Opposition to the Federal Health Law: Tea Party, Republicans and ... the Green Party
Uninsured--and Still Against the Health Law
Forget the Robots: Venture Capitalists Change Their Health Care Investments
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"disqusTitle": "Why Isn't Kaiser Less Expensive?",
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"content": "\u003cfigure id=\"attachment_5723\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/KaiserPermanente05102012.jpg\">\u003cimg class=\"size-medium wp-image-5723\" title=\"(tedeytan: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/KaiserPermanente05102012-300x247.jpg\" alt=\"(tedeytan: Flickr)\" width=\"300\" height=\"247\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(tedeytan: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>The federal health law aims to tackle the problem of high health care costs by providing financial rewards to providers who do a better job coordinating patient care. But one shining example of that future has been here in California for decades. It's \u003ca title=\"https://healthy.kaiserpermanente.org/html/kaiser/index.shtml\" href=\"https://healthy.kaiserpermanente.org/html/kaiser/index.shtml\" target=\"_blank\">Kaiser Permanente\u003c/a> which is often touted as the nation’s best hope for bringing health care costs more in line with other developed nations.\u003c/p>\n\u003cp>Kaiser rose out of a utopian, industrialist dream. During the 1930s and 40s,\u003ca title=\"http://www.californiamuseum.org/exhibits/halloffame/inductee/henry-j-kaiser\" href=\"http://www.californiamuseum.org/exhibits/halloffame/inductee/henry-j-kaiser\" target=\"_blank\"> Henry J. Kaiser\u003c/a> wanted to make sure the workers at his Richmond shipyard were steady and strong.\u003c/p>\n\u003cp>\u003ca title=\"http://xnet.kp.org/newscenter/aboutkp/bios/national/halvorson.html\" href=\"http://xnet.kp.org/newscenter/aboutkp/bios/national/halvorson.html\" target=\"_blank\">George Halvorson\u003c/a>, Kaiser's CEO, draws a direct link between Henry Kaiser's approach to building ships and his approach to designing a health system. \"When Henry built things he tended to assemble an entire team to build all the parts,\" he says. \"So when he started providing health care to his workers, he used that model which was to have a Kaiser hospital, Kaiser clinics.\"\u003c/p>\n\u003caside class=\"pullquote alignright\">“They got to where they are, in part, by being the cost leader in the market. And they no longer are.”\u003c/aside>\n\u003cp>Kaiser Permanente opened its doors to the public in 1945 -- and offered health coverage that was considerably less expensive than conventional insurers like Blue Cross.\u003c/p>\n\u003cp>The strategy worked because it owned and operated its own hospitals and clinics and directly employed physicians.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>But \u003ca title=\"http://www.chcf.org/about/staff/mark-smith\" href=\"http://www.chcf.org/about/staff/mark-smith\" target=\"_blank\">Mark Smith\u003c/a>, head of the \u003ca title=\"http://www.chcf.org/\" href=\"http://www.chcf.org/\" target=\"_blank\">California Health Care Foundation,\u003c/a> says Kaiser Permanente is no longer the bargain it used to be. \"They got to where they are, in part, by being the cost leader in the market. And they no longer are.\"\u003c/p>\n\u003cp>Indeed, health care researchers and Kaiser’s biggest customers, say the price gap between Kaiser and other insurance companies has narrowed or closed altogether. One of those big customers is \u003ca title=\"http://www.calpers.ca.gov/\" href=\"http://www.calpers.ca.gov/\" target=\"_blank\">CalPERS\u003c/a>, the state agency that manages benefits for current and retired public employees. In recent years, CalPERS has negotiated premiums with\u003ca title=\"https://www.blueshieldca.com/home?seorefer=http%3A//www.google.com/url%3Fsa%3Dt%26rct%3Dj%26q%3Dblue%2520shield%26source%3Dweb%26cd%3D1%26ved%3D0CMcBEBYwAA%26url%3Dhttp%253A%252F%252Fwww.blueshieldca.com%252F%26ei%3DugysT5L8JIr-iQLQnOTECQ%26usg%3DAFQjCNFZ505bZNF3_gBnDkngBPeK2TAFuw%26sig2%3DjGX0rQ7UOufn2CP55TkXsg\" href=\"https://www.blueshieldca.com/home?seorefer=http%3A//www.google.com/url%3Fsa%3Dt%26rct%3Dj%26q%3Dblue%2520shield%26source%3Dweb%26cd%3D1%26ved%3D0CMcBEBYwAA%26url%3Dhttp%253A%252F%252Fwww.blueshieldca.com%252F%26ei%3DugysT5L8JIr-iQLQnOTECQ%26usg%3DAFQjCNFZ505bZNF3_gBnDkngBPeK2TAFuw%26sig2%3DjGX0rQ7UOufn2CP55TkXsg\" target=\"_blank\"> Blue Shield\u003c/a> that are less expensive than Kaiser, something nearly inconceivable in the past.\u003c/p>\n\u003cp>Smith says because Kaiser is both the insurer and the health care provider, the company hasn’t faced much competition. \"They’re not really pressed to be that much cheaper,\" he says. \"They’re kind of 'shadow pricing,' is what the economists would say. So if your competitor takes $4 to make a banana and it only takes you $2 to make a banana, you price your banana at $3.95 -- and you pocket the rest.\"\u003c/p>\n\u003cp>That’s a charge Halvorson vigorously denies. \"We’re at least 10 percent better everywhere. Sometimes we’re 15-20 percent less expensive.\"\u003c/p>\n\u003cp>Kaiser sets its rates, says Halvorson, based on how much it spends on patient care. It has nothing to do with what other insurers are charging. And he adds, Kaiser offers richer benefits than other plans. \"Everybody else is stripping their benefits package down. So they’re putting in higher and higher deductibles, and that’s just shifting the cost to the employee.\"\u003c/p>\n\u003cp>Since negotiations between health plans and employers are largely confidential and each insurance plan offers different services, it’s difficult to discern just how Kaiser fares against other companies. In documents filed with state regulators, Kaiser Permanente says the cost of running its entire operation increases by about 5 percent each year.\u003c/p>\n\u003cp>But some of Kaiser’s biggest customers –- companies that are household names in California –- say their premiums have jumped much higher, in some cases 20 percent.\u003c/p>\n\u003cp>\u003ca title=\"http://www.pbgh.org/about/pbgh-staff\" href=\"http://www.pbgh.org/about/pbgh-staff\" target=\"_blank\">David Lansky\u003c/a> heads the San Francisco-based Pacific Business Group on Health which represents large employers. \"Kaiser seems to have difficulty of explaining why their price is what it is,\" Lansky says. \"So they can’t explain it well to the benefits manager at a large company who then can’t explain it to his or her boss. Why should we keep Kaiser? Why is this price legitimate? If Kaiser can’t document their internal cost structure and pricing, then there’s a whole chain of mistrust that gets generated because of the lack of transparency and clarity.\"\u003c/p>\n\u003cp>The frustration seems to stem in part from the very trait that makes Kaiser so good at taking care of patients: it doesn’t price out procedures, tests and doctor’s visits on a menu of fees. These so-called fee schedules are often arbitrary. A procedure can cost a thousand dollars at one hospital and 10-thousand dollars elsewhere.\u003c/p>\n\u003cp>\"Fee schedules are a very primitive way to buy care,\" Halvorson says, adding that Kaiser's focus on patient outcomes is what matters. \"We have cut the rate of broken bones for our seniors by about 40 percent. And we do nine things for the seniors to cut the broken bones. Six of the nine things do not show up on the Medicare fee schedule.\"\u003c/p>\n\u003cp>Still, large employers say because Kaiser doesn’t price out its services, it’s difficult to know why premiums rise every year. One large employer, who was not authorized to speak publically because negotiations are confidential, told me Kaiser’s rate increases don’t seem to reflect changes in the use of Kaiser services.\u003c/p>\n\u003cp>David Lansky says Kaiser is much more efficient than other insurers and providers. For example, patients can avoid unnecessary office visits by talking with doctors over email. But Lansky says employers -- who pay the bills -- aren’t yet seeing the savings.