Fis­cal re­spon­si­bil­ity

Modern Healthcare - - Opinions Letters -

Re­gard­ing “AHA pleased but wary on fis­cal com­mis­sion vote” (ModernHealth­, Dec. 3): I be­lieve that there is much room for cut­ting our bud­get deficit by var­i­ous re­forms in the health­care sys­tem, some of which are pro­posed by the bi­par­ti­san com­mit­tee. It will be very in­ter­est­ing to see how the Pa­tient Pro­tec­tion and Af­ford­able Care Act will af­fect the qual­ity and cost of health­care through the new pay­ment meth­ods of ac­count­able care or­ga­ni­za­tions, pa­tient-cen­tered med­i­cal homes and bun­dled pay­ments.

As I re­call, for­mer HHS Sec­re­tary Michael Leav­itt in an in­ter- view with Mod­ern Health­care said that these were the new ve­hi­cles that would drive re­form.

I be­lieve that an ACO based upon the pa­tient-cen­tered med­i­cal home model for pri­mary-care providers would be an ex­cel­lent ve­hi­cle for de­liv­er­ing qual­ity, safe and ef­fi­cient care.

Don­ald “Tex” Bryant Bryant’s Health­care So­lu­tions Low­ell, Mich.

This news com­bined with the news that the tax break is go­ing to be ex­tended to ev­ery­one, clearly shows that nei­ther party is se­ri­ous about re­duc­ing the deficit. Ex­tend­ing the tax breaks in­creases the deficit.

Any­one who thinks the deficit can be elim­i­nated sim­ply with cuts to pro­grams has the ar­ro­gance to think that peo­ple will not take to the streets.

Our politi­cians are now just play­ing to their base, which is a eu­phemism for play­ing to the fringe on both the lu­di­crous left and ridicu­lous right, both of who can re­main in­vis­i­ble by virtue of the Supreme Court de­ci­sion to mask donors to “spe­cial po­lit­i­cal com­mit­tees” that just fun­nel the money to the main­stream can­di­dates.

The 80% of this coun­try’s peo­ple, who are prag­matic, fair and seek the great­est good for the great­est num­ber, need to wake up and take back the dis­cus­sion and ad­dress the big pic­ture to pre­serve and pro­tect the United States of Amer­ica. It is that se­ri­ous!

Brian Shea Vice pres­i­dent Col­lec­tion Bureau Hud­son Val­ley New Fair­field, Conn.

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