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Showing posts from March, 2011

The Profit Motive in Health Care

In case there was any doubt, Gapenski and Pink's textbook Understanding Healthcare Financial Management spells out the decision drivers for profit and not-for-profit hospitals. They're specifically referring to capital budgeting, but the principles hold across the health care financial board:
Projects that will contribute to shareholder wealth should be undertaken, while those that will notshould be ignored. However, what about not-for-profit businesses that do not have shareholder wealth maximization as a goal? In such businesses, the appropriate goal is providing quality, cost-effective service to the communities served. (A strong argument can be made that investor-owned firms in the health services industry should also have this goal.) In this situation, capital budgeting decisions must consider many factors besides a project's financial implications. For example, the needs of the medical staff and the good of the community must be taken into account. In some instances, …

oh my,

One of my friends is one of those friends that you pretty much talk about nothing but food with. It's funny, it's like forget everything else, lets discuss all things food. I love it. I'm pretty sure we were remarking on all the goodness that is cheese, where she told me that 'I must absolutely try this, you'll love it!' So I decided to attempt it one afternoon, I think her version involved brie where I went with camembert, but she was right. I loved it. Like a lot.
baked camembert 1 250g disk of camembert 1 unthawed sheet of puff pastry 2-3 tbsp red chili jam/jelly half a handful of walnuts
Preheat the oven to 350d. On a baking sheet lined with parchment paper, lay the puff pasty sheet out and place the cheese in the middle. Spread the chili jam or jelly on the cheese, this can be quite thick, and top with the walnuts. Bring in each corners of the pastry (feel free to do a fancy fold, if you know any or cutting to get a little bit of a more elegant effect)…

Country Profile: Canada

I felt that no boy should have to depend either for his leg or his life upon the ability of parents to raise enough money. I came to believe that people should be able to get...health services irrespective of their individual capacity to pay.Tommy Douglas, father of Medicare, Canada's National Health Insurance systemPopulation 32,000,000

Government Constitutional monarchy based on parliamentary democracy

Health Care Model National Health Insurance

GDP 1.335T (2010 est)

% GDP Spent on Health Care 10.0%

Per Capita Income $39,600

Health Care Expense Per Capita $3,672

Health Care Expense Per Capita Normalized to Income of 50K $4,636

Life Expectancy (m/f) 78/83

Healthy Life Expectancy (m/f) 70/74

The health care writer T. R. Reid (The Healing of America) has described Canada's health care system as the paradigm for the national health insurance model. Its genesis goes back to 1910, when the Douglas family migrated from Scotland to Canada. A Winnipeg doctor chose young Tommy Douglas as the be…

beet goodness

Sorry for being a little mia lately, got a little busy there, but I have been working on lots to share that will be coming up very soon. So for now I leave you with some pretty amazing roast veg. Well it's really only one veg, beets. Yellow and candy cane beets. These have got to be my favorite if not only for the amazing colours, but for the fact that there is no pink fingers! Well maybe not completely, the candy cane variety isn't totally stain proof.
roasted beets 6 medium size beets, quartered 2-3 tbsp olive oil 2-3 tbsp white balsamic vinegar salt and pepper to taste
Place everything in a baking dish and mix to coat (feel free to add some fresh herbs like oregano or thyme). Cover with tin foil and place in a 350 d oven for 25-30min or until slightly soft when poked with a fork. You can take the tin foil off about 5-10min before so it will allow for some browning.
garlic yogurt 1 cup of plain yogurt 1/2 a clove of garlic finely chopped 1 tbsp olive oil salt and pepper to taste
Mix …

pancake day

Today is pancake day my friends! Anybody else going to partake in a little pancake treat? If you are what's your favorite topping for these fluffy round delights? Are you gonna go classic with maple syrup? Or maybe lemon and honey? Or maybe even take it more savory then sweet? I was totally looking forward to this today, that is until I woke up with a mega headache and lost the craving.... maybe tomorrow then.
If your looking for a pancake recipe try this.

State Profile: Vermont

Last November, Vermont voters elected Peter Shumlin as the state's 81st governor. Shumlin ran in part on a platform of health care reform in the state, which has absorbed one of the highest rates of medical inflation in the country. Since Shumlin's election, the Vermont General Assembly passed Act 128, which sets forth four goals for health care reform
Universal health insurance coverage;Provision to every Vermont resident of an adequate standard benefits package and equal access to health care;Control of the rapidly escalating health care costs in Vermont; andEstablishment of a system that prioritizes community-based preventive and primary care, as well as integrated health care delivery.Vermont turned to Dr. William Hsiao to develop alternatives based on these principles. Hsiao designed Taiwan's health care system and has led or advised eight other nations on health care reform. He is one of the world's leading experts on health care economics and the implementation o…

Conservative Health Care Proposal

I came across this comment recently, which is a response to a question asking for a conservative alternative to federally based health care policy. I've been looking for a community-based conservative perspective to round out some of the views I've expressed; the author graciously acceded to my request to publish it on HealthMatters.  It's hard to lay out a program that will satisfy you given that you want something which deals with all issues better than Obamacare. But that rests on what your opinion if of those issues. For me, liberty is a major issue, for instance, but perhaps for you it is irrelevant to this debate. Still, there is an answer, though I doubt it will help you much.First is to figure out how we got to the point we have, where most people using medical services use a third party payer to pay the bulk of the cost. Tax code provisions is the answer, along with wage controls, all during WW2. This matters because if any commodity is provided to you at a cost lo…

Kaiser Permanente Poll on the Affordable Care Act

"Public opinion on health reform remains dug in this month, with the public roughly divided on the new law and partisans holding opposite views, a pattern that has been in place since passage last March. Overall, 48 percent of Americans have an unfavorable opinion of the law and 43 percent hold favorable views.""Three in ten say they want Congress to expand the law, not something high on the legislature’s agenda at the moment. And two in ten votel for the status quo – leaving the law to be implemented as enacted. On the other hand, four in ten want to see the law repealed – with half of those (19 percent) hoping to see it replaced with a “Republican‐ sponsored alternative” and theRepublicans other half (20 percent) wanting no further action.""Even as there are ongoing legislative discussions as to whether implementation of the law can be effectively stalled by funding cuts inserted into this year's budget process, most Americans (61%)...oppose using the bu…