Wednesday, January 20, 2010

Executive Authority - An Exquisite Tool for Health System Reform

In light of Congressional leadership mismanagement of proposals for health reform, the burden of setting healthcare "right" will move to President Obama. Perhaps his advisors should be thinking about those features of serious health system  reform which could be implemented under the the President's executive powers (could Republicans deny such authority with straight faces?). For instance, how could executive powers support   education in the sciences, including graduate and postgraduate training in the various medical skills our health care system will need as our population grows and ages?  How could federal responsibility for veterans' and public health services evolve into a model system for delivering health services?  How should federal support for Medicaid be administered to achieve significant societal good? How should we structure our priorities and ethical principles?

The President is not without tools.

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