\u003c/p>\n\u003cp>\"It’s a little bit of what we went through with the banks when they went to ATMs and stopped having tellers in the retail points of service. You’d think that would have lowered costs. Instead, we started seeing fees at the ATMs,\" Lansky says. \"A lot of us in health policy land have scratched our heads a bit and said, 'Well, why can’t Kaiser be a heck of a lot cheaper?'\"\u003c/p>\n\u003cp>\u003ca title=\"http://www.venrock.com/profile/99/?print=1\" href=\"http://www.venrock.com/profile/99/?print=1\" target=\"_blank\">Bob Kocher\u003c/a>, now a partner at the venture capital firm Venrock, served as a health care advisor to President Obama. Kocher is a big fan of Kaiser’s highly coordinated system. He says the Kaiser model was in the back of many policy makers minds when they pushed to include in the federal health law financial enticements for hospitals and doctors to essentially form Kaiser look-a-likes.\u003c/p>\n\u003cp>Still, Kocher says he hopes the Kaiser model would deliver steeper savings. \"How do we unleash that sort of pressure on price, to have them not be compelled to raise their prices by nine to 10 percent a year?\"\u003c/p>\n\u003cp>Kocher and other health policy experts suspect the pressure to compete might come when –- and if –- those Kaiser mini-me’s get off the ground.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>Listen to the report:\u003cbr>\n\u003cobject width=\"335\" height=\"85\" classid=\"d27cdb6e-ae6d-11cf-96b8-444553540000\" codebase=\"http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0\">\u003cparam name=\"flashvars\" value=\"file=http://www.kqed.org/radio/archives/R201204271630c.xml\">\u003cparam name=\"src\" value=\"http://www.kqed.org/assets/flash/kqedplayer.swf\">\u003cembed width=\"335\" height=\"85\" type=\"application/x-shockwave-flash\" src=\"http://www.kqed.org/assets/flash/kqedplayer.swf\" flashvars=\"file=http://www.kqed.org/radio/archives/R201204271630c.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\n",
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"excerpt": "The federal health law aims to tackle the problem of high health care costs by providing financial rewards to providers who do a better job coordinating patient care. But one shining example of that future has been here in California for decades. It's Kaiser Permanente which is often touted as the nation’s best hope for bringing health care costs more in line with other developed nations.\r\n\r\nKaiser rose out of a utopian, industrialist dream. During the 1930s and 40s, Henry J. Kaiser wanted to make sure the workers at his Richmond shipyard were steady and strong.",
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"description": "The federal health law aims to tackle the problem of high health care costs by providing financial rewards to providers who do a better job coordinating patient care. But one shining example of that future has been here in California for decades. It's Kaiser Permanente which is often touted as the nation’s best hope for bringing health care costs more in line with other developed nations.\r\n\r\nKaiser rose out of a utopian, industrialist dream. During the 1930s and 40s, Henry J. Kaiser wanted to make sure the workers at his Richmond shipyard were steady and strong.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_5723\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/KaiserPermanente05102012.jpg\">\u003cimg class=\"size-medium wp-image-5723\" title=\"(tedeytan: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/KaiserPermanente05102012-300x247.jpg\" alt=\"(tedeytan: Flickr)\" width=\"300\" height=\"247\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(tedeytan: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>The federal health law aims to tackle the problem of high health care costs by providing financial rewards to providers who do a better job coordinating patient care. But one shining example of that future has been here in California for decades. It's \u003ca title=\"https://healthy.kaiserpermanente.org/html/kaiser/index.shtml\" href=\"https://healthy.kaiserpermanente.org/html/kaiser/index.shtml\" target=\"_blank\">Kaiser Permanente\u003c/a> which is often touted as the nation’s best hope for bringing health care costs more in line with other developed nations.\u003c/p>\n\u003cp>Kaiser rose out of a utopian, industrialist dream. During the 1930s and 40s,\u003ca title=\"http://www.californiamuseum.org/exhibits/halloffame/inductee/henry-j-kaiser\" href=\"http://www.californiamuseum.org/exhibits/halloffame/inductee/henry-j-kaiser\" target=\"_blank\"> Henry J. Kaiser\u003c/a> wanted to make sure the workers at his Richmond shipyard were steady and strong.\u003c/p>\n\u003cp>\u003ca title=\"http://xnet.kp.org/newscenter/aboutkp/bios/national/halvorson.html\" href=\"http://xnet.kp.org/newscenter/aboutkp/bios/national/halvorson.html\" target=\"_blank\">George Halvorson\u003c/a>, Kaiser's CEO, draws a direct link between Henry Kaiser's approach to building ships and his approach to designing a health system. \"When Henry built things he tended to assemble an entire team to build all the parts,\" he says. \"So when he started providing health care to his workers, he used that model which was to have a Kaiser hospital, Kaiser clinics.\"\u003c/p>\n\u003caside class=\"pullquote alignright\">“They got to where they are, in part, by being the cost leader in the market. And they no longer are.”\u003c/aside>\n\u003cp>Kaiser Permanente opened its doors to the public in 1945 -- and offered health coverage that was considerably less expensive than conventional insurers like Blue Cross.\u003c/p>\n\u003cp>The strategy worked because it owned and operated its own hospitals and clinics and directly employed physicians.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But \u003ca title=\"http://www.chcf.org/about/staff/mark-smith\" href=\"http://www.chcf.org/about/staff/mark-smith\" target=\"_blank\">Mark Smith\u003c/a>, head of the \u003ca title=\"http://www.chcf.org/\" href=\"http://www.chcf.org/\" target=\"_blank\">California Health Care Foundation,\u003c/a> says Kaiser Permanente is no longer the bargain it used to be. \"They got to where they are, in part, by being the cost leader in the market. And they no longer are.\"\u003c/p>\n\u003cp>Indeed, health care researchers and Kaiser’s biggest customers, say the price gap between Kaiser and other insurance companies has narrowed or closed altogether. One of those big customers is \u003ca title=\"http://www.calpers.ca.gov/\" href=\"http://www.calpers.ca.gov/\" target=\"_blank\">CalPERS\u003c/a>, the state agency that manages benefits for current and retired public employees. In recent years, CalPERS has negotiated premiums with\u003ca title=\"https://www.blueshieldca.com/home?seorefer=http%3A//www.google.com/url%3Fsa%3Dt%26rct%3Dj%26q%3Dblue%2520shield%26source%3Dweb%26cd%3D1%26ved%3D0CMcBEBYwAA%26url%3Dhttp%253A%252F%252Fwww.blueshieldca.com%252F%26ei%3DugysT5L8JIr-iQLQnOTECQ%26usg%3DAFQjCNFZ505bZNF3_gBnDkngBPeK2TAFuw%26sig2%3DjGX0rQ7UOufn2CP55TkXsg\" href=\"https://www.blueshieldca.com/home?seorefer=http%3A//www.google.com/url%3Fsa%3Dt%26rct%3Dj%26q%3Dblue%2520shield%26source%3Dweb%26cd%3D1%26ved%3D0CMcBEBYwAA%26url%3Dhttp%253A%252F%252Fwww.blueshieldca.com%252F%26ei%3DugysT5L8JIr-iQLQnOTECQ%26usg%3DAFQjCNFZ505bZNF3_gBnDkngBPeK2TAFuw%26sig2%3DjGX0rQ7UOufn2CP55TkXsg\" target=\"_blank\"> Blue Shield\u003c/a> that are less expensive than Kaiser, something nearly inconceivable in the past.\u003c/p>\n\u003cp>Smith says because Kaiser is both the insurer and the health care provider, the company hasn’t faced much competition. \"They’re not really pressed to be that much cheaper,\" he says. \"They’re kind of 'shadow pricing,' is what the economists would say. So if your competitor takes $4 to make a banana and it only takes you $2 to make a banana, you price your banana at $3.95 -- and you pocket the rest.\"\u003c/p>\n\u003cp>That’s a charge Halvorson vigorously denies. \"We’re at least 10 percent better everywhere. Sometimes we’re 15-20 percent less expensive.\"\u003c/p>\n\u003cp>Kaiser sets its rates, says Halvorson, based on how much it spends on patient care. It has nothing to do with what other insurers are charging. And he adds, Kaiser offers richer benefits than other plans. \"Everybody else is stripping their benefits package down. So they’re putting in higher and higher deductibles, and that’s just shifting the cost to the employee.