Hits and Misses

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  1. Don Levit says:

    “The President’s budget deposited risk corridor payments into the Treasury General Fund – conclusive proof that they are not user fees.”
    Taxes are deposited in the Treasury’s general fund.
    Even trust funds – like Social Security – are merely accounting mechanisms, not depository of specific taxes, which go into the Treasury’s General Fund.
    This is a specious argument.
    Don Levit

  2. J. Campbell says:

    I don’t even know there is a APP for quitting smoking…how comes…

  3. Freedom Lover says:

    Is there an app to quit socialism?

  4. Buster says:

    Every single one of 470 senior VA executives was rated “fully successful” or better over four years.

    Sounds like the military where any constructive criticism is enough to derail a career. Performance deficiencies are crouched in euphemisms to avoid stating the obvious.

    Instead of saying… “Captain Smith is abusive to his subordinates, lowering the morale of all the staff under his command…”

    Yearly performance evaluations often say “Captain Smith’s highly effective management style could benefit from additional sensitively training to boost the morale of his subordinates.”

  5. SPM says:

    Needless physician recertification is yet another brilliant (sarcastic) notion by bureaucrats. It is another attempt by the AMA to control the market- by limiting the number of doctors who can practice.

    This, along with Obamacare of course, is going to be another way that costs are driven up and wait times get longer.

    • John R. Graham says:

      Thank you, but how do you pin this on the AMA? I know that AMA is interested in medical education in medical schools, but I have not seen much from AMA on certification.

      I am not a physician but I believe it is the specialty societies who are driving this, as they are the bodies who certify.

      To challenge the specialists: If you are so upset at maintenance of certification (MOC): How are you unable to stop it? Why aren’t you nominating and electing officers who will get it under control?

  6. Big Truck Joe says:

    Am I the only one frustrated by the vast overreach of the govt using HIPAA as a newly found tool to fine companies to pad the govt trough? A $4.8 million dollar fine where 10 social security numbers were inadvertently released along with patient Health data. Someone’s stolen SSN can lead to monetary damages thru identity theft but who really cares if someone reads my medical chart and sees that I have diabetes ? Does that really bring me harm- especially in this day and age where nothing is private. HIPAA is just more over regulation that’s snuffing the life out of healthcare entities.

    • John R. Graham says:

      Thank you. That is an interesting perspective. The fines are a drop in the bucket with respect to government financing, but they are catastrophic for the parties fined.

      Personally, I agree that maintaining medical privacy is a fruitless effort in most cases. I find you can’t get people to stop complaining about their ailments!

      Nevertheless, a lot of people are upset at the notion that their information is out there, and that the government itself will abuse it.

  7. Big Truck Joe says:

    Daniel Solove of GW Law School has an interesting article entitled “Privacy and Data Security Violations: What’s the Harm?” which delves into what is the actual harm done in hipaa data breaches. Very intersting read. Seems the OCR fines far outweigh what the courts impose as compensatory damages against offending companies.