Results for Think Out Loud (Other Results)

Healthcare News Update

We check in with The Lund Report's executive editor about Cover Oregon, hospital mergers, health insurance rates, and more.

Segmentarticle - June 10, 2014

Obama's Healthcare Compromise

The Obama administration has announced a new compromise for contraceptive coverage for women working for religiously affiliated employers. Under the new plan employers like charities or hospitals with religious affiliations will not be required to pay for contraceptive coverage.

Segmentarticle - Feb. 10, 2012

President Obama Speaks on Russia, Healthcare and the Economy

President Obama will hold a press conference today at noon. Topics will include Russian relations, Edward Snowden and the state of the economy. We'll have reactions to the speech with our News Roundtable immediately following the press conference.

Segmentarticle - Aug. 9, 2013

Gauging The State Of Healthcare At OHSU

Portland's largest private employer, Oregon Health & Science University, recently announced a hiring freeze. Chief financial officer, Lawrence Furnstahl says while there will be some select hiring for critical staff, the freeze is necessary to contain costs. Since most federal research money comes from discretionary spending, sequestration is hitting OHSU and other research institutions hard, Furnstahl says. OHSU relies on the federal government for about 40 percent of its two billion dollar budget. Furnstahl told the Portland Business Journal that the uncertainty of federal funds and the rising cost of public employee retirement benefits are prompting OHSU to do some serious belt-tightening.

Segmentarticle - March 11, 2013

Getting Mental Healthcare To Transition Age Youth

After the mall shooting deaths of two people at Clackamas Town Center and the incomprehensible loss of 20 young children and seven adults at Sandy Hook Elementary, we're looking into some of the potential ways to prevent such tragedies. We've discussed security in schools, mental health resources for parents and kids, and most recently, gun laws. On this show, we'll find out what kind of mental health care is available to youth ages 16-25, also called "Transition Age Youth." That's generally the age range of those who commit these kinds of unspeakable acts of violence. And it's the age group that several years ago, the state found was 80 percent less likely (pdf) to get the mental health care they need compared with other age groups. 

Segmentarticle - Jan. 9, 2013

HHS Nominee Wants Money Back From Failed Exchanges

U.S. Department of Health and Human Services nominee, Sylvia Matthews Burwell, says she'd like to retrieve federal money from states like Oregon whose healthcare exchange has failed.

Segmentarticle - May 20, 2014

Rx: Health Promotion

Few people disagree that the U.S. healthcare system is broken. What's a lot less clear is how to fix it. Last week we began our series on healthcare reform by exploring the disparities between healthcare costs and outcomes. This week we're taking another stab at the huge issue by asking: what role does keeping people healthy have in the future of healthcare? Smoking cessation, weight loss, diabetes education and nutrition programs: do these things actually have a place in the reform lawmakers are working on? Health Promotion Advocates say yes. And they're working hard to lobby Congress to say the same. Meanwhile in Oregon, lawmakers just passed a bill to create a new state agency to coordinate healthcare reform efforts here. What role will health promotion and disease prevention have in their planning? What exactly does health promotion mean? And what programs actually work?

Segmentarticle - July 14, 2009

Rx: Personal Values

We, along with the country, have talked a lot about healthcare lately: the role of employers, the impact of doctors' salaries, the importance of health promotion and more. Now we're going to take a turn from what the system is providing (or may provide in the future) to what you expect and value. What is most important to you as a patient, client, or customer of the healthcare system — as a consumer of healthcare? Cost? Timely delivery? Quality? Convenience? Does valet parking at hospital mean anything to you? Or do you just care that there is a hospital nearby? Do you prefer low co-pays or smaller premiums?

Segmentarticle - Aug. 19, 2009

RX: Containing Costs

As often happens, we had a spirited conversation in the studio after a show last week. We'd been talking about the signing of the healthcare reform bill with John Evans, an anesthesiologist and the president-elect of the Oregon Medical Association, and Pam Mariea-Nason, the director of health policy and community engagement for CareOregon. John Evans was worried about a provision in the new law that will give a presidentially appointed board the ability to decide what will — and won't — be covered by Medicare. He and Mariea-Nason both spoke approvingly of Oregon's own historic efforts at healthcare prioritization and, more broadly, its culture of cost containment And they both agreed that — somehow — the cost of healthcare has to be brought under control. But they are not at all sure that the new law will do that. In short, they gave us the ingredients for another hour of radio.

Segmentarticle - April 1, 2010

Rx: Doctors' Salaries

Atul Gawande's New Yorker article about the disparities between healthcare costs and outcomes has certainly made the rounds since it was first published a few weeks ago: It found its way all the way to the Oval Office. The gist of Gawande's article is that sometimes spending more on healthcare actually buys us worse care. And while there are many possible factors for this, one of his arguments is that if we're going to reform the system in a smart way we're going to have to change the way we incentivize various services. For example: if primary or preventive care are crucial, should we reimburse them at higher rates than more specialized fields like cardiology or neurology* orthopedic surgery? Would this be a way to both get more young people into these basic care areas, and also to encourage an emphasis on the "right kind" of healthcare?

