2009.08.01: August 1, 2009: Headlines: Public Health: Medicine: Figures: COS - Iran: University Administration: NPR: Donna Shalala says : Health Revamp May Mean Doctor Shortage
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2009.08.01: August 1, 2009: Headlines: Public Health: Medicine: Figures: COS - Iran: University Administration: NPR: Donna Shalala says : Health Revamp May Mean Doctor Shortage
Donna Shalala says : Health Revamp May Mean Doctor Shortage
"The shortage is related to primary care," Shalala tells NPR's Scott Simon. "We have lots of specialists in the country. We'll need more primary care physicians." Shalala, now president of the University of Miami, says there will be opportunities for nurses to take on a larger role in offering primary care. "With all the advanced-practice nurses that we have in this country and more to be trained, there is a special role for nurses in our expansion of health care for all," she says. Shalala says she has visited Washington to talk with people "deeply involved" in revamping health care policy, many of whom she worked with on the same issue in the Clinton administration. During that time, she oversaw Medicare and Medicaid, and she believes that, at least with Medicare, there are clear ways to cut overall costs. "Drug costs are much too high in the Medicare program compared to the real costs that a large program ought to be paying," she said. "And there certainly is fraud in the system that we ought to simply get out." University of Miami President and former Clinton Cabinet member Donna Shalala served as a Peace Corps Volunteer in Iran in the 1960's.
Donna Shalala says : Health Revamp May Mean Doctor Shortage
Shalala: Health Revamp May Mean Doctor Shortage
Weekend Edition Saturday
Published August 1, 2009 12:01 AM
As legislators continue to work on an overhaul for the U.S. health care system, numerous questions linger. Here's one of them: If millions more Americans get health insurance, will there be enough doctors to handle the increase in patients?
Donna Shalala, secretary of the Department of Health and Human Services in the Clinton administration, says right now, the answer is no.
"The shortage is related to primary care," Shalala tells NPR's Scott Simon. "We have lots of specialists in the country. We'll need more primary care physicians."
Shalala, now president of the University of Miami, says there will be opportunities for nurses to take on a larger role in offering primary care.
"With all the advanced-practice nurses that we have in this country and more to be trained, there is a special role for nurses in our expansion of health care for all," she says.
Shalala says she has visited Washington to talk with people "deeply involved" in revamping health care policy, many of whom she worked with on the same issue in the Clinton administration. During that time, she oversaw Medicare and Medicaid, and she believes that, at least with Medicare, there are clear ways to cut overall costs.
"Drug costs are much too high in the Medicare program compared to the real costs that a large program ought to be paying," she said. "And there certainly is fraud in the system that we ought to simply get out."
Shalala says the Clinton administration worked hard to combat fraud in the Medicare system. Still, she says, some of the problems are locked into the legislation, specifically the way health care is paid for.
"Fundamentally, we have to stop paying on the basis of volume," she says. "We have to straighten this out. We've got to pay on the basis of value, on the basis of making sure people stay healthy."
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When this story was posted in August 2009, this was on the front page of PCOL:
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| Director Ron Tschetter: The PCOL Interview Peace Corps Director Ron Tschetter sat down for an in-depth interview to discuss the evacuation from Bolivia, political appointees at Peace Corps headquarters, the five year rule, the Peace Corps Foundation, the internet and the Peace Corps, how the transition is going, and what the prospects are for doubling the size of the Peace Corps by 2011. Read the interview and you are sure to learn something new about the Peace Corps. PCOL previously did an interview with Director Gaddi Vasquez. |
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Story Source: NPR
This story has been posted in the following forums: : Headlines; Public Health; Medicine; Figures; COS - Iran; University Administration
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