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  • A Tax Disguised as a Fee: The Hospital Provider Fee Fund

    A Tax Disguised as a Fee: The Hospital Provider Fee Fund0

    • May 2, 2016

    By calling the provider charge a fee rather than a tax, the legislature was able to collect and use the revenue from the provider charge without asking permission from the voters.

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  • Medicaid Block Grants and Medicaid Performance0

    • March 21, 2012

    Governments at all levels are facing severe fiscal stress, and Medicaid is the largest and fastest growing publicly-funded health program in the United States. State and federal authorities have had little success in controlling Medicaid expenditures with conventional reforms, and changing it from an entitlement program to a block grant program is now under discussion. This Issue Paper explores how transforming Medicaid into a block grant program offers the promise of improving patient care and restraining the growth in program costs.

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  • Rationing Care: Oregon Changes Its Priorities0

    • February 19, 2009

    To our knowledge, the Oregon Health Plan is the first government health care program anywhere in the world that has drawn up a formal procedure for rationing. After comment from interested parties, this state health program for low-income people ranks treatment for various diseases and conditions, currently from 1 to 680, in order of priority. The health care dollars available determine which priorities are met. As program costs have grown, the list of covered procedures has become shorter.

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  • Minority Report0

    • January 26, 2008

    This document offers an alternative to the recommendations approved by the Colorado Blue Ribbon Commission for Health Care Reform (the 208 Commission or Commission) at its meeting on November 19, 2007. Its authors are among the Commissioners who voted against that set of recommendations. On November 7, 2007, the Commission passed a rule requiring any commissioner who wished to submit a minority report to vote against the entire package of recommendations. Although the authors voted against the entire package, they do agree with some of the recommendations contained in the set.

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  • Health Care Policy Center Journal: August 20070

    • August 25, 2007

    Parents need to be advised that rigid, motorized pool covers are not a substitute for 4-sided fencing, because pool covers are not likely to be used appropriately and consistently.

    Pediatricians should alert parents to the dangers that standing water presents to children. Parents need to be advised that they should learn CPR; and they should keep a telephone and equipment approved by the US Coast Guard (eg, life preservers, life jackets, shepherd’s crook) at poolside.

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  • Amendment 35 Taxing Tobacco Users to Fund Special Interests0

    • September 6, 2004

    Proponents of the Tobacco Tax initiative claim that increasing taxes on tobacco products will improve health care for children, help smokers by making them quit, and help taxpayers by making smokers pay for the extra health care that their habit makes them consume. These claims are grossly misleading. At bottom, Amendment 35 is a reverse Robin Hood, an attempt to take money from the relatively poor for the benefit of the relatively rich who populate a handful of special interest groups. The Amendment frees spending by these groups from both TABOR and normal legislative oversight, requires that spending levels increase in a fashion reminiscent of Amendment 23, and gives them eternal control of the new tax revenues.

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