\"\u003c/p>\n\u003cp>Since negotiations between health plans and employers are largely confidential and each insurance plan offers different services, it’s difficult to discern just how Kaiser fares against other companies. In documents filed with state regulators, Kaiser Permanente says the cost of running its entire operation increases by about 5 percent each year.\u003c/p>\n\u003cp>But some of Kaiser’s biggest customers –- companies that are household names in California –- say their premiums have jumped much higher, in some cases 20 percent.\u003c/p>\n\u003cp>\u003ca title=\"http://www.pbgh.org/about/pbgh-staff\" href=\"http://www.pbgh.org/about/pbgh-staff\" target=\"_blank\">David Lansky\u003c/a> heads the San Francisco-based Pacific Business Group on Health which represents large employers. \"Kaiser seems to have difficulty of explaining why their price is what it is,\" Lansky says. \"So they can’t explain it well to the benefits manager at a large company who then can’t explain it to his or her boss. Why should we keep Kaiser? Why is this price legitimate? If Kaiser can’t document their internal cost structure and pricing, then there’s a whole chain of mistrust that gets generated because of the lack of transparency and clarity.\"\u003c/p>\n\u003cp>The frustration seems to stem in part from the very trait that makes Kaiser so good at taking care of patients: it doesn’t price out procedures, tests and doctor’s visits on a menu of fees. These so-called fee schedules are often arbitrary. A procedure can cost a thousand dollars at one hospital and 10-thousand dollars elsewhere.\u003c/p>\n\u003cp>\"Fee schedules are a very primitive way to buy care,\" Halvorson says, adding that Kaiser's focus on patient outcomes is what matters. \"We have cut the rate of broken bones for our seniors by about 40 percent. And we do nine things for the seniors to cut the broken bones. Six of the nine things do not show up on the Medicare fee schedule.\"\u003c/p>\n\u003cp>Still, large employers say because Kaiser doesn’t price out its services, it’s difficult to know why premiums rise every year. One large employer, who was not authorized to speak publically because negotiations are confidential, told me Kaiser’s rate increases don’t seem to reflect changes in the use of Kaiser services.\u003c/p>\n\u003cp>David Lansky says Kaiser is much more efficient than other insurers and providers. For example, patients can avoid unnecessary office visits by talking with doctors over email. But Lansky says employers -- who pay the bills -- aren’t yet seeing the savings.\u003c/p>\n\u003cp>\"It’s a little bit of what we went through with the banks when they went to ATMs and stopped having tellers in the retail points of service. You’d think that would have lowered costs. Instead, we started seeing fees at the ATMs,\" Lansky says. \"A lot of us in health policy land have scratched our heads a bit and said, 'Well, why can’t Kaiser be a heck of a lot cheaper?'\"\u003c/p>\n\u003cp>\u003ca title=\"http://www.venrock.com/profile/99/?print=1\" href=\"http://www.venrock.com/profile/99/?print=1\" target=\"_blank\">Bob Kocher\u003c/a>, now a partner at the venture capital firm Venrock, served as a health care advisor to President Obama. Kocher is a big fan of Kaiser’s highly coordinated system. He says the Kaiser model was in the back of many policy makers minds when they pushed to include in the federal health law financial enticements for hospitals and doctors to essentially form Kaiser look-a-likes.\u003c/p>\n\u003cp>Still, Kocher says he hopes the Kaiser model would deliver steeper savings. \"How do we unleash that sort of pressure on price, to have them not be compelled to raise their prices by nine to 10 percent a year?\"\u003c/p>\n\u003cp>Kocher and other health policy experts suspect the pressure to compete might come when –- and if –- those Kaiser mini-me’s get off the ground.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>\u003cstrong>Green Party Backs A Single-Payer System\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_4714\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/SupremeCourt_NoObamacare_Getty_MarkWilson_03272012.jpg\">\u003cimg class=\"size-medium wp-image-4714 \" title=\"The Green Party opposes the federal health law, but for different reasons than you might think. (Mark Wilson: Getty Images)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/SupremeCourt_NoObamacare_Getty_MarkWilson_03272012-300x212.jpg\" alt=\"The Green Party opposes the federal health law, but for different reasons than you might think. (Mark Wilson: Getty Images)\" width=\"300\" height=\"212\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The Green Party opposes the federal health law, because it doesn't go far enough. (Mark Wilson: Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>The platform of California’s third largest political party -- the Green Party -- includes legalizing marijuana, ending the death penalty and offering free, community bicycles. Now, add this to the Party’s list of solemn commitments:\u003c/p>\n\u003cp>\"We’re hoping the individual mandate will be struck down,\" says Barry Hermanson, the Green Party's candidate for California's 12th Congressional District. \"It is extraordinary that now Congress is saying individuals must purchase a product from a private company. There’s no precedent for this.\"\u003c/p>\n\u003cp>For Hermanson, and other Greens, being compelled to buy a product from an industry they find repugnant is a bit like a school requiring kids to hand over their lunch money to the playground bullies.\u003c/p>\n\u003cp>\"I have no trust they have my best interest and the general populace interest in mind,\" he said.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>For most opponents, the federal health law presents a test of federal power versus individual liberty. But for the Greens, who have 34 local elected officials in California -- that’s more than any other state -- the law doesn’t go far enough.\u003c/p>\n\u003caside class=\"pullquote alignright\">It would take a seismic shift in the nation’s political make-up to advance the idea.\u003c/aside>\n\u003cp>The Green Party wants Congress to pass a Medicare-For-All health plan, a tax-funded, federally-administered program like Medicare and Social Security.\u003c/p>\n\u003cp>\"That is in the direction of where we need to go with health care. Medicare-For-All is something that would solve our issue,\" says Laura Wells. She ran for governor as the Green Party candidate in California in 2010. She’s still bitter that Congressional leaders, when crafting the federal health law, refused to allow debate on a Medicare-for-All program.\u003c/p>\n\u003cp>In 2009, nearly a dozen advocates for a so-called single-payer system were arrested for disrupting committee hearings. They haven’t gotten much attention since then.\u003c/p>\n\u003cp>But Green Party officials say if the Supreme Court strikes down the federal health law -- and the ranks of the uninsured swell beyond 50 million, as most health policy experts predict -- their views might finally come into favor.\u003c/p>\n\u003cp>Chris Lehane is a California democratic political consultant. He says while there is potential if the Court throws out the individual mandate or the federal health law s a whole that health care overhaul could be revisited in a different way, but sees a tough road. \"It’s a hard battle and it will be a very uphill fight,\" he says \"but you can certainly see the potential if the President’s plan is thrown out, for people to revisit how they approach this.\"\u003c/p>\n\u003cp>Lehane says there are some Democrats who also support a single payer system, but it would take a seismic shift in the nation’s political make-up to advance the idea. \"The question really becomes,\" he points out, \"Can you really begin to convince independent voters that this is really the way to go?\"\u003c/p>\n\u003cp>In the meantime, the best bet for the Green Party and other single payer advocates may rest with the states. Vermont has started to put a single payer system in place.\u003c/p>\n\u003cp>In California, Democratic lawmakers twice passed bills establishing a single payer system which were later vetoed by former Governor Arnold Schwarzenegger. Earlier this year, a single payer bill stalled in the California Senate, but its sponsors have vowed, as they do every year, to bring it back again.\u003c/p>\n\u003cp>As for the Supreme Court, a decision from the justices is expected by the end of June.\u003c/p>\n\u003cp>\u003cstrong>Listen to the story:\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cobject width=\"335\" height=\"85\">\u003cparam name=\"movie\" value=\"http://www.kqed.org/assets/flash/kqedplayer.swf\">\u003cparam name=\"flashvars\" value=\"file=http://www.kqed.org/radio/archives/R201204040850c.xml\">\u003cembed src=\"http://www.kqed.org/assets/flash/kqedplayer.swf\" type=\"application/x-shockwave-flash\" width=\"335\" height=\"85\" flashvars=\"file=http://www.kqed.org/radio/archives/R201204040850c.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\n",
