long it takes to be effective, and training providers to use PBM, including a new center that opened at Shepherd University in West Virginia. For more information: https://pbmfoundation.org Clinical trials: https://clinicaltrials.gov/ct2/results?cond=&term=Photobiomodulation&cntry=&state=&city=&dist
Wed, 20 Apr 2022
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