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March 10th, 2009

Healthcare refomer, heal thyself

Posted by: Andrew Quinn

USA/White House Budget Director Peter Orszag would like to know what treatments work for him — a middle-aged white male who exercises. And he thinks healthcare reform efforts should focus in part on getting that kind of information to everyone.

Experts on healthcare, lobbyists and politicians started a final crunch on Tuesday to try and put together a healthcare reform package that will lower costs, help more Americans get insurance, and improve the less-than-optimal care that most patients now get.

Orszag assured Congress that the White House was leaving the details to lawmakers — but dropped hints about what he would like to see. One example — a new agency or framework for comparing medical treatments, including drugs, head-to-head.

“For me as patient, I would like my doctor to have better information about what might help a middle-aged, marathon-running male than he currently has,” Orszag told a Senate Finance Committe hearing.

“I mean, a great example is prostate cancer. And there are hugely different treatments. And we don’t know which ones work better,” he added.

Drug makers sponsor most drug trials and they usually compare their new drugs to placebos, not to existing drugs.

Orszag bets that private insurers and Medicare would drop some new and expensive drugs if they could not be shown to work better than older, cheaper treatments.

REUTERS/Yuri Gripas (OMB Director Peter Orszag prepares to testify)

January 14th, 2009

The First Draft: tax torture

Posted by: Andy Sullivan

The second round of Barack Obama’s cabinet picks undergo their Capitol Hill hazing today. Who else screwed up on their taxes? Our elected representatives are sure to find out.

USA-OBAMA/ANNOUNCMENTConfirmation hearings today: Tom Vilsack for Agriculture Secretary; Lisa Jackson for the Environmental Protection Agency; Peter Orszag at the Office of Management and Budget; and Erik Shinseki at Veterans Affairs.

Keep an eye on Iowa Republican Sen. Chuck Grassley. He’s the one who revealed that Timothy Geithner, who as Treasury Secretary would oversee the IRS, made a hash of his tax returns. Will Grassley make the issue more than simply an embarrassment for the Obama administration’s top money man?

Things are looking better for Hillary Clinton, the Secretary of State nominee. Massachusetts Democratic Sen. John Kerry said on NBC’s “Today Show” that he expects his Foreign Relations Committee to approve her tomorrow.

They’re not twiddling their thumbs over in the House of Representatives. Expect votes on expanding children’s health insurance, which Bush has twice vetoed, and tougher oversight for the banking bailout program.

And finally, Human Rights Watch releases its annual report at 10 a.m. The nonprofit group has not had nice things to say about the Bush administration, but perhaps it will go easier on the United States now that Obama has vowed to close the Guantanamo Bay prison.

Photo credit: REUTERS/John Gress (Geithner in Chicago, Nov. 24)

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