President Obama promised to mend the failings in the American health-care system, and yet for cancer treatment, ObamaCare is taking a rotten feature of the old system and making it worse. The Affordable Care Act expands a program called 340B, which siphons money from drug makers and insurers to subsidize certain hospitals. The program has been expanded as a way to offset some of the cuts that the law imposes on hospitals. One significant side effect: 340B is increasing the cost of cancer care—and harming its quality. When the program began in 1992, its aim was to support
Speaking as an oncology nurse, I am witnessing some very heart-breaking situations about who is getting adequate treatment for their cancer. I cannot imagine what will happen to the patient who is diagnosed with a stage IIIC or stage IV ovarian cancer.
It´s a shame that this important article by Dr. Gottlieb was seen by only a handful of late-nighters and an early bird. It is the kind of thing that everyone needs to read. Should be sent on to others as it is open content.
This is about Obama´s contributing to the exploitation of a program that was intended to benefit only the indigent. We´ve all seen the television ads for "cancer centers" where we are encouraged to take our cancers for optimum care and comfort. Read the article about why these are burgeoning. It´s about $$$$. Ours.
I had never heard of the 340B program for drug subsidization, had you? Gottlieb educates us:
When the program began in 1992, its aim was to support hospitals that cared for many uninsured, indigent patients. Over the years, the program was radically broadened, gradually morphing into a government cash cow that hospitals of every description have learned to exploit. (snip)
Now ObamaCare is encouraging even wider 340B abuses. The new health-care law expands 340B to cover cancer centers, new categories of hospitals and rural health centers. Since one of the ways that hospitals qualify for 340B turns on how many Medicaid patients they serve, ObamaCare´s Medicaid expansion will also increase the number of 340B-eligible entities.
Even major hospitals - like those at Duke and the U. of Pennsylvania - are exploiting the program. Most of their patents are insured. The facilities buy at government subsidized discounts, bill at full price and pocket the difference.
A relative of the New Jersey attorney who died Sunday when thieves shot and carjacked him at a shopping mall says he wants the perpetrators to die for the "selfishness of their crime." "What do I want? I want the punks responsible to pay," said Dr. Mark Schare, the uncle of Dustin Friedland. "I want them to die. I want them to get what they gave." Schare´s sharp-worded statement was aimed at assailants who approached Friedland, 30, and his wife, Jamie, in a parking garage Sunday night at Short Hills Mall, where the couple had been Christmas shopping. They shot Friedland, ordered
In the same week that Pope Francis was named Time´s Person of the Year, word arrived of the charitable contributions made by the Jane Fonda Foundation. Grand total for the years 2007 to 2011: zero dollars. The last time Ms. Fonda´s Foundation made a charitable gift, reports the Smoking Gun website, was in 2006, to the tune of $1,000. The Foundation itself has $800,000 in assets. Ms. Fonda´s representatives insist she´s made larger gifts, particularly through her family foundation, which in 2011 made about $350,000 in contributions from $7.2 million in net assets. But even that´s not quite 5%, the legal
Unexceptional: China becomes the third country to land a spacecraft on the moon in preparation for a manned visit. Meanwhile, U.S. astronauts have to ride Russian spacecraft to fix toilets on the International Space Station. Tourists visiting the Kennedy Space Center in Florida, where one of America´s retired space shuttles now resides, were no doubt able to see news reports of the landing of China´s first lunar vehicle, a solar-powered rover, on the surface of the moon. The landing of the rover 37 years after the last such mission by the Soviet Luna 24 sample-return voyage in 1976 makes China just the
Global Power: For nearly seven decades since winning World War II, an America trusted by its allies has enjoyed superpower status. Now new alliances in both Asia and the Middle East confirm our steepening decline. Beyond ICBMs and advanced aircraft carriers, will and power are what make a nation a force to be reckoned with. When Argentina invaded the Falklands in 1982, every one of British Prime Minister Margaret Thatcher´s civilian advisers told her that "recapture was all but impossible," Charles Moore recounted in his new biography of the Iron Lady. Then Adm. Sir Henry Leach, the First Sea Lord, asked to launch
RUSH: We´ll start Seattle with Dan. Dan, glad you called. Great to have you in the EIB Network. Hello. CALLER: Rush, Merry, Merry Christmas. RUSH: Same to you, sir. Thank you. CALLER: The Catholic Church is caught between a dilemma between socialism and conservatism. Socialism is the redistribution -- redistribute -- I can´t say it. RUSH: Redistribution. CALLER: -- of the wealth of those who take, and then they redistribute it to places supposedly in poor nations where those people need it. And as far as the Catholic Church, the conservatism portion of it is, is it´s a rulebook. The Bible is a conservative rulebook,
the myth of efficiency. ... Stories range from Maryland’s exchange director going on vacation (as the O-Care exchange website imploded) to dishonesty at the highest levels as Sebelius ducks questions on the ´Lie of the Year.´" But now, KGW.com: "For the second week in a row, the Washington Healthplanfinder website is down, and it’s causing problems for people who are dealing with billing issues. Some of them say the website is mistakenly debiting their accounts." Health care accounts, people´s private bank accounts, are being debited by the Washington state health exchange.
