I will post the Political Summary later. I have to walk away from it for a bit and cool down. She implies multiple times in her speech that people can't make there own decisions. You can see more at my website PoliticalBear.com.
August 23, 2007
HEALTH CARE QUALITY:
Speech at the Dartmouth-Hitchcock Medical Center
- I was also here to talk about reform in 1993
• We need Consensus
• 3 part plan reducing costs, increase quality, provide universal coverage
• How my plan will ensure quality
o I will invest in strengthening the maintenance of certification program
o Public-private trusts, money, and higher reimbursements for participants
• I will create a Best Practices Institute
o Public-private partnership to fund comparative effectiveness research and disseminate it across the country
• I will also implement medical malpractice reforms
o Would improve liability protections for physicians who disclose medical errors to patients and offer to enter into negotiations for fair compensation
• I will address nursing shortages and education shortages
o More funding to schools, recruit more nurses, work to retain nurses
• I will empower patients
o Give them the information they need for good decisions
o “Consumer Driven” health care doesn’t work
• Patients must also be able to understand the information
o We need electronic medical records
o The VA is a good example they already have Med IT
• I want to give incentives to patients to make good decisions
• Still health inequities among racial, ethnic, socioeconomic, and genders
• Health Care payers also have a responsibility in providing quality health care
o Hospitals are paid for each visit
o Doctors are not rewarded for working together
o I will support federal reimbursements for a team approach to medicine
o Must reward care on how effective it is
Bush Administration’s has been ok on this
I will mandate that any insurance company that covers patients through the Federal Employees Health Benefits Program must also refuse to cover these costs
o I’ll also encourage private plans to follow suit
o To ensure that our reimbursement system rewards quality care also means ending discrimination against people with pre- existing conditions
• Will all of this be easy?
• No


