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The failure to replace the "fee-for-service" system in favor of capitated payments is cited as one of the main reasons. The other reasons are it does not resolve the issues of introducing competition in quality of care and cost, and continues the practices that disguise the true cost of care with a highly fragmented system of care. In a op-ed, Jeffrey Flier, Dean of the Harvard Medical School, gives a detailed account for the reason for his grading. A poorly drafted or incomplete law says Flier can make things worse, citing the example of the health care law in Massachusetts which is driving up costs, as it does not change the old dysfunctional system's key features such as "fee-for service," and instead tries to build a new system on broken foundations. Pearlstein in the Washington Post says the Obama health care law has addressed the "fee-for-service" problem, but this is really not the case, and Flier's reasoning may be the clue to the deeper problem for the Obama health care law.
Linked Articles
Steven Pearlstein: Eat your broccoli, Justice Scalia - The Washington Post
Washington Post 04/01/2012
Health 'Debate' Deserves a Failing GradeWall Street Journal 11/18/2009
Linked Articles
Obama's Health Expert Gets Political
Wall Street Journal 07/24/2009
Four Deficit Myths and a Frightening FactWall Street Journal 01/19/2012
Linked Articles
Boeing Feels New Pressure to Placate Its 787 Buyers
Wall Street Journal 06/29/2009
Boeing 787 Profit Plan Strained by Order CutWall Street Journal 08/24/2012
Cowen and Samuelson point out that without this big restructuring, taking in the uninsured into the system will only magnify the costs further. It would simply continue a unaffordable system of healthcare, that also delivers poor overall quality of healthcare for a steep price tag.
Linked Articles
Something’s Got to Give in Medicare Spending
New York Times 06/14/2009
Robert J. Samuelson - Wrong Way on Health 'Reform'Washington Post 06/15/2009
The need for education in the Muslim and Arab world that helps melt old attitudes and perceptions. This is a large region covering the Arabs in Egypt and North Africa to Muslims in South Asia.
Linked Articles
President Obama's Cairo Appeal
Washington Post 06/05/2009
Education vs. ExtremismWall Street Journal 06/03/2009
Rising debt and weak bounce from manufacturing in a recovery.
Linked Articles
Rising Interest on Nations’ Debts May Sap World Growth
New York Times 06/04/2009
Once a Key to Recovery, Detroit Adds to PainNew York Times 06/01/2009
Vicotr Brown and the 60,000 former workers at GM's BUick City have worked at GM all their lives, and can't imagine anything else. How does one get them from joining the ranks of the permanently unemployed, is a challenge for the government. THe labor underutilization rate expected to reach 20% for 2010, could threaten the economic recovery, and put everything at risk.
Linked Articles
Stuck at Unemployed: When A Layoff Becomes a Lifestyle
Washington Post 06/06/2009
The Last Holdouts Cast Their Lot With G.M.New York Times 05/21/2009
The need for initiatives in this area are supercritical to handle the economic recovery correctly because of deepseated changes in the labor markets. In the absence of this high unemployment will coexist with millions of vacancies because of amismatch of qualifications. A lack of worker mobility. because of housing problems compounds this situation.
Linked Articles
Help Wanted: Why That Sign's Bad
BusinessWeek 04/30/2009
Learning Labor Market Lessons from GermanyBusinessWeek 04/30/2009
The debt load for American households is close to the total output of the American economy in 2008. The disappearance of easy credit, the rising unemployment, and reduced hours of work, and lower or stagnant wage levels, are serious constraints to consumer spending.
Linked Articles
Economist 04/23/2009
On Borrowed Time: Consumer-Led RecoveryWall Street Journal 06/10/2009
Admirable rhetoric and clear ideas, but still falling short in key areas like foreclosure prevention and bank lending, is how the Obama economic recovery sccorecard reads in April 2009.
Linked Articles
When You're Flush, But Acting Flat Broke
Washington Post 04/16/2009
Lending By Bailout Recipients Falls AgainWashington Post 04/16/2009
The government has only indirect influence over the other important variables in the equation for economic recovery, consumption and employment. Through foreclosure prevention and bank lending it can influence consumption and employment. Obama's program while admirable may simply fall short of what is required. Through asimple takeover of insolvent banks the administrationcan implement its own programs for goreclosure prevention and aggressive bank lending at attractive rates, but this has to be done early before business go into permanent retrenchment mode and consumers simply revert to a frugal lifestyle of an earlier generation.
Linked Articles
Lending By Bailout Recipients Falls Again
Washington Post 04/16/2009
Banks Ramp Up ForeclosuresWall Street Journal 04/15/2009
If only the confidence and liquidity were an issue then maybe the Geithner Public Private Investment Program plan might work. But says Eavis, the underlying price structure for these mortgage securities is gone with this crisis,so that the recovery in their price for banks to avoid huge losses is going to be elusive. He cites Credit Sights which estimates losses of US banks through 2010 of $250- $450 billion.