Kathleen Sebelius went to bat for Obamacare navigators in an op-ed prior to a hearing led by Darrell Issa investigating the people designated to promote the health-care law as “navigators.” She accused the House Oversight Committee chairman of holding a field hearing in Dallas “designed to stifle, intimidate and impugn the reputation of people who have been working hard to help their fellow Texans get covered.” In the Dallas Morning News, Sebelius urged Republicans on the committee to stop “demonizing, demoralizing or deterring” navigators, praising the navigators for their efforts. She wrote navigators are “not paid to sell insurance,” but to
RUSH: As you know, every year to one degree or another, there are attempts by the left to eliminate Christmas. If they could, they would totally eliminate it. They´re unable to do that, and they will never succeed, by the way, in eliminating Christmas from our minds, from our hearts, from our faith. They will never succeed. All they can do is raise a ruckus about nativity scenes or other public displays, outlawing Christmas carols or not being allowed to say "Merry Christmas" but having to say "happy holidays." They can do all of that they want. They can tinker
Marriage in America is in a state of free-fall, and it’s the confluence of American attitudes and legal rulings that are responsible for helping push it off the cliff. On Friday night, a George W. Bush judicial appointee, Judge Clark Waddoups, struck down a part of Utah’s law against polygamy in a 91-page ruling. The case drew nationwide attention because the plaintiff, Kody Brown, is the star of TLC’s Sister Wives, a reality show depicting the life of a polygamist family. Waddoups’ ruling is fairly limited, insisting that the state’s ban on “religious cohabitation” is unconstitutional, and therefore should no longer be
House Minority Leader Nancy Pelosi privately has urged the Obama administration to halt deportations for some illegal immigrants, saying that President Obama needs to use more “discretion” to reduce the number of people he’s kicking out of the country. In an interview with Telemundo over the weekend, Mrs. Pelosi said that just being in the country illegally is not enough of a reason to be deported, and she said illegal immigrants must have something more serious on their records. “Our view of the law is that it — if somebody is here without sufficient documentation, that is not reason for deportation,” she
RUSH: Daily Caller: "Americans want the government to stop acting like their mother." I want a little brief exception. Mothers are not half as bad as the government. But I nevertheless get the point here. Americans are fed up with the government banning everything. That´s the impetus here of the poll. It´s a Reason magazine Rupe poll. "Americans do not want government to ban trans-fats, e-cigarettes, online poker, violent video games or genetic testing kits." They don´t want them to ban lightbulbs. According to this poll, and I happen to believe it: "Many Americans are becoming frustrated with the government’s growing
City Journal´s Kay Hymowitz has an informative and important new essay out surveying the social-science research into the effects of fatherless household on boys and young men. (Spoiler: They´re baneful.) But Hymowitz, generally an astute observer, opens by framing her argument in terms of an immense fallacy of presumption, the unraveling of which should be helpful in any consideration of what those empirical findings mean. Here are Hymowitz´s opening 2½ paragraphs: When I started following the research on child well-being about two decades ago, the focus was almost always girls´ problems--their low self-esteem, lax ambitions, eating disorders, and, most alarming, high rates
As thousands of state residents enroll in Washington’s expanded Medicaid program, many will be surprised at fine print: After you’re dead, your estate can be billed for ordinary health-care expenses. The way Prins saw it, that meant health insurance via Medicaid is hardly “free” for Washington residents 55 or older. It’s a loan . . .
