Monthly Archives: December 2016

The Ellis-Huber Christmas Poem 2016

The Raven                      The Ellis-Huber Christmas Poem 2016

Once upon a year so dreary, politics so wild and weary,
Arguments so quaint and curious, unfamiliar use of lore—
While I nodded, sometimes napping, suddenly there came a yapping,
As of candidates gently snapping, snapping as if t’were a war.
“’Tis only a primary,” I muttered, “yapping I have heard before—
Only this and nothing more.”

But the yapping became more noisy, as the prospects grew less rosy
Scared me—filled me with fantastic terrors never felt before;
So that now, to still the beating of my heart, I stood repeating
“’Tis only a primary entreating entrance at the White House door—
Some strange visitor entreating entrance at the mansion door;—
This it is and nothing more.”

Presently concern grew stronger; hesitating then no longer,
Words like “Sir” and “Madam”, scarce-used civil words appeared no more;
Soon the facts no longer mattered as emotions became more shattered,
Soon opinions grew more scattered, chattered just outside my door,
Not quite sure that I had heard it—here I opened wide the door;—
Darkness there and nothing more.

Ah, distinctly I remember it was in the bleak September;
And each separate dying ember wrought its ghost upon the floor.
Eagerly I tried to ignore it, even though I still deplored it
All my thoughts were filled with sorrow—sorrow for the lost true core—
Came the thought so sad and evil, worse time since the Wizard war—
Trump is our Lord Voldemort.

November came as we were fearing, long we stood there wondering, tearing,
Wishing undone, dreaming dreams no liberal dared to dream before;
But the silence was unbroken, and the election gave no token,
And the words e’er spoken were whispered words, “Lord Voldemort?”
This I whispered, and an echo murmured back, “Lord Voldemort.”—
Merely this and nothing more.

Now December, feeling bitter, as the trees begin to glitter,
Soon again I hear a twitter somewhat louder than before.
“Surely,” said I, “surely that is something at my window lattice;
Let me see, then, what the threat is, and this mystery explore—
I let my mind stop just a moment and this mystery explore;—
’Tis only Santa, nothing more!”

Santa saved us from our ruing, distracted us from all our stewing
Christmas tree our nightly viewing, ‘minding us of days of yore;
Now we pray for all united, keeping spirits undivided;
Wishing peace and love re-invited, mistletoe above your door—
Christmas prayers we do implore for elves and wizards, Dumbledore—
And Harry Potter, ever more!

(c) 2016 Randall P Ellis

Facts about Tom Price, HHS nominee

Health economists and every concerned citizen should disseminate the facts in this NEJM article about Donald Trump’s nominee of Tom Price to be the next secretary of HHS.
Coauthor Richard Frank is also a BU Ph.D. alum!

Randy Ellis

 

Care for the Vulnerable vs. Cash for the Powerful — Trump’s Pick for HHS

Sherry A. Glied, Ph.D., and Richard G. Frank, Ph.D.

New England Journal of Medicine

December 21, 2016DOI: 10.1056/NEJMp1615714

http://www.nejm.org/doi/full/10.1056/NEJMp1615714#t=article

 

Since there is no abstract, here are the first two paragraphs.

Representative Tom Price of Georgia, an orthopedic surgeon, will be President-elect Donald Trump’s nominee for secretary of health and human services (HHS). In the 63-year history of the HHS Department and its predecessor, the Department of Health, Education, and Welfare, only two previous secretaries have been physicians. Otis Bowen, President Ronald Reagan’s second HHS secretary, engineered the first major expansion of Medicare, championed comparative effectiveness research and, with Surgeon General C. Everett Koop, led the fight against HIV–AIDS.1 Louis Sullivan, HHS secretary under President George H.W. Bush, focused his attention on care for vulnerable populations, campaigned against tobacco use, led the development of federally sponsored clinical guidelines,2 and introduced President Bush’s health insurance plan, which incorporated income-related tax credits3 and a system of risk adjustment. In their work at HHS, both men, serving in Republican administrations, drew on a long tradition of physicians as advocates for the most vulnerable, defenders of public health, and enthusiastic proponents of scientific approaches to clinical care.