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"excerpt": "The platform of California’s third largest political party -- the Green Party -- includes legalizing marijuana, ending the death penalty and offering free, community bicycles. Now, add this to the Party’s list of solemn commitments:\r\n\r\n\"We’re hoping the individual mandate will be struck down,\" says Barry Hermanson, the Green Party's candidate for California's 12th Congressional District. \"It is extraordinary that now Congress is saying individuals must purchase a product from a private company. There’s no precedent for this.\"\r\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>Green Party Backs A Single-Payer System\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_4714\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/SupremeCourt_NoObamacare_Getty_MarkWilson_03272012.jpg\">\u003cimg class=\"size-medium wp-image-4714 \" title=\"The Green Party opposes the federal health law, but for different reasons than you might think. (Mark Wilson: Getty Images)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/SupremeCourt_NoObamacare_Getty_MarkWilson_03272012-300x212.jpg\" alt=\"The Green Party opposes the federal health law, but for different reasons than you might think. (Mark Wilson: Getty Images)\" width=\"300\" height=\"212\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The Green Party opposes the federal health law, because it doesn't go far enough. (Mark Wilson: Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>The platform of California’s third largest political party -- the Green Party -- includes legalizing marijuana, ending the death penalty and offering free, community bicycles. Now, add this to the Party’s list of solemn commitments:\u003c/p>\n\u003cp>\"We’re hoping the individual mandate will be struck down,\" says Barry Hermanson, the Green Party's candidate for California's 12th Congressional District. \"It is extraordinary that now Congress is saying individuals must purchase a product from a private company. There’s no precedent for this.\"\u003c/p>\n\u003cp>For Hermanson, and other Greens, being compelled to buy a product from an industry they find repugnant is a bit like a school requiring kids to hand over their lunch money to the playground bullies.\u003c/p>\n\u003cp>\"I have no trust they have my best interest and the general populace interest in mind,\" he said.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>For most opponents, the federal health law presents a test of federal power versus individual liberty. But for the Greens, who have 34 local elected officials in California -- that’s more than any other state -- the law doesn’t go far enough.\u003c/p>\n\u003caside class=\"pullquote alignright\">It would take a seismic shift in the nation’s political make-up to advance the idea.\u003c/aside>\n\u003cp>The Green Party wants Congress to pass a Medicare-For-All health plan, a tax-funded, federally-administered program like Medicare and Social Security.\u003c/p>\n\u003cp>\"That is in the direction of where we need to go with health care. Medicare-For-All is something that would solve our issue,\" says Laura Wells. She ran for governor as the Green Party candidate in California in 2010. She’s still bitter that Congressional leaders, when crafting the federal health law, refused to allow debate on a Medicare-for-All program.\u003c/p>\n\u003cp>In 2009, nearly a dozen advocates for a so-called single-payer system were arrested for disrupting committee hearings. They haven’t gotten much attention since then.\u003c/p>\n\u003cp>But Green Party officials say if the Supreme Court strikes down the federal health law -- and the ranks of the uninsured swell beyond 50 million, as most health policy experts predict -- their views might finally come into favor.\u003c/p>\n\u003cp>Chris Lehane is a California democratic political consultant. He says while there is potential if the Court throws out the individual mandate or the federal health law s a whole that health care overhaul could be revisited in a different way, but sees a tough road. \"It’s a hard battle and it will be a very uphill fight,\" he says \"but you can certainly see the potential if the President’s plan is thrown out, for people to revisit how they approach this.\"\u003c/p>\n\u003cp>Lehane says there are some Democrats who also support a single payer system, but it would take a seismic shift in the nation’s political make-up to advance the idea. \"The question really becomes,\" he points out, \"Can you really begin to convince independent voters that this is really the way to go?\"\u003c/p>\n\u003cp>In the meantime, the best bet for the Green Party and other single payer advocates may rest with the states. Vermont has started to put a single payer system in place.\u003c/p>\n\u003cp>In California, Democratic lawmakers twice passed bills establishing a single payer system which were later vetoed by former Governor Arnold Schwarzenegger. Earlier this year, a single payer bill stalled in the California Senate, but its sponsors have vowed, as they do every year, to bring it back again.\u003c/p>\n\u003cp>As for the Supreme Court, a decision from the justices is expected by the end of June.\u003c/p>\n\u003cp>\u003cstrong>Listen to the story:\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cobject width=\"335\" height=\"85\">\u003cparam name=\"movie\" value=\"http://www.kqed.org/assets/flash/kqedplayer.swf\">\u003cparam name=\"flashvars\" value=\"file=http://www.kqed.org/radio/archives/R201204040850c.xml\">\u003cembed src=\"http://www.kqed.org/assets/flash/kqedplayer.swf\" type=\"application/x-shockwave-flash\" width=\"335\" height=\"85\" flashvars=\"file=http://www.kqed.org/radio/archives/R201204040850c.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_4081\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/UninsuredVarney1.jpg\">\u003cimg class=\"size-medium wp-image-4081\" title=\"Libertarian Paul Ruffino, 55, has been looking for an insurance plan since leaving his previous job. Several insurance companies refuse to cover him because he has pre-existing conditions\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/UninsuredVarney1-300x169.jpg\" alt=\"Libertarian Paul Ruffino, 55, has been looking for an insurance plan since leaving his previous job. Several insurance companies refuse to cover him because he has pre-existing conditions. \" width=\"300\" height=\"169\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Libertarian Paul Ruffino, 55, has been looking for an insurance plan since leaving his previous job. Several insurance companies refuse to cover him because he has pre-existing conditions. (Photo: Sarah Varney)\u003c/figcaption>\u003c/figure>\n\u003cp>Today marks the second anniversary of the federal health care law, and, unless you've been depriving yourself of news for the last several weeks, that same law will be front and center before the Supreme Court starting Monday. Here in California, uninsured Californians have a particular stake in the Court's actions.\u003c/p>\n\u003cp>Madera County is a largely conservative and agricultural area where one in every three people lacks coverage. While many people say they want the Supreme Court to throw out the federal health law, I found that many there are struggling to reconcile their political views with the basic need for health insurance.