Segmentarticle - July 6, 2009

Rx: The Final Health Care Bill

Over the past year we've discussed many aspects of possible healthcare legislation on Think Out Loud, from the role of employers in providing health insurance to the region's low Medicare reimbursement rates. We've explored health promotion, doctors' salaries, and personal healthcare values. All that while the country debated the future of healthcare in this country. Now that's coming to an end. On Sunday night Congress passed a major overhaul of the nation's healthcare system. President Obama is expected to sign it into law on Tuesday. The Senate will take up some of the revisions probably this week. Oregon's four Democratic representatives voted yes on the bill. Republican Greg Walden voted no. Congressman Peter DeFazio had a particular hand in getting an adjustment in Medicare reimbursement rates that's kept them particularly low in Oregon. After the vote he told OPB reporter, Rob Manning: When the administration knew we were serious, and they could lose the whole bill, we negotiated around the clock, and we got something that is justifiable, that’s been studied time and time and time again by experts and panels and commissions saying this system is not fair, it’s not equitable, it doesn’t work. And it penalizes the states that are doing a better job, and rewards states that are doing a worse job, and it’s costing the taxpayers money.

Segmentarticle - March 23, 2010

RX: Health Care by Christmas?

As the Senate races a midwestern storm to pass sweeping healthcare overhaul legislation by Thursday morning, we're taking an hour to look at what many months of wrangling and last-minute deal-making will mean for the our healthcare system. Whether you see this bill as a lump of Christmas coal or a progressive diamond, there are still plenty of outstanding questions. For example: after the Senate and House versions are reconciled, what will the final bill look like? Will it have a public option? Will the insurance exchange be set up on the state or federal level? How will funding for abortion be handled?

Segmentarticle - Dec. 23, 2009

Is Obama-Mania Over?

One pundit is calling president Obama's prime-time press conference tonight "high stakes." Another says Obama will "lay it all on the line." And Politico is warning that the administration is risking an Obama overdose. It's an awful lot of focus for what amounts to just one more press conference — Obama's fourth since taking office. But the context is significant. The president's latest approval rating show a recognizable dip — The Washington Post calls it "solid but slipping" — and the president himself has called the overhaul of the U.S. healthcare system his top legislative priority. If a defeat of some kind of overhaul would be Obama's Waterloo, what would you call it if a bill passed?

Segmentarticle - July 23, 2009

State of the Union

President Obama delivered his second State of the Union speech focusing mostly on domestic issues — most notably job creation and the economy. He opened with comments about what sets American apart from the rest of the world and then focused in, more specifically, on deficit reduction, education, the promise of renewable energy, healthcare reform and the country's debt. Did you listen to his speech or the Republican or Tea Party responses that followed? What struck a chord for you?

Segmentarticle - Jan. 26, 2011

Your State of the Union

When President Obama gave his first State of the Union address on Wednesday night, he had a lot of ground to cover. Presidents have traditionally used this annual address before congress to touch on the most pressing issues in the national zeitgeist. Healthcare, the economy and campaign finance law were at the top of the list of domestic issues the president tackled, while the wars in Iraq and Afghanistan as well as disaster relief in Haiti dominated the portions of the speech dedicated to international affairs. But how does everything look from here, 3000 miles away from the pomp and circumstance, the partisan applause lines and the presidential shout-outs?

Segmentarticle - Jan. 28, 2010

Remembering Booth Gardner

Booth Gardner served as the governor of Washington State from 1985 to 1993. He passed away over the weekend from complications of Parkinson's disease. Having only served as state senator and Pierce County executive before running for governor, he was known for a campaign slogan that winkingly acknowledged his relative statewide anonymity: "Booth Who?" But he overcame his lack of name recognition to become a two-term governor that brought changes to education, healthcare, and land use. After leaving office, he lived a quiet life, until reemerging into political view to advocate for Washington's Death with Dignity Act.

Segmentarticle - March 19, 2013

Capitol Coverage

The Oregon Legislature is 75 percent of the way through its short February session. This last crucial week will bring key decisions about the budget, Governor Kitzhaber's healthcare and education priorities and a slew of other issues on the table. With tensions running high, election year politics seem to be gumming up the works a bit. According to The Oregonian, the governor's legislative priorities are caught up in a partisan fight as lawmakers get ready to start campaigning once they leave Salem. They expect to drop the final gavels Feb. 29.