Tom Price represents a different tradition. Ostensibly, he emphasizes the importance of making our health care system “more responsive and affordable to meet the needs of America’s patients and those who care for them.”4 But as compared with his predecessors’ actions, Price’s record demonstrates less concern for the sick, the poor, and the health of the public and much greater concern for the economic well-being of their physician caregivers.

Since the NEJM full article  requires a subscription, here is a summary what they document:

Price has sponsored legislation that

  • supports making armor-piercing bullets more accessible
  • opposes regulations on cigars
  • Repeals and replaces the ACA (see details below)

Voted  

  • Against the Affordable Care Act (ACA)
  • Against regulating tobacco as a drug
  • Against the Domenici–Wellstone Mental Health Parity and Addiction Equity Act
  • Against funding for combating AIDS, malaria, and tuberculosis
  • Against expansion of the State Children’s Health Insurance Program
  • In favor of allowing hospitals to turn away Medicaid and Medicare patients seeking nonemergency care if they could not afford copayments
  • Against reauthorization of the Violence Against Women Act
  • Against legislation prohibiting job discrimination against lesbian, gay, bisexual, and transgender (LGBT) people
  • Against enforcement of laws against anti-LGBT hate crimes.
  • Against expanding the NIH budget
  • Against the recently enacted 21st Century Cures Act

Price stated views:

  • Favors converting Medicare to a premium-support system
  • Favors changing the structure of Medicaid to a block grant program
  • Favors amending the Constitution to outlaw same-sex marriage
  • Opposes stem-cell research
  • Inconsistent in supporting investments in biomedical science.

His proposal for repealing and replacing the ACA is H.R. 2300, the Empowering Patients First Act,5 which would

  • Eliminate the ACA’s Medicaid expansion and
  • Replace ACA subsidies with flat tax credits based on age, not income
  • Be regressive, with larger subsidies for high than low incomes.
  • Credits would pay only about one third of the premium of a low-cost plan
  • Credits proposed are smaller than those proposed by President Bush in 1992, and will not be sufficient to get most people to buy health insurance
  • Eliminate the guaranteed-issue and community-rating requirements in the ACA, with ineffective substitutes.
  • Withdraw almost all the ACA’s federal consumer-protection regulations, including limits on insurer profits and requirements that plans cover essential health benefits.
  • Allow the sale of health insurance across state lines, effectively eliminating all state regulation of health insurance plans
  • Fund his plan by capping the tax exclusion for employer-sponsored health insurance at $8,000 per individual or $20,000 per family, caps that are lower than the unpopular Cadillac tax in the ACA, which Price himself has voted to repeal, and hence is unlikely to ever be approved
  • Directly advance physicians’ economic interests by permitting them to bill Medicare patients for amounts above those covered by the Medicare fee schedule and allowing them to join together and negotiate with insurance carriers without violating antitrust statutes.
  • Oppose strategies for value-based purchasing and guideline development,
  • Oppose the use of bundled payments for lower-extremity joint replacements and
  • Propose that physician specialty societies hold veto power over the release of comparative effectiveness findings.

Consider what you can do to make sure that these facts are widely known. Perhaps ask your legislators which of these views they support.

BU Grads Ranked among the World’s Most Employable

One more ranking in which BU rates very highly in the world.

BU Grads Ranked among the World’s Most Employable
11th worldwide, 7th in the nation in international survey

The employability of BU graduates was recently ranked 11th in the world and 7th in the nation in a report published in Times Higher Education. The Global University Employability Ranking 2016 was designed by French human resources company Emerging, which sent an online survey asking the opinions of thousands of recruiters at a management level and of managing directors of international companies.

The California Institute of Technology was ranked number one on the list, followed by the Massachusetts Institute of Technology, Harvard University, the University of Cambridge, and Stanford University.

“It’s very heartening that so many employers recognize that our graduates are very well-prepared in their fields and have the skills and habits to perform at a high level,” says President Robert A. Brown. “Helping to successfully launch the careers of our graduates is a focus of the University.”

Except is from Bostonia Magazine.