Comments for The Rural Health Advocate http://www.ruraladvocate.org Rural health as it is and we hope it to be Mon, 02 Aug 2010 22:35:39 +0000 http://wordpress.org/?v=2.9.2 hourly 1 Comment on An Optimistic View: Primary Care No Longer American Medicine’s Stepchild by Jeremy Engdahl-Johnson http://www.ruraladvocate.org/2010/08/an-optimistic-view-primary-care-no-longer-american-medicine%e2%80%99s-stepchild/comment-page-1/#comment-304 Jeremy Engdahl-Johnson Mon, 02 Aug 2010 22:35:39 +0000 http://www.ruraladvocate.org/?p=170#comment-304 PPACA requires state exchanges by 2014. What to know in 2010? Underlying complexity will sneak up on the unprepared - http://www.healthcaretownhall.com/?p=2875 PPACA requires state exchanges by 2014. What to know in 2010? Underlying complexity will sneak up on the unprepared – http://www.healthcaretownhall.com/?p=2875

]]> Comment on Managing the Uncertainty of Health Reform by Alyce Katayama http://www.ruraladvocate.org/2010/06/managing-the-uncertainty-of-health-reform/comment-page-1/#comment-296 Alyce Katayama Mon, 14 Jun 2010 21:22:40 +0000 http://www.ruraladvocate.org/?p=167#comment-296 Hi, Tim I really liked this piece - especially your closing. Alyce Hi, Tim

I really liked this piece – especially your closing.

Alyce

]]> Comment on Health Reform, 45 Years in the Making by Brock Slabach http://www.ruraladvocate.org/2010/03/health-reform-45-years-in-the-making/comment-page-1/#comment-239 Brock Slabach Mon, 22 Mar 2010 15:48:14 +0000 http://www.ruraladvocate.org/?p=159#comment-239 I appreciate the historic view of what passed in the House last evening. It seems to be more of "insurance reform" than "health reform." Let's hope its but a start to achieve "health" reform. As Voltaire said, we shoudn't let the perfect be the enemy of the good. Of course, he also said, "a witty saying proves nothing." I appreciate the historic view of what passed in the House last evening. It seems to be more of “insurance reform” than “health reform.” Let’s hope its but a start to achieve “health” reform. As Voltaire said, we shoudn’t let the perfect be the enemy of the good. Of course, he also said, “a witty saying proves nothing.”

]]> Comment on Calm in the Eye of the Healthcare Hurricane by bestgirls.com.ua http://www.ruraladvocate.org/2009/11/calm-in-the-eye-of-the-healthcare-hurricane/comment-page-1/#comment-203 bestgirls.com.ua Tue, 24 Nov 2009 06:25:35 +0000 http://www.ruraladvocate.org/?p=134#comment-203 What's another word for "thesaurus"? What’s another word for “thesaurus”?

]]> Comment on Calm in the Eye of the Healthcare Hurricane by John Eich http://www.ruraladvocate.org/2009/11/calm-in-the-eye-of-the-healthcare-hurricane/comment-page-1/#comment-200 John Eich Fri, 13 Nov 2009 17:10:29 +0000 http://www.ruraladvocate.org/?p=134#comment-200 Nice summary of the healthcare environment today, Tim. As everyone these days bears down on "fixing this broken system", it's important to recognize who has been holding the broken pieces together all these years. Nice summary of the healthcare environment today, Tim. As everyone these days bears down on “fixing this broken system”, it’s important to recognize who has been holding the broken pieces together all these years.

]]> Comment on Calm in the Eye of the Healthcare Hurricane by Calm in the Eye of the Healthcare Hurricane | health http://www.ruraladvocate.org/2009/11/calm-in-the-eye-of-the-healthcare-hurricane/comment-page-1/#comment-194 Calm in the Eye of the Healthcare Hurricane | health Tue, 03 Nov 2009 18:11:03 +0000 http://www.ruraladvocate.org/?p=134#comment-194 [...] Originally posted here: Calm in the Eye of the Healthcare Hurricane [...] [...] Originally posted here: Calm in the Eye of the Healthcare Hurricane [...]

]]> Comment on The President’s September Health Reform Speech by John Eich http://www.ruraladvocate.org/2009/09/the-presidents-september-health-reform-speech/comment-page-1/#comment-183 John Eich Fri, 11 Sep 2009 03:28:08 +0000 http://www.ruraladvocate.org/?p=125#comment-183 The reviews of his speech seem to depend on party affiliation - inspiring for the Dems, combative for the Repubs. Which tells me that politics still plays too deep a role in an issue that would be better served by data and policy expertise (which we count on from Tim!). I'm happy to see you highlight reimbursement - I wish people would drop the banalities about a "public option" and instead discuss the relevant points therein - reimbursement rates, paperwork, the cost of such a program if the employers dump their pool into it, etc. The reviews of his speech seem to depend on party affiliation – inspiring for the Dems, combative for the Repubs. Which tells me that politics still plays too deep a role in an issue that would be better served by data and policy expertise (which we count on from Tim!).

