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Overview

Jul 15 2008

The need for health care reform is well-known and, to most Americans, indisputable.  Numerous statistics and an endless trove of real-life stories document the need for bold health care reform.  This section provides four sets of policies to help state legislators and advocates build proposals and political strategies to challenge the self-interests of the health care industry and successfully move health care reform:

The cost of health care is the primary reason at least 47 million Americans lack coverage and at least 25 million more are under-insured, meaning their insurance does not shield them from high health care costs.  From 2002 to 2007, family insurance premiums rose 78% while inflation rose 17% and wages a mere 19%.  Both employers and employees are feeling the squeeze.  

Failure to create a coordinated and user-friendly health care system that provides necessary coverage for all Americans has left us with the endemic health care costs and wasteful spending that define our disjointed health care system.  For instance, a staggering 78% of all health care costs are for people with chronic conditions like diabetes, heart disease, and depression - costs which could be reduced with effective management and disease prevention.

From the Dispatch

On Health Care Reform, the "Cost of Doing Nothing" - How does your state measure up?

Dec 05 2008

The New America Foundation recently issued a sobering analysis of the costs associated with failing to fundamentally reform health care in the US.  The Cost of Doing Nothing: Why the Cost of Failing to Fix Our Health System is Greater than the Cost of Reform details the staggering economic costs of doing nothing and the obscene burden on families and businesses, not to mention state and local governments.

New Hampshire Data-Mining Ban Upheld- Blow to Drug Industry Marketing is Boon to States

Nov 21 2008

Tuesday, New Hampshire’s first-in-the-nation law banning the sale of data on physician prescribing habits to drug industry marketers was upheld by a federal appeals court.  The legislation and subsequent court ruling dealt a significant blow to the drug industry and its heavy-handed marketing tactics. The 2006 New Hampshire law, sponsored by Rep. Cindy Rosenwald, will protect the privacy of physicians and their patients by banning data-mining - the process by which the drug industry uses, or mines, the prescribing habits of providers to inform direct-to-provider marketing. As Rep. Rosenwald stated in a press release, the "decision unanimously recognizes that States have the right to protect the prescriber-patient relationship and patient safety, and to try to reduce the cost of pharmaceuticals.” Maine and Vermont passed similar laws which have been held up by litigation, but will now move forward.

A First Look at How McCain and Obama's Policies Would Affect the States

Oct 13 2008

There are stark differences between the two presidential campaigns' approaches to federal-state relationships.  Differences range from the amount of funding appropriated for programs run by the states to whether the candidates would strengthen or weaken state regulatory authority.

Mental Health Parity included in Bailout Plan; Stronger State Laws Remain in Effect

Oct 09 2008

The new federal mental health parity law, passed as part of the recent $700 billion financial bailout package, is a real piece of help for families around the country. Even better, the law will not preempt stronger state parity legislation. The law will help states achieve their parity goals because it applies to self-insured health plans which are not subject to state regulation.

Court Upholds Employer Health Care Responsibility Policies

Oct 02 2008

In a case with national implications for state health reform across the country, the Ninth Circuit Court of Appeals this week in Golden Gate Rest. Ass'n v. San Francisco upheld the employer responsibility provisions of the San Francisco universal health care plan.  The decision follows a preliminary decision earlier in the year that allowed the plan to be initially implemented.

The Financial Bailout and the Challenge for the States: De-Leveraging Working Families

Sep 29 2008

According to The Wall Street Journal, "Fed and Treasury officials have identified the disease. It's called de-leveraging, or the unwinding of debt. During the credit boom, financial institutions and American households took on too much debt."  But let's not buy into a false equivalence of "financial institutions" and those "American households" borrowing beyond their means.

Addressing the Shortage of Primary Care Physicians

Sep 25 2008

According to The Boston Globe, a national shortage of primary care doctors is hitting Massachusetts especially hard.  The state's 2006 health insurance mandate has resulted in an additional 439,000 newly insured residents trying to seek care from an already over-stressed medical profession.  According to an annual survey by the Massachusetts Medical Society, wait times for new patients to see primary care doctors are running an average of 50 days, though some doctors report delays up to 100 days.

Health Insurance Reform - Building Momentum for Change

Sep 15 2008

For working families, access to and the affordability of health care continue to be a top economic concern.  Feeling the burden of higher prices on all fronts, voters are especially angry at health insurance companies and cite rising premiums, higher out of pocket costs, less coverage, and hassles dealing with claims departm

New PSN Report: The Anti-Immigrant Movement that Failed

Sep 09 2008

Today, the Progressive States Network is releasing a new report: The Anti-Immigrant Movement that Failed: Positive Integration Policies by States Still Far Outweigh Punitive Policies Aimed at New Immigrants.   The Executive Summary is available online, as well as the full report in PDF and HTML format.

While US Olympians Excel, US Health Care Under-performs

Aug 11 2008

US athletes are now showing their mettle, competing against the world in the Beijing Summer Olympics.  Since the modern summer Olympics began in 1896, the US has been a force; consistently fielding a dominant cadre of athletes and ranking first, or among the top, in the overall medal count. In the spirit of competition and international comparison, this Stateside Dispatch will look at how well our health care system stacks up against our peers in the international community.