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Giving Voters the Information They Need

Here we sit on election eve.  Before us are decisions not only for Governor and Treasurer, but also questions about reducing the sales tax and others.  Our discussions to date – though many, varied and at times heated – have been general in nature.  “Should we cut the sales tax or not.” “Cutting the sales tax will reduce State Aid to your community by $2 million.”  These discussions are interesting but largely unhelpful (though I appreciate community-by-community data, which at least provides a basis for discussion).  The question is, however, what does this mean to you, to me, to the people government serves?  Would a loss of $2 million cause 1,000 fewer potholes to be paved in Town X each […]

Health Care in the Mid-terms: What the Polls really tell us

Trying to read the tea leaves of poll numbers on the general public’s opinion of Obamacare has been especially confusing this election cycle.  Either 70% still want a public option or 70% deride Obamacare. Pundits gladly spin these numbers in support of their viewpoint, but could there be truth hidden in the seemingly contradictory numbers. An interesting article written by Robert Blendon and John Benson in The New England Journal of Medicine last week tried to uncover some of the nuance. Some of the more interesting numbers presented: “18% of registered voters believed that Congress should implement the bill as it currently stands, 31% thought Congress should make additional changes to increase the government’s involvement… and 41% believed that Congress […]

Do we misdiagnose younger students as ADHD?

The PreventDisease.com website highlighted a couple of studies strongly suggesting that the answer is yes. The two studies in question are: The importance of relative standards in ADHD diagnoses: Evidence based on exact birth dates, by Todd E. Elder is available in the Journal of Health Economics. Measuring Inappropriate Medical Diagnosis and Treatment in Survey Data: The Case of ADHD among School-Age Children, by William N. Evans, Melinda S. Morrill, and Stephen T. Parente is also available in the Journal of Health Economics. ADHD is a frequently diagnosed behavioral disorder among American students. As the PreventDisease.com folks note, “currently there are no neurological markers for ADHD.” (An excerpt from a great Frontline investigation can be found here.) The website summarizes […]

If the feds pay, the states will play

Don’t worry, Governor Patrick, Lieutenant Governor Murray and Massachusetts Education Secretary Reville have repeatedly said. If at any point we realize that the final testing products being developed by national consortium groups are not as rigorous as the MCAS, we can simply back out. We can simply back out, even after spending a big chunk the of $250 million in Race to the Top funds to train teachers and buy textbooks in line with the new national standards. We can back out even though we, as a state, have committed on paper to adopting the national assessments. Sigh. Then there is the question of whether national standards can realistically be considered voluntary with federal money in the balance. I suppose […]

American as baseball, apple pie and primary care doctors?

Harvard Medical School recently announced an anonymous gift of $30 million to create a center to “transform primary care medicine.” What I was hoping to read next was a vision for a metamorphosis of the role of primary care doctors. Instead the Boston Globe article went on to say the school hoped to “fix the nation’s shortage of primary care doctors by raising their status.” The news story reignited a discussion– that I have been having with myself– over the reasons such a high importance has been placed on primary care doctors in the American health care system. In policy discussion after policy discussion, primary doctors might as well be lumped into the same camp as baseball and American pie, […]