\u003c/p>\n\u003cp>I started off in Oakhurst. Here, just a few miles from the entrance to Yosemite National Park, is the Sweetwater Steakhouse, a local watering hole where no one is shy about their opinions of President Obama’s signature initiative, including people like Joe Stern. \"ObamaCare is absolutely horrible, horrible, horrible. It should struck down immediately.\"\u003c!--more-->\u003c/p>\n\u003cp>Stern sips on a glass of pinot noir. He’s 66 years old, a registered Republican and owns a small water conditioning company. He is covered by Medicare, and he says he’s thankful for the program. Before he turned 65, Stern paid mightily for his health insurance.\u003c/p>\n\u003cp>\"I, a single person, was paying $670 a month,\" he told me. \"I thought it was pretty brutal but I was still against ObamaCare by far, ‘cause I saw how they did it in the middle of the night. It was just totally, it’s not how you do a radical change like that. You do it slowly.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>If at all. Like many conservative voters I interviewed in Madera County, Stern despises the individual mandate included in the law, the requirement that all Americans have health coverage.\u003c/p>\n\u003cp>There is a lot of suspicion here about whether the health insurance system is really all that broken. Stern thinks many people choose to be uninsured, and in a sentiment I heard from nearly everyone I interviewed, Stern says no one is denied medical care.\u003c/p>\n\u003cp>\"I don’t know of anyone that was left on the street to bleed to death,\" he says. \"I don’t know anyone that is really left out.\"\u003c/p>\n\u003cp>I asked Stern if he knew anyone at the bar who is uninsured. He turned cheerfully to his friend Mary Westover sitting next to him. Westover was coy about her age. She’s maybe 50-ish. She’s a registered Republican and self-employed artist and businesswoman. She’s been uninsured for 17 years.\u003c/p>\n\u003cp>\"When I was married I had insurance through my husband. Since we got divorced, I was self employed. I just couldn’t afford it. I couldn’t afford the premiums. I was flying by the seat of my pants every inch of the way,\" Westover said.\u003c/p>\n\u003cp>It’s been nearly two decades since Westover has had a pap smear or a mammogram. She says she just tries to take care of herself. She’s opposed to the individual mandate but says she wasn’t aware the federal government would give subsidies to people like her to buy a policy.\u003c/p>\n\u003cp>\"If it were subsidized, if it were made, you know, manageable, I would want that,\" Westover told me. \"And I don’t know how people who can afford it, can sit there and say that we shouldn’t have that. Because there are a lot more of us, than them.\"\u003c/p>\n\u003cp>The ranks of the uninsured in Oakhurst, like everywhere else in California, are indeed growing. Employers continue to shed health insurance benefits or pass on rising health care costs to their employees.\u003c/p>\n\u003cp>Doug Macaulay, a Republican, has sold insurance to the residents of Oakhurst for nearly three decades, and, in that role, has heard just about everyone’s opinion of the federal health law.\u003c/p>\n\u003cp>\"I think there’s just a certain lack of knowledge of how health care works,\" he said.\u003c/p>\n\u003cp>Macaulay says people get mad at the insurance companies, but they don’t see ‘ObamaCare’, as they derisively call it, as the answer.\u003c/p>\n\u003cp>\"I get this all the time,\" Macaulay says, \"where there’s not really a connection between, 'Ok, here’s what the government is trying to do for you. You’re complaining over here that you don’t have health insurance and you can’t buy it. And over here they’re trying to provide you with it but that’s the worst thing… ever.' So there seems to be a disconnect in the thinking there because it gets in the way of what I want to think about my government.\u003c/p>\n\u003cp>Down the road from Doug Macaulay’s office, meanwhile, Paul Ruffino is preparing to welcome guests to Chateau du Sureau, a five-star, luxury inn that looks over the mountains of Yosemite.\u003c/p>\n\u003cp>Inside, there’s a fire burning in the grand salon and painted frescoes on the ceiling. Ruffino, the inn’s manager, is 55 years old. He’s a Libertarian. He finds the Republican party too liberal.\u003c/p>\n\u003cp>\"I’m uninsured! It’s the first time in my life and it’s probably when I need it the most,\" he said.\u003c/p>\n\u003cp>Ruffino says the plans he’s looked at are expensive and won’t cover his pre-existing conditions. Still, he says it was his decision to leave a previous job in Southern California that came with insurance and move to Oakhurst.\u003c/p>\n\u003cp>\"Do I make the government responsible for my choices,\" he asked rhetorically. \"I made the choice. I knew beforehand. I knew beforehand what was going on.\"\u003c/p>\n\u003cp>Ruffino seems torn between his unsparing self-reliance and a sense that the insurance industry is unfair. \"Would I like it to be better? There’s a greedy part of me that says that it would.\"\u003c/p>\n\u003cp>He thinks the insurance companies should NOT be allowed to pick out only the healthy and leave guys like him behind.\u003c/p>\n\u003cp>\"And that’s where I have to then ask: Does there come a time when government has to get involved and at what levels? But when you are distrustful of the system in whole it makes it difficult. I go back and forth. I ping pong on this issue all the time.\u003c/p>\n\u003cp>These conflicts - both personal and political - will be amplified next week when the Supreme Court considers just what role the government should play in re-making the country’s health insurance system.\u003c/p>\n\u003cp>\u003cem>Listen to the story:\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cobject width=\"335\" height=\"85\" classid=\"d27cdb6e-ae6d-11cf-96b8-444553540000\" codebase=\"http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0\">\u003cparam name=\"flashvars\" value=\"file=http://www.kqed.org/radio/archives/R201203230850a.xml\">\u003cparam name=\"src\" value=\"http://www.kqed.org/assets/flash/kqedplayer.swf\">\u003cembed width=\"335\" height=\"85\" type=\"application/x-shockwave-flash\" src=\"http://www.kqed.org/assets/flash/kqedplayer.swf\" flashvars=\"file=http://www.kqed.org/radio/archives/R201203230850a.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\n",
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"excerpt": "Today marks the second anniversary of the federal health care law, and, unless you've been depriving yourself of news for the last several weeks, that same law will be front and center before the Supreme Court starting Monday. Here in California, uninsured Californians have a particular stake in the Court's actions. \r\n\r\nMadera County is a largely conservative and agricultural area where one in every three people lacks coverage. While many people say they want the Supreme Court to throw out the federal health law, I found that many there are struggling to reconcile their political views with the basic need for health insurance.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_4081\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/UninsuredVarney1.jpg\">\u003cimg class=\"size-medium wp-image-4081\" title=\"Libertarian Paul Ruffino, 55, has been looking for an insurance plan since leaving his previous job. Several insurance companies refuse to cover him because he has pre-existing conditions\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/UninsuredVarney1-300x169.jpg\" alt=\"Libertarian Paul Ruffino, 55, has been looking for an insurance plan since leaving his previous job. Several insurance companies refuse to cover him because he has pre-existing conditions. \" width=\"300\" height=\"169\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Libertarian Paul Ruffino, 55, has been looking for an insurance plan since leaving his previous job. Several insurance companies refuse to cover him because he has pre-existing conditions. (Photo: Sarah Varney)\u003c/figcaption>\u003c/figure>\n\u003cp>Today marks the second anniversary of the federal health care law, and, unless you've been depriving yourself of news for the last several weeks, that same law will be front and center before the Supreme Court starting Monday. Here in California, uninsured Californians have a particular stake in the Court's actions.