I’m happy to see you highlight reimbursement – I wish people would drop the banalities about a “public option” and instead discuss the relevant points therein – reimbursement rates, paperwork, the cost of such a program if the employers dump their pool into it, etc.

]]> Comment on The President’s September Health Reform Speech by Brock Slabach http://www.ruraladvocate.org/2009/09/the-presidents-september-health-reform-speech/comment-page-1/#comment-181 Brock Slabach Thu, 10 Sep 2009 03:29:04 +0000 http://www.ruraladvocate.org/?p=125#comment-181 Let's hope, at least for a minute, for civility over acrimony. Just announced that Sen. Harkin of IA will lead Senate HELP committee, another source of potential safeguard for rural providers in any reform effort. Keep up the good work there at RWHC. Let’s hope, at least for a minute, for civility over acrimony. Just announced that Sen. Harkin of IA will lead Senate HELP committee, another source of potential safeguard for rural providers in any reform effort. Keep up the good work there at RWHC.

]]> Comment on Three Rural Health Priorities and Key Threats to Rural Health in Current Congressional Reform Proposals by Karen Heffernan http://www.ruraladvocate.org/2009/06/three-rural-health-priorities-and-key-threats-to-rural-health-in-current-congressional-reform-proposals/comment-page-1/#comment-175 Karen Heffernan Fri, 21 Aug 2009 04:20:40 +0000 http://www.ruraladvocate.org/?p=109#comment-175 Excellent input. I am an RN RD MPH who completed an FNP with a focus on vulnerable pop care. Rural settings need to be placed in another category. #1 RNs & Med Students from these areas need to be assured 20% of the admit base #2 We need to assure that these students received priority ARRA funding to repay loans. #3 We must use GIS tools like that at the University of MS & demand that rural groups receive telemedicine training urgently. That is a percentage of the community based participatory research & comparative efficacy reform for larger metro HC universities must be related to this. #4 We must use our APNs & PAs effectively by prioritizing opening new programs in communities with smaller population density. These communities represent 56% of the land mass so that it only equitable. #5 With the Telemedicine Associations we should demand that expert panels be brought in to give rural areas expertise in health IT. Examples for this type of integrate program include Purdue University School of Nursing combined with their engineering program. #6 We should state that if 20% of admits to schools are for rural citizens, this must include all schools so that rural areas obtain information transfer at a rate which is consistent with their urban partners #7 We should work with the largest NGO research team---> The Gates Foundation to assure that vulnerable rural American children are prioritized #8 We should demand that an investigator team for the Children's Health Study propose interventions annually from data streams. Action is needed not further arcane proposals. We know the maxims but we need the manpower. Thanks for reading. My angst is related to seeing too many rural children go with inadequate care. Excellent input. I am an RN RD MPH who completed an FNP with a focus on vulnerable pop care. Rural settings need to be placed in another category.
#1 RNs & Med Students from these areas need to be assured 20% of the admit base
#2 We need to assure that these students received priority ARRA funding to repay loans.
#3 We must use GIS tools like that at the University of MS & demand that rural groups receive telemedicine training urgently. That is a percentage of the community based participatory research & comparative efficacy reform for larger metro HC universities must be related to this.
#4 We must use our APNs & PAs effectively by prioritizing opening new programs in communities with smaller population density. These communities represent 56% of the land mass so that it only equitable.
#5 With the Telemedicine Associations we should demand that expert panels be brought in to give rural areas expertise in health IT. Examples for this type of integrate program include Purdue University School of Nursing combined with their engineering program.
#6 We should state that if 20% of admits to schools are for rural citizens, this must include all schools so that rural areas obtain information transfer at a rate which is consistent with their urban partners
#7 We should work with the largest NGO research team—> The Gates Foundation to assure that vulnerable rural American children are prioritized
#8 We should demand that an investigator team for the Children’s Health Study propose interventions annually from data streams. Action is needed not further arcane proposals. We know the maxims but we need the manpower.

Thanks for reading. My angst is related to seeing too many rural children go with inadequate care.

]]> Comment on Local Rural Access Must Be Part of Value Based Purchasing Reform by Brock Slabach http://www.ruraladvocate.org/2009/08/local-rural-access-must-be-part-of-value-based-purchasing/comment-page-1/#comment-166 Brock Slabach Mon, 03 Aug 2009 19:11:27 +0000 http://www.ruraladvocate.org/?p=113#comment-166 It's interesting to note that the existing reform proposals do little to control costs (at least meaningfully), which means that can will be kicked down the road for another day. You're exactly right, a proactive rural advoacy position while we wait for the other shoe to drop (cost controls) is precisely what we need! It’s interesting to note that the existing reform proposals do little to control costs (at least meaningfully), which means that can will be kicked down the road for another day. You’re exactly right, a proactive rural advoacy position while we wait for the other shoe to drop (cost controls) is precisely what we need!

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