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Does Your Doctor Know How Much That Costs?

A local group  (run by a former classmate of mine) is accepting entries for an annual contest that highlights stories of medical costs gone wild. The group Costs of Care’s mission is that:  All doctors should understand how the decisions they make impact what patients pay. The prompts for the contest stress the importance of all stakeholders being more aware of the impact of decisions that we make in receiving our health care. Do you have a story about a medical bill that was higher than you expected it to be? Or a time when you wanted to know how much a medical test or treatment might cost? How about a time you figured out a way to save money […]

Let Walmart In!

Opposing Wal-Mart seems to be in vogue these days. Mayor Curtatone of Somerville is doing it, so is Mayor Menino. Menino, along with many community leaders, is opposing the expansion of Wal-Mart into Dudley Square. Their opposition is built on two objections – that Wal-Mart will damage the existing retail infrastructure in Dudley Square and that Wal-Mart is bad corporate citizen. But it’s a short-sighted attempt by government actors to tilt the playing field in favor of certain businesses. For one, the mega-marts are already here. The city has one – the Target in the South Bay Shopping Center (and Target’s masterful branding as the ‘good citizen’ compared to Wal-Mart is a whole separate story). But if you look at […]

Obama Admin Rethinking Massachusetts Model?

The summer has led to little news from the Legislature and Governor Patrick on the health policy front. Which, on the first day of September, left me to wonder whatever happened to the temporarily extended Massachusetts MassHealth 1115 waiver? Simply put, this waiver from the federal government allowed the 2006 health reform to become a reality. The waiver was last renegotiated by the Patrick Administration in 2008, and was extended until June 30, 2011. Quietly this summer, that deadline was pushed back twice, and was set to expire yesterday. I have just learned that the waiver was extended for another 30 days. So I am left to ask–what is the issue(s) holding up a longer term renewal? In a summer […]

The 28X Debacle: A Missed Opportunity in Transportation

What’s the 28X? It was the MBTA’s attempt to put a version of bus rapid transit on the existing 28 bus line. Route 28X would have converted portions of the bus route, particularly on Blue Hill Avenue, into a dedicated bus lane. It would have implemented many of the principles of bus rapid transit, like the dedicated lane and more widely spaced station stops, to allow faster service and greater throughput for one of the system’s most heavily used bus lines. And it would have done it with the help of federal funds and at an incremental cost to the existing system (as opposed to a large greenfield capital expense). As this space has noted before, there’s no money out […]

Pioneer Institute Medical Malpractice Paper

Josh Archambault, Health Care Policy Director, highlights the costs of medical malpractice and options for reform, as described in Pioneer’s report, Innovative Medical Liability Reform: Traditional and Non-traditional Methods.