Linked Articles
Treasury’s Got Bill Gross on Speed Dial
New York Times 06/21/2009
Geithner's Gamble Needs SpeculatorsWall Street Journal 03/23/2009
Is the US going the way of a train wreck as Japan did from the mid 1990's to 2003 with every set of actions falling short of the task of cleaning up the banking system and economic recovery? Krugman and Japanese experts who tackled the Japanese banking crisis sense something like this is happening in the US.
Linked Articles
New York Times 02/13/2009
In Japan’s Stagnant Decade, Cautionary Tales for AmericaNew York Times 02/13/2009
The management changes and the management style that went into changing General Motors, once an icon of American enterprise in the prewar and early post war period.
Linked Articles
After Bankruptcy, G.M. Struggles to Shed a Legendary Bureaucracy
New York Times 11/13/2009
Ed Whitacre's Battle to Save GM from ItselfBusinessWeek 04/29/2010
The political process and the influence of lobbyists on Congress and the White House constrains the development of laws that control healthcare costs. Higher health care costs means less money for infrastructure development, education, research and development funding, and other priorities which build a future for Americans.
Linked Articles
E-Mails Highlight Extent of Obama's Deal With Industry on Health Care
New York Times 06/08/2012
Obama's Health Expert Gets PoliticalWall Street Journal 07/24/2009
Linked Articles
Obama's Health Plan Needs Spending Controls, CBO Says
Washington Post 06/17/2009
Obama's Health Expert Gets PoliticalWall Street Journal 07/24/2009
The rising public debt and its unsustainability is what the future holds. For governments and decisionmakers there are very difficult choices, as fiscaly austerity and premature fiscal tightening or raising interest ratescan choke off a recovery. Raising taxes as happened earlier in Japan's lost decade also can choke off a recovery. Seriously tacklig health care costs and raising the retirement age, are much needed steps.
Linked Articles
Get Ready for Inflation and Higher Interest Rates
Wall Street Journal 06/11/2009
The biggest bill in historyEconomist 06/11/2009
With 15.4 million homeowners under water and rising unemployment exacerbating the foreclosure rate, and no governement solution in sight, any recovery will be weak. This makes the debt reduction less likely, and weakens prospects for economic growth.
Linked Articles
Rising Interest on Nations’ Debts May Sap World Growth
New York Times 06/04/2009
Foreclosures: No End in SightNew York Times 06/02/2009
Mr. Mecksworth, chief economist at MAPI says even when arecovery happens it will mean slow growth as companies will be saving money and paying off debt for many years to come.
Linked Articles
Once a Key to Recovery, Detroit Adds to Pain
New York Times 06/01/2009
Sharper Drop Is Forecast for Factory ProductionWall Street Journal 05/28/2009
The Labor Departments JOLT statistics for job openings shows over 3 million job vacancies. The reason for this is the mismatch in qualifications and the speed with which industries are downsizing, and the shift to new industries and fields away from banking, retail, construction and autos. This makes new initiatives in retraining and government cost sharing to enable companies to hire and retrain super critical. Germany has some initiatives lkke this.
Linked Articles
Stuck at Unemployed: When A Layoff Becomes a Lifestyle
Washington Post 06/06/2009
Help Wanted: Why That Sign's BadBusinessWeek 04/30/2009
Too many of the companies that looked like "garbage" to Zweig have gone up steeply, and Grantham expresses the same skepticism when he says 'the junky companies have been diluted like hell just to keep them alive."
Linked Articles
Economist 04/23/2009
Wall Street's Clearance Sale Leaves Few BargainsWall Street Journal 06/06/2009
It may only be a glimmer of hope says the Economist and not the real thing, which may be a long ways away.
Linked Articles
Economists Seek Breakup of Big Banks
Wall Street Journal 04/21/2009
A glimmer of hope?Economist 04/23/2009
Not much of the bailout or recovery by banks is showing up in lending practices. Is it ashort lived recovery in bank stocks and one quarter earnings that will fizzle out, and meantime with credit still tight the economy deteriorates.
Linked Articles
Economists Seek Breakup of Big Banks
Wall Street Journal 04/21/2009
Lending By Bailout Recipients Falls AgainWashington Post 04/16/2009
NYT editorial says the summit came up short on strong global regulation and on the Stimulus for Europe.
Linked Articles
New York Times 04/03/2009
Steven Pearlstein - A Rare Triumph of Substance at the SummitWashington Post 04/03/2009
This raises a number of questions about the economic recovery and calls for new initiatives in retraining and government assistance for companies to hire and retrain.
Linked Articles
Stuck at Unemployed: When A Layoff Becomes a Lifestyle
Washington Post 06/06/2009
Jobless Scars Will Outlast the RecessionWall Street Journal 03/09/2009
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