Valerie Jarrett, Obama´s Rasputin, unwittingly provided us an answer to the question of why the Obama Presidency is such a man-caused disaster. There are few people who are close to the notoriously insular Barack Obama (a former aide, Neera Tanden, said that "Obama doesn´t call anyone, and he´s not close to almost anyone. It´s stunning that he´s in politics, because he really doesn´t like people") but Valerie Jarrett is among the select few. They have been friends for decades; she introduced Barack to Michelle; she is a constant presence in the White House, and highly unusual for a White House
Sure, he likely didn’t mean anything overtly sexual by it. But Vice President Joe Biden is a folksy kind of guy who has officially entered dirty old man territory and done something sure to elicit laughs within the White House Press Corps. Look how he’s manhandling The Hill‘s White House Correspondent Aime Parnes for this photograph taken at a recent holiday party that she posted on her Facebook page. For most people’s tastes he’s grazing way too close to the vicinity of her abdomen. And watch her reaction. Is it shock, awe, utter disbelief? Whatever the expression, she appeared to
The universe is a hologram and everything you can see - including this article and the device you are reading it on - is a mere projection. This is according to a controversial model proposed in 1997 by theoretical physicist Juan Maldacena. Until now the bizarre theory had never been tested, but recent mathematical models suggest that the mind-boggling principle could be true. According to the theory, gravity in the universe comes from thin, vibrating strings. These strings are holograms of events that take place in a simpler, flatter cosmos. Professor Maldacena´s model suggests that the universe exists in nine
Michelle Obama has once again stepped out in her $6,800 J Mendel jacket, despite fielding a backlash last time she wore the pricey garment. [Snip] But the last time she wore the embellished garment, in July 2012 at a Buckingham Palace reception in London, political commentators took issue with the fact that she had spent so much on fashion while so many in the U.S. are suffering financially. A post on the Gateway Pundit blog remarked that the design ´cost more than the average American family makes in a month ($4,284)´. ´She does this as Americans continue to suffer through a
London – Large tapestry portraits of President Barack Obama were unveiled for guests at the U.S. Embassy in London over the weekend. The recently-installed, large-scale tapestry portraits were created by National Medal of Arts winner and renowned American painter, photographer Chuck Close. Close created the portraits by compiling and interweaving Polaroids of the president from an hour-long photo shoot done the summer before, the Washington Post reports. The portraits are nearly 8 feet tall and more than 6 feet wide, with the final piece looking like photos but feeling like textiles. Close used one photo of Obama smiling and another
Reportage of last week´s Nelson Mandela funeral reveals clearly enough that President Obama has reached the point in his tenure where everything ceases to go right -- when even the most serious and determined efforts deteriorate into a hash, or worse, a joke. This happens to everyone in public life eventually, politicians above all. The original attraction wears thin, flaws appear more prominently, styles and opinions change. There is little the individual can do to avoid this.(snip)The Mandela funeral shows that Obama is deep into this phase of his career, and has landed on his head.
Lobbyists and the GOP political establishment applauded Speaker John Boehner´s strident attacks against the Tea Party and conservatives as the House prepared to approve the Ryan-Murray budget deal. Boehner hadsaid that conservative groups had "lost all credibility" for opposing a budget deal that increases the national debt. While business groups may get a tingle hearing Boehner´s harsh words, one wonders how alienating the grass roots will help them curtail the next government overreach. “You didn´t hear all the applause across downtown?” Dirk Van Dongen, a top GOP lobbyist with the National Association of Wholesaler-Distributors (NAW) said about Boehner´s remarks. “Folks
House Speaker John Boehner checked off the final items on his list of year-end legislation Thursday, dismissing lawmakers for a 25-day holiday recess. The House came together in rare bipartisan fashion to pass the budget deal, approve the National Defense Authorization Act, extend farm law through the end of next month and temporarily delay cuts to doctors’ Medicare payments. But left undone was one major piece of legislation: an extension of long-term unemployment benefits. Although the benefits could be extended retroactively, as Senate Majority Leader Harry Reid acknowledged this week, 1.3 million Americans are set to lose them Dec. 28.
In 2000, shortly after Hillary Clinton was elected to represent New York in the Senate, I was honored when she called seeking my advice.(snip)Hillary is a patriot who loves her country completely. Her deep commitment to public service and progressive causes runs through her veins. At the State Department, she proved to be an outstanding diplomat. She rolled up her sleeves and went to work repairing relationships with heads of state around the world. From the evolving conflicts in Afghanistan and Iraq to the turbulent Arab Spring, Hillary was always a steady hand on the foreign policy rudder. Over the years, Hillary and
Washington -National Security Agency officials are considering a controversial amnesty that would return Edward Snowden to the United States, in exchange for the extensive document trove the whistleblower took from the agency. An amnesty, which does not have the support of the State Department, would represent a surprising denouement to an international drama that has lasted half a year. It is particularly unexpected from a surveillance agency that has spent months insisting that Snowden’s disclosures have caused vast damage to US national security. The NSA official in charge of assessing the alleged damage caused by Snowden’s leaks, Richard Ledgett, told
On Monday, Variety reported that Fox News had once again dominated all comers I the annual ratings, not merely blowing out CNN, MSNBC and HLN, but drawing more viewers than the combined averages of the three other networks. Fox News averaged 1.774 million viewers in primetime; the other three averaged a combined 1.626 million viewers in primetime. Fox finished sixth among all basic cable companies. The addition of Megyn Kelly to primetime has been a boon for Roger Ailes and company, with Kelly up 23% in total viewers in the timeslot. No wonder CNN, which is struggling to outpace Headline