\u003c/p>\n\u003cp>Madera County is a largely conservative and agricultural area where one in every three people lacks coverage. While many people say they want the Supreme Court to throw out the federal health law, I found that many there are struggling to reconcile their political views with the basic need for health insurance.\u003c/p>\n\u003cp>I started off in Oakhurst. Here, just a few miles from the entrance to Yosemite National Park, is the Sweetwater Steakhouse, a local watering hole where no one is shy about their opinions of President Obama’s signature initiative, including people like Joe Stern. \"ObamaCare is absolutely horrible, horrible, horrible. It should struck down immediately.\"\u003c!--more-->\u003c/p>\n\u003cp>Stern sips on a glass of pinot noir. He’s 66 years old, a registered Republican and owns a small water conditioning company. He is covered by Medicare, and he says he’s thankful for the program. Before he turned 65, Stern paid mightily for his health insurance.\u003c/p>\n\u003cp>\"I, a single person, was paying $670 a month,\" he told me. \"I thought it was pretty brutal but I was still against ObamaCare by far, ‘cause I saw how they did it in the middle of the night. It was just totally, it’s not how you do a radical change like that. You do it slowly.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>If at all. Like many conservative voters I interviewed in Madera County, Stern despises the individual mandate included in the law, the requirement that all Americans have health coverage.\u003c/p>\n\u003cp>There is a lot of suspicion here about whether the health insurance system is really all that broken. Stern thinks many people choose to be uninsured, and in a sentiment I heard from nearly everyone I interviewed, Stern says no one is denied medical care.\u003c/p>\n\u003cp>\"I don’t know of anyone that was left on the street to bleed to death,\" he says. \"I don’t know anyone that is really left out.\"\u003c/p>\n\u003cp>I asked Stern if he knew anyone at the bar who is uninsured. He turned cheerfully to his friend Mary Westover sitting next to him. Westover was coy about her age. She’s maybe 50-ish. She’s a registered Republican and self-employed artist and businesswoman. She’s been uninsured for 17 years.\u003c/p>\n\u003cp>\"When I was married I had insurance through my husband. Since we got divorced, I was self employed. I just couldn’t afford it. I couldn’t afford the premiums. I was flying by the seat of my pants every inch of the way,\" Westover said.\u003c/p>\n\u003cp>It’s been nearly two decades since Westover has had a pap smear or a mammogram. She says she just tries to take care of herself. She’s opposed to the individual mandate but says she wasn’t aware the federal government would give subsidies to people like her to buy a policy.\u003c/p>\n\u003cp>\"If it were subsidized, if it were made, you know, manageable, I would want that,\" Westover told me. \"And I don’t know how people who can afford it, can sit there and say that we shouldn’t have that. Because there are a lot more of us, than them.\"\u003c/p>\n\u003cp>The ranks of the uninsured in Oakhurst, like everywhere else in California, are indeed growing. Employers continue to shed health insurance benefits or pass on rising health care costs to their employees.\u003c/p>\n\u003cp>Doug Macaulay, a Republican, has sold insurance to the residents of Oakhurst for nearly three decades, and, in that role, has heard just about everyone’s opinion of the federal health law.\u003c/p>\n\u003cp>\"I think there’s just a certain lack of knowledge of how health care works,\" he said.\u003c/p>\n\u003cp>Macaulay says people get mad at the insurance companies, but they don’t see ‘ObamaCare’, as they derisively call it, as the answer.\u003c/p>\n\u003cp>\"I get this all the time,\" Macaulay says, \"where there’s not really a connection between, 'Ok, here’s what the government is trying to do for you. You’re complaining over here that you don’t have health insurance and you can’t buy it. And over here they’re trying to provide you with it but that’s the worst thing… ever.' So there seems to be a disconnect in the thinking there because it gets in the way of what I want to think about my government.\u003c/p>\n\u003cp>Down the road from Doug Macaulay’s office, meanwhile, Paul Ruffino is preparing to welcome guests to Chateau du Sureau, a five-star, luxury inn that looks over the mountains of Yosemite.\u003c/p>\n\u003cp>Inside, there’s a fire burning in the grand salon and painted frescoes on the ceiling. Ruffino, the inn’s manager, is 55 years old. He’s a Libertarian. He finds the Republican party too liberal.\u003c/p>\n\u003cp>\"I’m uninsured! It’s the first time in my life and it’s probably when I need it the most,\" he said.\u003c/p>\n\u003cp>Ruffino says the plans he’s looked at are expensive and won’t cover his pre-existing conditions. Still, he says it was his decision to leave a previous job in Southern California that came with insurance and move to Oakhurst.\u003c/p>\n\u003cp>\"Do I make the government responsible for my choices,\" he asked rhetorically. \"I made the choice. I knew beforehand. I knew beforehand what was going on.\"\u003c/p>\n\u003cp>Ruffino seems torn between his unsparing self-reliance and a sense that the insurance industry is unfair. \"Would I like it to be better? There’s a greedy part of me that says that it would.\"\u003c/p>\n\u003cp>He thinks the insurance companies should NOT be allowed to pick out only the healthy and leave guys like him behind.\u003c/p>\n\u003cp>\"And that’s where I have to then ask: Does there come a time when government has to get involved and at what levels? But when you are distrustful of the system in whole it makes it difficult. I go back and forth. I ping pong on this issue all the time.\u003c/p>\n\u003cp>These conflicts - both personal and political - will be amplified next week when the Supreme Court considers just what role the government should play in re-making the country’s health insurance system.\u003c/p>\n\u003cp>\u003cem>Listen to the story:\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"disqusTitle": "Forget the Robots: Venture Capitalists Change Their Health Care Investments",
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"content": "\u003cfigure id=\"attachment_3666\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/surgical-robot-NickDawson_Flickr.jpg\">\u003cimg class=\"size-full wp-image-3666\" title=\"surgical-robot-NickDawson_Flickr\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/surgical-robot-NickDawson_Flickr.jpg\" alt=\"\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Venture capitalists are spurning high-tech surgical robots like this for more practical health care investments. (Nick Dawson:Flickr).\u003c/figcaption>\u003c/figure>\n\u003cp>It wasn’t that long ago that money flowed steadily to entrepreneurs who dreamt up whiz-bang medical devices. Hospitals souped up their surgical suites with robots or high-tech radiation machines for cancer treatment. Cost wasn’t an issue: They just got passed along to insurance companies, who passed them on to employers and patients.\u003c/p>\n\u003cp>But after the Great Recession hit and the 2010 health law passed, the financiers behind the medical arms race started to rethink their investment calculus.\u003c/p>\n\u003cp>“If you come in with [a device] that’s 10 percent better and twice as expensive, it’s hard to get anyone to care,” said \u003ca title=\"http://www.venrock.com/team/#/team/?item=57\" href=\"http://www.venrock.com/team/#/team/?item=57\" target=\"_blank\">Bryan Roberts\u003c/a>, a Palo Alto, Calif.-based venture capitalist at Venrock, a Silicon Valley company that invests in firms working on health services, medical devices and drugs.\u003c!