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Johns Hopkins Medicine CEO: Obamacare Will Have “Catastrophic Effects”

From Tim Andrews on Tuesday, December 8, 2009 11:31 AM
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Edward Miller, Dean and CEO of Johns Hopkins Medicine, has an op ed in yesterday's Wall Street Journal where he lays out the disasterous effects that, if enacted, Obamacare will have on healthcare in the United States:

Both the House and Senate health-care reform bills call for a large increase in Medicaid—about 18 million more people will begin enrolling in Medicaid under the House bill starting in 2013, Centers for Medicare and Medicaid Services (CMS) Actuary Richard Foster estimates.

We at Johns Hopkins Medicine (JHM) endorse efforts to improve the quality and reduce the cost of health care. But we also understand all too well the impact a dramatic expansion of Medicaid will have on us and our state—and likely the country as a whole.

We'll meet the demands placed on us because serving poor and disadvantaged populations is part of our century-old mission. But without an understanding by policy makers of what a large Medicaid expansion actually means, and without delivery-system reform and adequate risk-adjusted reimbursement the current health-care legislation will have catastrophic effects on those of us who provide society's health-care safety-net. In time, those effects will be felt by all of us.

(H/T The Foundary)

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Comments

When someone like this speaks, Obama should listen. His experience is worth taking into account when thinking of health care legislation. The administration's desire to rush this debate has been its downfall. Consensus building and understanding the real issues should have taken precedence. Delivery system reform sounds interesting--I would like to hear more about what that offers.
>> Jeff Hosten Tuesday, December 8, 2009 12:02 PM Report Comment

The reason why government programs work is because they squeeze people into getting paid less. Seems to me there are two ways to reduce prices: squeeze people, or compete your way into innovation. The United States does good at innovation, and shouldn't stop now. That's the problem with Medicare and Medicaid: doctors get paid less for those patients than for regular patients, and those programs are still broken. Squeezing people into getting paid less doesn't solve any of the real problems.
>> Jacky Tuesday, December 8, 2009 1:12 PM Report Comment

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