Claim: Under last year’s health care reform, "a bunch of bureaucrats decide whether you get care, such as continuing on dialysis or cancer chemotherapy.
Verdict: REFUTES

Retrieved passages:
title: Healthcare reform debate in the United States
text: remarks were based on the ideas of Betsy McCaughey. During 2009, former Alaska Governor Sarah Palin wrote against alleged rationing, referring to what by her interpretation was a "downright evil" "death panel" in current reform legislation known as H.R. 3200 Section 1233. However, Palin supported similar end of life discussion and advance directives for patients in 2008. Defenders of the plan indicated that the proposed legislation H.R. 3200 would allow Medicare for the first time to cover patient-doctor consultations about end-of-life planning, including discussions about drawing up a living will or planning hospice treatment. Patients could seek out such advice

title: Healthcare reform debate in the United States
text: healthcare services are provided to those in the last months or year of life and advocated restrictions in cases where quality of life cannot be improved. He also recommended that a budget be established for government healthcare expenses, through establishing spending caps and pay-as-you-go rules that require tax increases for any incremental spending. He has indicated that a combination of tax increases and spending cuts will be required. All of these issues would be addressed under the aegis of a fiscal reform commission. Critics have argued that medical malpractice costs are significant and should be addressed via tort reform. At

title: Health care reforms proposed during the Obama administration
text: Senate and was later passed by the House of Representatives in amended form on March 21, 2010 (with a vote of 219–212). President Obama signed the reforms into law on March 23, 2010. Reuters and CNN summarized the reforms and the year in which they take effect. A variety of specific types of reform have been suggested to improve the United States health care system. These range from increased use of health care technology through changing the anti-trust rules governing health insurance companies and tort-reform to rationing of care. Different overall strategies have been suggested as well. The Institute of

title: Health care reform
text: "“Getting Health Reform Right: A Guide to Improving Performance and Equity,”" Marc Roberts, William Hsiao, Peter Berman, and Michael Reich of the Harvard T.H. Chan School of Public Health aim to provide decision-makers with tools and frameworks for health care system reform. They propose five “control knobs” of health reform: financing, payment, organization, regulation, and behavior. These control knobs refer to the “mechanisms and processes that reformers can adjust to improve system performance”. The authors selected these control knobs as representative of the most important factors upon which a policymaker can act to determine health system outcomes. Their method emphasizes

title: United States Health Care Reform: Progress to Date and Next Steps
text: United States Health Care Reform: Progress to Date and Next Steps "United States Health Care Reform: Progress to Date and Next Steps" is a review article by then-President of the United States Barack Obama in which he reviews the effects of the Affordable Care Act (ACA), a major health care law he signed in 2010, and recommends health care policy changes that he thinks would build on its successes. The article was published in the "Journal of the American Medical Association" ("JAMA") as a "special communication" online on July 11, 2016, and in print on August 2, 2016. With the

title: Simone Campbell
text: was the General Director of her religious institute and oversaw its activities in the United States, Mexico, Taiwan, and the Philippines. Campbell was first recruited to lead NETWORK in 2004 and continues to serve as its executive director. In March 2010, the United States Congress debated reforms to healthcare, known as the Patient Protection and Affordable Care Act (H. R. 3590). As a part of her work with NETWORK, Campbell wrote the "nuns' letter" supporting the reforms and asked leaders of women's religious orders to sign it. Sixty heads of religious orders and umbrella groups signed and the letter was

title: Health care reform
text: Health care reform Health care reform is a general rubric used for discussing major health policy creation or changes—for the most part, governmental policy that affects health care delivery in a given place. Health care reform typically attempts to: In the United States, the debate regarding health care reform includes questions of a right to health care, access, fairness, sustainability, quality and amounts spent by government. The mixed public-private health care system in the United States is the most expensive in the world, with health care costing more per person than in any other nation, and a greater portion of

title: Health care reforms proposed during the Obama administration
text: of life cannot be improved. He also recommended that a budget be established for government healthcare expenses, through establishing spending caps and pay-as-you-go rules that require tax increases for any incremental spending. He has indicated that a combination of tax increases and spending cuts will be required. All of these issues would be addressed under the aegis of a fiscal reform commission. Rationing by price means accepting that there is no triage according to need. Thus in the private sector it is accepted that some people get expensive surgeries such as liver transplants or non life-threatening ones such as cosmetic

title: Healthcare reform debate in the United States
text: either a government takeover or a corporate takeover, or both. This debate occurs in the context of a "revolution...transforming how medical care is delivered:" from 2002 to 2008, the percentage of medical practices owned by doctors fell from more than 70% to below 50%; in contrast to the traditional practice in which most doctors cared for patients in small, privately owned clinics, by 2008 most doctors had become employees of hospitals, nearly all of which are owned by corporations or government. Republicans also argue the proposed excise tax on medical devices and drugs would increase the tax burden on vaccine

title: Health care reform
text: of recommendations, the framework allows users to adapt their analysis and actions based on cultural context and relevance of interventions. As noted above, many frameworks for health care reform exist in the literature. Using a comprehensive yet responsive approach such as the control knobs framework proposed by Roberts, Hsiao, Berman, and Reich allows decision-makers to more precisely determine the “mechanisms and processes” that can be changed in order to achieve improved health status, customer satisfaction, and financial risk protection. Health care reform Health care reform is a general rubric used for discussing major health policy creation or changes—for the most

