Category Archives: General

Florida’s Governor Scott and the Public’s Trust

Brian Klepper Originally Posted 1/17/16 on The Doctor Weighs In A CNN investigation by Elizabeth Cohen and Katherine Grise asserts that Florida Governor Rick Scott’s administration has scuttled longstanding state hospital quality standards after two Republican political groups received large contributions … Continue reading

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Is Oncology Ground Zero For Reform?

…cancer professionals – physicians, researchers and society execs – have felt uncomfortably complicit with a paradigm that too often extracts exorbitant sums of money for miniscule clinical benefit. Continue reading

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The Goose and the Elephant

…striving for ever-higher earnings, drug companies large and small are relentlessly increasing pricing on old and new drugs because they can. They can because the industry successfully deployed lobbyists who persuaded a receptive Congress to heavily favor their interests, spinning laws away from regulatory controls and toward payment at any price. These circumstances, nurtured by pharma itself, make a 55-fold price increase possible and legal, if outrageous. And that’s the elephant in the room. Continue reading

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The Case for High Performance Health Care

Brian Klepper Posted 9/25/15 on The Employee Benefit News Blog Note to would-be health care reformers: don’t bother trying to drive change through policy, because you’re vastly outgunned. The industry you would reform owns Congress and the legislatures. Nearly every … Continue reading

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Marcus Welby, Dr. House and the Wizard of Oz

Elaine Waples At a recent dinner party my husband and I joined two other couples in a lively discussion on the frustrations of American health care. We rounded up the usual suspects: cost, quality, access, politics, and broken systems. At … Continue reading

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Elaine-Waples Klepper (Sept. 3, 1946 – Nov 22, 2014)

On Saturday, my precious wife Elaine finally succumbed to a long, protracted battle with  cancer. Below is her obituary, and I’ll also re-run several wonderful health care articles that she wrote over the past few years. Here is her obituary. … Continue reading

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Will Employers Favor Private Exchanges Over Coverage Sponsorship?

Brian Klepper Originally posted 10/17/14 on The Health Affairs Blog Over the past couple years, health care exchanges probably have consumed more of corporate benefits managers’ time and psychic energy than any other topic. An outstanding question is whether the rank … Continue reading

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Klepper Interview, Midwest Business Group on Health Conference, Chicago, 4/30/14

http://www.hhnmag.com/display/HHN-news-article.dhtml?dcrPath=/templatedata/HF_Common/NewsArticle/data/HHN/Daily/2014/May/050114-weinstock-employers-valuebased

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Klepper Interview – World Health Care Congress 4/07/14, DC

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Attitude

Elaine Waples Posted 8/31/12 on The Doctor Weighs In I’ve come to believe that seriously sick people are often subject to some very interesting comments from well-intentioned non-sick people. They are frequently inspired by #platitudes from self-help-books, Google chat rooms … Continue reading

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The Game’s Not Over, and It May Not Even Be The Real Game

The rancor preceding and surrounding the Supreme Court decision is, to some degree, a reflection of our national dysfunction: our inability to have fact-based discussions and our unwillingness to directly confront dire problems that threaten the public interest. Continue reading

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Galvanizing Primary Care’s Power: A Call For A New Society

Brian Klepper Posted 6/25/12 on Medscape’s Care & Cost Blog The dream of reason did not take power into account – modern medicine is one of those extraordinary works of reason – but medicine is also a world of power. Paul Starr, The … Continue reading

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Care & Cost Going Forward

Brian Klepper On May 13th, I announced that I would merge C&C into The Doctor Weighs In, a process that I have already begun in earnest. I meant that I would not longer actively aggregate and re-post great health care … Continue reading

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Care & Cost Merges Into The Doctor Weighs In

Brian Klepper When I began Care & Cost in December of 2010, the idea was to aggregate consistently good health care writing, and to moderate the comments to ensure a courteously professional exchange on the site. It has been a … Continue reading

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The Maryland Federal District Court Rules Against The Georgia Physicians’ RUC Challenge

The ruling was issued yesterday, and is a disappointing resolution to a very large national problem. I’ll write more about this in the next few days. Here is Judge Nickerson’s decision, for those interested in reading it.

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