Monday, November 3, 2008

McCain and Obama on Healthcare IT

My blog over the past year has been silent about the Presidential campaign. Given the election tomorrow, I will write one blog reviewing the candidates statements about healthcare IT.

Both candidates have made supportive statements about Healthcare IT in the debates. To my knowledge, neither has specifically mentioned AHIC, ONC, HITSP, CCHIT, NHIN, or RHIOs. My HITSP role will continue through the change in administration until October 1, 2009, so I do not have any particular partisan bias.

How do they compare? Probably the best resource is the New England Journal of Medicine articles written by McCain and Obama.

Here's a summary of these articles, based on a text search of the word "technology"

McCain

"Quality: Strengthening health care quality requires promoting research and development of new treatment models, promoting wellness, investing in technology, and empowering Americans with better information on quality."

"We need to use technology to share information on 'best practices' in health care so that every physician is up to date."

Obama

"I am committed to making the fundamental changes necessary to modernize the system to streamline medical practice with the goal of improved patient outcomes. My plan calls for investing $10 billion per year over 5 years in health information technology. This commitment is not just financial: we will ensure that physicians have the technical support they need to implement new systems for patient records and billing. By reducing medical errors and unnecessary duplication of tests, this investment will lead to a long-term reduction in our health care system's overall cost."

"Finally, I will address medical malpractice with the central goal of preventing medical errors in the first place. Through substantial investment in information and decision-support technology and other patient-safety initiatives, we will reduce the types of medical errors and oversights that lead to lawsuits."

How about the candidate's websites?

McCain

On the front page of McCain's website, I clicked on the Healthcare Plan link on the front page. The word technology does not appear on the Healthcare Plan page.

I then used the search engine on the website to search on the keyword "technology" which yielded "no documents found". I searched on "healthcare" and got

"Error
We're sorry. There appears to have been an error with your request. Please try again or if the problem continues, please contact us.
If you were trying to connect to a McCainSpace site, you may have entered the web address incorrectly. Please remember there is no www" in a McCainSpace site. Simply replace the www with the name of the McCainSpace site (i.e.: http://SITENAME.johnmccain.com)."

Through Google I found a healthcare technology reference on the McCain website:

"Health information technology will flourish because the market will demand it."

Based on my experience in Massachusetts, I have not yet seen this market demand because incentives are misaligned - he who pays is not he who gains from Healthcare Information Technology. However, McCain's advisors may have a different experience from other states.

Obama

The second major tenent of the Obama healthcare plan is:

"The Obama plan will lower health care costs by $2,500 for a typical family by investing in health information technology, prevention and care coordination."

As an unbiased observer, this brief review of the candidates suggests that McCain's plan for Healthcare Information Technology involves letting the market drive adoption because stakeholders will demand it. Additionally, physicians will be kept up to date. Obama's plan involves a $50 billion dollar investment in decision support, reduction of redundant testing, and minimizing medical error.

Whatever your decision, get out and vote tomorrow!

6 comments:

Keith W. Boone said...
This comment has been removed by the author.
Keith W. Boone said...

At the HL7 Workingt group meeting held in Canada, we heard pretty much the same thing from campaign representatives. See Presidential Politics and Healthcare IT

Max Warnock said...

Free Market vs Government Subsidized... sounds very Republican (at least in the old days) vs Democrat to me.

平平 said...

^^Thanks!!

婚前徵信婚姻感情大陸抓姦外遇抓姦法律諮詢家暴婚前徵信尋人感情挽回大陸抓姦離婚工商徵信婚前徵信外遇抓姦感情挽回尋人大陸抓姦離婚家暴工商徵信法律諮詢跟蹤工商徵信婚前徵信感情挽回外遇抓姦法律諮詢家暴尋人大陸抓姦離婚大陸抓姦外遇尋人家暴工商徵信法律諮詢家暴感情挽回大陸抓姦外遇婚前徵信離婚尋人工商徵信外遇抓姦法律諮詢家暴婚前徵信大陸抓姦尋人感情挽回外遇抓姦婚前徵信感情挽回尋人大陸抓姦工商徵信法律諮詢離婚家暴工商徵信外遇抓姦法律諮詢家暴婚前徵信尋人感情挽回大陸抓姦離婚婚前徵信工商徵信外遇抓姦尋人離婚家暴大陸抓姦感情挽回法律諮詢離婚感情挽回婚前徵信外遇抓姦家暴尋人工商徵信外遇抓姦法律諮詢家暴婚前徵信尋人感情挽回">徵大陸抓姦離婚婚前徵信工商徵信外遇抓姦尋人離婚家暴大陸抓姦感情挽回法律諮詢

kiss said...

Weekends to peopleig2tmean that they can have a two-day wowgold4europe good rest. For example, people gameusdcan go out to enjoy themselves or get meinwowgoldtogether with relatives and friends to talk with each storeingameother or watch interesting video tapes with the speebiewhole family.
Everyone spends agamegoldweekends in his ownmmoflyway. Within two days,some people can relax themselves by listening to music, reading novels,or watchingogeworld films. Others perhaps are more active by playing basketball,wimming ormmorpgvipdancing. Different people have different gamesavorrelaxations.
I often spend weekends withoggsalemy family or my friends. Sometimes my parents take me on a visit to their old friends. Sometimesgamersell I go to the library to study or borrow some books tommovirtexgain much knowledge. I also go to see various exhibition to broadenrpg tradermy vision. An excursion to seashore or mountain resorts is my favorite way of spending weekends. Weekends are always enjoyable for me.

Affordable Luxurious Wedding Dress Blog said...

cheap wedding gowns,
discount bridal gowns,
China wedding dresses,
discount designer wedding dresses,
China wedding online store,
plus size wedding dresses,
cheap informal wedding dresses,
junior bridesmaid dresses,
cheap bridesmaid dresses,
maternity bridesmaid dresses,
discount flower girl gowns,
cheap prom dresses,
party dresses,
evening dresses,
mother of the bride dresses,
special occasion dresses,
cheap quinceanera dresses,
hot red wedding dresses