--more-->\u003c/p>\n\u003cp>“The changes in the health system are rocket fuel for entrepreneurs,” says Roberts’ partner \u003ca title=\"http://www.venrock.com/team/#/team/?item=99\" href=\"http://www.venrock.com/team/#/team/?item=99\" target=\"_blank\">Bob Kocher\u003c/a>. He is a former Obama health policy adviser who was hired by Venrock in part to capitalize on the expertise he cultivated working on the law in the White House.\u003c/p>\n\u003cp>The share of venture dollars flowing to seed and early-stage investments in biotechnology and medical devices has plummeted since 2007, when investors pumped $3.6 billion into 332 deals in which a price was disclosed, according to data \u003ca title=\"http://www.kaiserhealthnews.org/Stories/2011/November/07/Health-Investors-New-Calculus-Save-Money-To-Make-Money.aspx\" href=\"http://www.kaiserhealthnews.org/Stories/2011/November/07/Health-Investors-New-Calculus-Save-Money-To-Make-Money.aspx\" target=\"_blank\">compiled for Kaiser Health News\u003c/a> by FactSet Research Systems. Overall venture investing declined by nearly one-third as the economic recession set in.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Kocher is eyeing businesses that do things like help hospitals keep patients from returning to the hospital with complications soon after treatment — a big-ticket cost that the health law will now tie to new penalties. Like other investors, he also anticipates that many people who gain coverage under the law will face high insurance deductibles. So, Venrock and other firms have funded \u003ca title=\"http://healthcaresavvy.wbur.org/2012/03/castlight-aims-to-turns-patients-into-informed-consumers\" href=\"http://healthcaresavvy.wbur.org/2012/03/castlight-aims-to-turns-patients-into-informed-consumers\" target=\"_blank\">Castlight Health\u003c/a>, a technology company that helps patients choose the cheapest care.\u003c/p>\n\u003cp>The opportunities within complex health care ecosystems are in things as mundane as billing. “There’s a half a person per hospital bed on average that sits in the hospital doing coding and collections and trying to get paid,” Kocher says.\u003c/p>\n\u003cp>Their solution? Drop the manual coding and create “a software system that learns as it codes and keeps getting better and better. And all of a sudden you can say to the hospital, Look, we’ll charge you 50 or 70 percent of what you’re paying now. You guys save 30 percent. But by the way, we can make great margins and make a terrific business because our costs are so much lower, because we’ve actually used technology rather than just people to attack the problem,” Roberts gushes.\u003c/p>\n\u003cp>On the treatment side, the investors in Silicon Valley understand that hospitals don’t want space-age solutions for tomorrow as much as they want cheap, pragmatic products that can solve basic problems. When it comes to controlling urinary infections, for instance, the future is indeed in plastics. Plastic catheters.\u003c/p>\n\u003cp>Vicki Farrar started a company called \u003ca title=\"http://www.catheterconnections.com/\" href=\"http://www.catheterconnections.com/\" target=\"_blank\">Catheter Connections\u003c/a>, based in Salt Lake City. She’s almost evangelical about building a better catheter – one that kills the microbes that cause infection – and it’s not hard to understand why. The infections are totally preventable and Medicare won’t pay for them.\u003c/p>\n\u003cp>“It’s directly impacting the hospital’s bottom line, so they don’t want this out-of-pocket cost. It’s about $50,000 per infection rate,” she says. Meaning, the hospital loses $50,000 for every catheter-related blood stream infection. The DualCap catheter she sells, which looks like a spark plug and smells of rubbing alcohol, costs less than a dollar.\u003c/p>\n\u003cp>DualCap investor Anne Degheest figured the catheter was a good business to bet on, because it prevents hospital readmissions. She points to another promising investment: In-room televisions that walk a patient through a doctor’s orders – from bed rest to getting prescriptions filled.\u003c/p>\n\u003cp>“Like while you’re in the hospital, they educate you on the TV so that you cannot see your shows until you’ve gone through the education, and they test you,” she says.\u003c/p>\n\u003cp>It’s a bit like not getting dessert until you’ve had your vegetables. Maybe this all sounds incredibly simplistic, but venture capitalists say one of the trickiest things about this new world of investing is that their returns, in many cases, hinge on humans changing their behavior. And that’s a lot harder than building a robot.\u003c/p>\n\u003cp>–Christopher Weaver contributed to this report.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This story is part of a reporting partnership that includes \u003ca href=\"http://www.kqed.org/\">KQED\u003c/a>, \u003ca href=\"http://www.npr.org/\">\u003cimg title=\"logo_npr_test\" src=\"http://capsules.kaiserhealthnews.org/wp-content/uploads/2012/03/logo_npr_test.jpg\" alt=\"\" width=\"45\" height=\"15\">\u003c/a> and \u003c/em>\u003cem>\u003ca href=\"http://www.kaiserhealthnews.org/\">Kaiser Health News\u003c/a>.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_3666\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/surgical-robot-NickDawson_Flickr.jpg\">\u003cimg class=\"size-full wp-image-3666\" title=\"surgical-robot-NickDawson_Flickr\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/surgical-robot-NickDawson_Flickr.jpg\" alt=\"\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Venture capitalists are spurning high-tech surgical robots like this for more practical health care investments. (Nick Dawson:Flickr).\u003c/figcaption>\u003c/figure>\n\u003cp>It wasn’t that long ago that money flowed steadily to entrepreneurs who dreamt up whiz-bang medical devices. Hospitals souped up their surgical suites with robots or high-tech radiation machines for cancer treatment. Cost wasn’t an issue: They just got passed along to insurance companies, who passed them on to employers and patients.\u003c/p>\n\u003cp>But after the Great Recession hit and the 2010 health law passed, the financiers behind the medical arms race started to rethink their investment calculus.\u003c/p>\n\u003cp>“If you come in with [a device] that’s 10 percent better and twice as expensive, it’s hard to get anyone to care,” said \u003ca title=\"http://www.venrock.com/team/#/team/?item=57\" href=\"http://www.venrock.com/team/#/team/?item=57\" target=\"_blank\">Bryan Roberts\u003c/a>, a Palo Alto, Calif.-based venture capitalist at Venrock, a Silicon Valley company that invests in firms working on health services, medical devices and drugs.\u003c!--more-->\u003c/p>\n\u003cp>“The changes in the health system are rocket fuel for entrepreneurs,” says Roberts’ partner \u003ca title=\"http://www.venrock.com/team/#/team/?item=99\" href=\"http://www.venrock.com/team/#/team/?item=99\" target=\"_blank\">Bob Kocher\u003c/a>. He is a former Obama health policy adviser who was hired by Venrock in part to capitalize on the expertise he cultivated working on the law in the White House.\u003c/p>\n\u003cp>The share of venture dollars flowing to seed and early-stage investments in biotechnology and medical devices has plummeted since 2007, when investors pumped $3.6 billion into 332 deals in which a price was disclosed, according to data \u003ca title=\"http://www.kaiserhealthnews.org/Stories/2011/November/07/Health-Investors-New-Calculus-Save-Money-To-Make-Money.aspx\" href=\"http://www.kaiserhealthnews.org/Stories/2011/November/07/Health-Investors-New-Calculus-Save-Money-To-Make-Money.aspx\" target=\"_blank\">compiled for Kaiser Health News\u003c/a> by FactSet Research Systems. Overall venture investing declined by nearly one-third as the economic recession set in.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Kocher is eyeing businesses that do things like help hospitals keep patients from returning to the hospital with complications soon after treatment — a big-ticket cost that the health law will now tie to new penalties. Like other investors, he also anticipates that many people who gain coverage under the law will face high insurance deductibles. So, Venrock and other firms have funded \u003ca title=\"http://healthcaresavvy.wbur.org/2012/03/castlight-aims-to-turns-patients-into-informed-consumers\" href=\"http://healthcaresavvy.wbur.org/2012/03/castlight-aims-to-turns-patients-into-informed-consumers\" target=\"_blank\">Castlight Health\u003c/a>, a technology company that helps patients choose the cheapest care.