Segmentarticle - Feb. 23, 2012

Legislature May Intervene In Salem CCO Dispute

Willamette Valley Community Health, the Salem-area coordinated care organization (CCO), is having trouble getting Salem Health to agree with the financial details of its healthcare plans. Salem Health runs the Salem and Dallas hospitals. Last fall it sued the CCO over what it saw as low reimbursement rates. Now a bill in the legislature could kick Salem Health out of the CCO. But stakeholders in other CCOs worry the law may hurt providers in other parts of the state. We'll check in on the disagreement that could threaten the future of the CCO in Salem.

Segmentarticle - June 13, 2013

Using Universal Screening And Assessment In Schools

After the shootings at Clackamas Town Center and the Sandy Hook massacre of 20 elementary school children, we've been exploring various responses and approaches to preventing such violence in the future. The idea of early assessment and intervention was an aspect of prevention that came up briefly in our show about getting mental health care to transition age youth (16 -24). The basic idea is that along with reading tests grade school kids get, there would also be a formal behavior evaluation. But what would that look like? Who would do it? How early would it start? What are the benefits? We'll ask those questions and more of Jeffrey Sprague, from the University of Oregon, one of the principal researchers in the area. And we'll check in with one of the early adopters of this idea in Corvallis to see how it's working there. 

Segmentarticle - Feb. 19, 2013

Ron Wyden's Medicare Overhaul

We haven't seen too many bipartisan efforts in the last few months in the rancorous world of national politics — especially for an issue as polarizing as healthcare. But then, on Wednesday, here come Oregon senator Ron Wyden, a Democrat, and Wisconsin congressman Paul Ryan, a Republican, with a plan to overhaul Medicare. The proposal is based on an idea called "premium support," which basically means that Medicare money would subsidize premiums being paid to private insurers. (Seniors would also be able to stick with the traditional fee-for-service model.)  The other big part of the plan: the growth of Medicare would be capped, and would have to grow at about the same rate as the economy.

Segmentarticle - Dec. 16, 2011

Supreme Court Hears Health Care Challenge

The U.S. Supreme Court has agreed to hear a challenge to the Obama administration's health care overhaul. Lower courts around the country have heard the case and decided different ways, with the 11th Circuit Court finding it unconstitutional. The high court will take up the 11th Circuit's decision. In a remarkable move, the Supreme court scheduled five and a half hours (instead of the usual one hour) for the arguments in March. Before the Supreme Court term began, we discussed the possibility of the case being heard with law professor and Supreme Court watcher, Lisa McElroy. Now that the justices have indeed taken the case, we'll check back in with her about the specific issues they'll be looking at and the impact their ruling — one way or the other — is expected to have.

Segmentarticle - Nov. 15, 2011

Living Without Health Insurance

Kristen Van Tuyl went hiking with her husband and six-year-old daughter recently. When they came upon a particularly treacherous part of the trail, Kristen hesitated. She doesn't have health insurance, though her husband and daughter do. She says this was what was on her mind when she told her family to "go on ahead," while she took a safer route and met up with them on the other side. Living without health insurance is something millions of people face each day. The 2009 National Health Interview Survey showed 46.3 million Americans under 65 were uninsured. While these are the most recent figures, the number of uninsured Americans has been on the rise for years and it's probably safe to assume that trend will continue as the economy continues to slowly recover from the recession. People have all sorts of reasons for not having health insurance, but cost is by far the biggest factor.

Segmentarticle - June 27, 2011

Primary Conversations: Governor (D)

Sometimes I wonder why candidates don't travel together as they end up at the same place so often. Democratic gubernatorial candidates Bill Bradbury and John Kitzhaber have faced off on TV for KGW and the Oregonian, and in front of crowds at Willamette Women Democrats, The University of Oregon, and the state's business community. They've talked about how to create jobs and how to pay for education, whether to create a state bank and how to reform healthcare. This, of course, is only a partial list of the many appearances they've made — and the many topics they've discussed — across the state.

Segmentarticle - May 4, 2010

Mental Health and Homelessness

Eleven days before Jack Dale Collins was shot dead by Portland Police at Hoyt Arboretum, he visited the police bureau, confessed to a 42 year-old crime, and asked for help. He said he had molested a girl at his home when he was a teenager. He had forgotten many of the details, including the victim's name, but the police report shows that during this confession (which as a crime had passed the statute of limitations) he also asked for mental health care. The officer recommended Cascadia Behavioral Healthcare, but there is nothing to suggest that Collins followed up on this suggestion. According to The Oregonian, the officer said he would have driven Collins to Cascadia if he had been asked. What would have happened if the process was different? If Collins had been taken to Cascadia, for example? Or perhaps if a crisis line had been called? What would have happened if he had received more mental health care long before setting foot into the police bureau?

Segmentarticle - March 31, 2010

Thanks to our Sponsors:
become a sponsor
Thanks to our Sponsors
become a sponsor