title: Health care reforms proposed during the Obama administration
text: over the long term, we need a new health care system that has digitized information...in which that information is used to assess what’s working and what’s not more intelligently, and in which we’re paying for quality rather than quantity while also encouraging prevention and wellness." He also argued for bundling payments and accountable care organizations, which reward doctors for teamwork and patient outcomes. Mayo Clinic President and CEO Denis Cortese has advocated an overall strategy to guide reform efforts. He argued that the U.S. has an opportunity to redesign its healthcare system and that there is a wide consensus that

title: United States Health Care Reform: Progress to Date and Next Steps
text: health care system, noting that many Americans still cannot afford many of their medical treatments and visits, or have no health insurance at all. In the article, Obama recommends that after he leaves office, the next president should introduce a "public option" for health insurance in parts of the United States where there are few insurers in the marketplace. He also calls on his successor to try to reduce prices of prescription drugs. United States Health Care Reform: Progress to Date and Next Steps "United States Health Care Reform: Progress to Date and Next Steps" is a review article by

title: Health care reforms proposed during the Obama administration
text: Director Peter Orszag: Both Mayo Clinic CEO Dr. Denis Cortese and Surgeon/Author Atul Gawande have argued that such panel(s) will be critical to reform of the delivery system and improving value. Washington Post columnist David Ignatius has also recommended that President Obama engage someone like Cortese to have a more active role in driving reform efforts. Overutilization refers to when a patient overuses a doctor or to a doctor ordering more tests or services than may be required to address a particular condition effectively. Several treatment alternatives may be available for a given medical condition, with significantly different costs yet

title: Health care reforms proposed during the Obama administration
text: million annually by 2012, less than 1%. Reforming or restructuring the private health insurance market is often suggested as a means for achieving health care reform in the U.S. Insurance market reform has the potential to increase the number of Americans with insurance, but is unlikely to significantly reduce the rate of growth in health care spending. Careful consideration of basic insurance principles is important when considering insurance market reform, in order to avoid unanticipated consequences and ensure the long-term viability of the reformed system. According to one study conducted by the Urban Institute, if not implemented on a systematic

title: America's Affordable Health Choices Act of 2009
text: Pearlstein of "The Washington Post" wrote that the concerns raised in most of these town hall disruptions are factually incorrect claims made by some conservative members of Congress and some in the right-wing media in opposition of the reform bill. Wendell Potter, who has been an executive of Cigna, a for-profit health insurer, stated that health insurance companies "are very much behind the town hall disruptions that you see and a lot of the deception that’s going on in terms of disinformation that many Americans, apparently, are believing." Many proponents of the reform bill have accused organizations such as FreedomWorks,

title: EMBRACE Healthcare Reform Plan
text: the Patient Protection and Affordable Care Act (PPACA), the 111th Congress’ landmark health insurance reform legislation. A book outlining the EMBRACE plan in more detail was authored in 2016 by Dr. Gilead Lancaster, a cofounder of HPfHR. In 2007 HPfHR was established in an effort to advise politicians on healthcare issues from the point of view of healthcare professionals. They felt that the only effective way to fix the American healthcare system was with a complete overhaul based on science-based guidelines, also known as evidence-based medicine. The group identified five important parts of the American healthcare system that they felt

title: Health care reform
text: agreed-upon order of turning control knobs to achieve specific reforms or outcomes. Health care reform varies by setting and reforms from one context may not necessarily apply in another. It is important to note that the knobs interact with cultural and structural factors that are not illustrated within this framework, but which have an important effect on health care reform in a given context. In summary, the authors of "“Getting Health Reform Right: A Guide to Improving Performance and Equity”" propose a framework for assessing health systems that guides decision-makers’ understanding of the reform process. Rather than a prescriptive proposal

title: Health care reforms proposed during the Obama administration
text: a significant effect, either positive or negative, on economic efficiency." Empirical data and reporting have since shown that some of the highest medical costs are now in states where tort reform had already caused malpractice premiums and lawsuits to drop substantially; unnecessary and injurious procedures are instead caused by a system "often driven to maximize revenues over patient needs." One option proposed includes specialized healthcare courts rather than the jury system. Such courts exist in other disciplines. In administrative health courts, an expert judge would decide cases based on best medical practice, writing an opinion that is subject to appeal

title: Healthcare reform in the United States
text: not accurately measure the technical quality of medical care," said John T. Chang, UCLA, lead author. Public opinion polls have shown a majority of the public supports various levels of government involvement in health care in the United States, with stated preferences depending on how the question is asked. Polls from Harvard University in 1988, the Los Angeles Times in 1990, and the Wall Street Journal in 1991 all showed strong support for a health care system compared to the system in Canada. More recently, however, polling support has declined for that sort of health care system, with a 2007

title: Healthcare reform debate in the United States
text: extra tax credits to afford more coverage. Some critics of the bills passed in 2009 call them a "government take over of health care." FactCheck called the phrase an unjustified "mantra." (Factcheck has also criticized a number of other assertions made during 2009 by advocates on both sides of the debate). CBS News described it as a myth "mixed in with some real causes for concern." President Obama disputes the notion of a government takeover and says he no more wants government bureaucrats meddling than he wants insurance company bureaucrats doing so. Other sources contend the bills do amount to