\u003c/p>\n\u003cp>The opportunities within complex health care ecosystems are in things as mundane as billing. “There’s a half a person per hospital bed on average that sits in the hospital doing coding and collections and trying to get paid,” Kocher says.\u003c/p>\n\u003cp>Their solution? Drop the manual coding and create “a software system that learns as it codes and keeps getting better and better. And all of a sudden you can say to the hospital, Look, we’ll charge you 50 or 70 percent of what you’re paying now. You guys save 30 percent. But by the way, we can make great margins and make a terrific business because our costs are so much lower, because we’ve actually used technology rather than just people to attack the problem,” Roberts gushes.\u003c/p>\n\u003cp>On the treatment side, the investors in Silicon Valley understand that hospitals don’t want space-age solutions for tomorrow as much as they want cheap, pragmatic products that can solve basic problems. When it comes to controlling urinary infections, for instance, the future is indeed in plastics. Plastic catheters.\u003c/p>\n\u003cp>Vicki Farrar started a company called \u003ca title=\"http://www.catheterconnections.com/\" href=\"http://www.catheterconnections.com/\" target=\"_blank\">Catheter Connections\u003c/a>, based in Salt Lake City. She’s almost evangelical about building a better catheter – one that kills the microbes that cause infection – and it’s not hard to understand why. The infections are totally preventable and Medicare won’t pay for them.\u003c/p>\n\u003cp>“It’s directly impacting the hospital’s bottom line, so they don’t want this out-of-pocket cost. It’s about $50,000 per infection rate,” she says. Meaning, the hospital loses $50,000 for every catheter-related blood stream infection. The DualCap catheter she sells, which looks like a spark plug and smells of rubbing alcohol, costs less than a dollar.\u003c/p>\n\u003cp>DualCap investor Anne Degheest figured the catheter was a good business to bet on, because it prevents hospital readmissions. She points to another promising investment: In-room televisions that walk a patient through a doctor’s orders – from bed rest to getting prescriptions filled.\u003c/p>\n\u003cp>“Like while you’re in the hospital, they educate you on the TV so that you cannot see your shows until you’ve gone through the education, and they test you,” she says.\u003c/p>\n\u003cp>It’s a bit like not getting dessert until you’ve had your vegetables. Maybe this all sounds incredibly simplistic, but venture capitalists say one of the trickiest things about this new world of investing is that their returns, in many cases, hinge on humans changing their behavior. And that’s a lot harder than building a robot.\u003c/p>\n\u003cp>–Christopher Weaver contributed to this report.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This story is part of a reporting partnership that includes \u003ca href=\"http://www.kqed.org/\">KQED\u003c/a>, \u003ca href=\"http://www.npr.org/\">\u003cimg title=\"logo_npr_test\" src=\"http://capsules.kaiserhealthnews.org/wp-content/uploads/2012/03/logo_npr_test.jpg\" alt=\"\" width=\"45\" height=\"15\">\u003c/a> and \u003c/em>\u003cem>\u003ca href=\"http://www.kaiserhealthnews.org/\">Kaiser Health News\u003c/a>.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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},
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"info": "KQED’s statewide radio news program providing daily coverage of issues, trends and public policy decisions.",
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"officialWebsiteLink": "/californiareport",
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"order": 8
},
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"info": "Every week, The California Report Magazine takes you on a road trip for the ears: to visit the places and meet the people who make California unique. The in-depth storytelling podcast from the California Report.",
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},
"link": "https://www.cityarts.net",
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"order": 1
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"info": "\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />",
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"id": "commonwealth-club",
"title": "Commonwealth Club of California Podcast",
"info": "The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
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"source": "Commonwealth Club of California"
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"google": "https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw",
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"order": 9
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"meta": {
"site": "radio",
"source": "WNYC"
},
"link": "/radio/program/freakonomics-radio",
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"id": "fresh-air",
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"info": "A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.",
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"hidden-brain": {
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"source": "NPR"
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"how-i-built-this": {
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"info": "Guy Raz dives into the stories behind some of the world's best known companies. How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.",
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"airtime": "SUN 7:30pm-8pm",
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"hyphenacion": {
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"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
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"jerrybrown": {
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"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
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"order": 18
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},
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"id": "latino-usa",
"title": "Latino USA",
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"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
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"link": "/radio/program/latino-usa",
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},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
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"source": "American Public Media"
},
"link": "/radio/program/marketplace",
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"masters-of-scale": {
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"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
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"source": "WaitWhat"
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"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED MindShift: How We Will Learn",
"officialWebsiteLink": "/mindshift/",
"meta": {
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"source": "kqed",
"order": 12
},
"link": "/podcasts/mindshift",
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
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}
},
"morning-edition": {
"id": "morning-edition",
"title": "Morning Edition",
"info": "\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.",
"airtime": "MON-FRI 3am-9am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Morning-Edition-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/morning-edition/",
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"link": "/radio/program/morning-edition"
},
"onourwatch": {
"id": "onourwatch",
"title": "On Our Watch",
"tagline": "Deeply-reported investigative journalism",
"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/On-Our-Watch-Podcast-Tile-703x703-1.jpg",
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"officialWebsiteLink": "/podcasts/onourwatch",
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"source": "kqed",
"order": 11
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