Len­ders pre­fer fed-led re­form

Modern Healthcare - - Front Page -

fed­eral or all state; they’re fairly com­fort­able with the bal­ance with some want­ing a lit­tle more role for the fed­eral gov­ern­ment,” Karen Davis, pres­i­dent of the Com­mon­wealth Fund, said about the sur­vey’s ma­jor find­ing.

Over­all, 29% of the sur­vey re­spon­dents said the 2010 health­care law struck a good bal­ance be­tween fed­eral and state gov­ern­ments, while 41% said the fed­eral gov­ern­ment should have more au­thor­ity than it al­lowed and 25% wanted the states to have more au­thor­ity.

The sig­nif­i­cance of the find­ings re­gard­ing pref­er­ences for a larger fed­eral role were less clear to oth­ers, in­clud­ing Dr. Joel Brill, chief med­i­cal of­fi­cer at Pre­dic­tive Health in Phoenix. The dom­i­nance of aca­demic and re­search pro­fes­sion­als (56% of re­spon­dents) in the sur­vey may have skewed the re­sults more to­ward a strong gov­ern­ment role in health­care than many who pro­vide health­care would sup­port.

“They might be able to look at things from a the­o­ret­i­cal stand­point but not a prac­ti­cal stand­point,” Brill said about aca­demics and re­searchers.

Dr. Bruce Lan­des, pres­i­dent and CEO of South­west Physi­cian As­so­ciates and a critic of the 2010 health­care law, re­jected the sur­vey’s lim­i­ta­tion of choices only to in­creas­ing ei­ther fed­eral or state gov­ern­ment roles in health­care.

“(T)here is no way to re­spond to ex­press

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