Is the VA the Key to Healthcare Reform?

To find out the answer to this question–ok, a partial answer–listen to my appearance on the NPR show The Takeaway. CLICK HERE.

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  • 150,000 Walt Disney Employees Denied Mental Health Coverage – A Headline from the Future

    Newswire Services, April 11, 2015: Breaking News


    Since purchasing the Walt Disney Company six months ago, the Church of Scientologyhas been slowly remaking that venerable institution, in an effort to promote their ambitious religious mission. In the pipeline are an unprecedented number of science fiction films and John Travolta/Tom Cruise buddy movies, changes that have been surprisingly popular among movie fans.
    But now the church is making a change that is not so popular. It has decided that Disney employees will no longer receive insurance coverage for psychiatric care or any medications used to treat mental illness: “Psychiatrists are the enemy of the people,” stated Church spokesperson Walter McGee. “The church opposes their brutal, inhumane treatments and refuses to pay for such services because they collide with our religious beliefs.”
    Many Disney employees are up in arms over this decision. But the church is unrelenting in its position: “If people want to receive devil-care, they can either pay their own money or find a job somewhere else,” said McGee.
    Critics blame the situation on a decision made by President Obama in February of 2012. Early that month, he had announced regulations that would require health insurance companies to cover contraception, with exceptions for churches that oppose birth control but not for larger church run organizations such as hospitals or universities. The Roman Catholic Church cried foul, claiming that their religious freedom was being violated. In response to pressure, the Obama administration quickly backed off on its policy, broadening the religious exception to any church owned business that was run as part of the church’s broader religious mission.
    That shift in policy opened an opportunity for religious organizations to carve a broader set of services out of their health insurance plans. The Jehovah’s Witnesses had gained ownership of Wal-Mart in late 2013, and soon employees of that company (at least the ones who get health insurance) no longer received coverage for blood transfusions. An Orthodox Jewish organization became majority owners of Ace Hardware in early 2014, and now employees of that company no longer receive insurance coverage for insulin products that are derived from pork.
    The Church of Scientology is undeterred by critics who claim that treatments like antipsychotic medications and antidepressants ought to be part of any basic health insurance plan. “America is the land of religious freedom,” he explains “a place where the government has no right to stand between a church and its employees.”
    Who could argue with that logic?

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    More on Healthcare.gov 3.0

    Here is a nice follow-up story on my recent New England Journal article on improving the design of health insurance exchanges. Comparing health insurance plans – whether signing up through Healthcare.gov or weighing employer-sponsored plans with a spouse – can feel like wading through a sea of information on deductibles, co-payments and monthly premiums. Now…

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