Healthcare Policy Resources and Interviews

Healthcare Policy Resources


Public-private partnerships (PPP) and Conflicting Interests (COI)

Robust relationships and collaboration among commercial, non-profit, and government sectors are critical for innovation in biomedicine. While these relationships afford opportunities for great public benefit, they also present special challenges to carefully balance divergent primary and secondary interests between public and private actors. There is no broad consensus on the effective mechanisms to manage these conflicting interests (COI). Public-private partnerships (PPP) are often the subject of vociferous criticism due to these competing interests. Yet, others argue, with equal fervor, that these collaborations are necessary to find new therapeutics and diagnostics to quickly meet patient needs. We are at an impasse that impedes biomedical innovation.

 

Congressional Debate on the Affordable Care Act


The Center for Practical Bioethics kicked off its October 2009 series of public forums on healthcare reform with a session entitled “Good Ethics Start with Good Facts.” Two panelists from the program, Teresa Brooks, JD, Polsinelli, and Max Skidmore, PhD, University of Missouri-Kansas City talked about what to expect as measures to reform healthcare wended their way through Congress. (October 7, 2009)
VIEW: Congressional Debate on the Affordable Care Act MP3
 
 

Politicization of Compensation for Advance Care Planning in Affordable Care Act


John Carney discusses his Kansas City Star article, August 23, 2011 about the politicization of a provision to provide compensation to physicians for discussing advance care planning with patients, particularly those with life-threatening conditions. Death of Death Panels (8.51)
VIEW: End of Life Scare II MP3
 
 

Prospects for Healthcare Reform in the Fall of 2009


The Center sponsored a series of forums in October 2009 on healthcare reform. John Carney, vice president for aging and end of life at the Center, discusses the prospects for reform following the previous summer’s town hall meetings and claims about socialism and death panels.
VIEW: Prospects for Healthcare Reform in the Fall 2009
 
 

How Political Maneuvering Made Affordable Care Act Passage So Challenging


At one point, healthcare reform not only seemed possible but probable. But in 2010 the prospects were unsettled. Eleanor Clift, keynote speaker at the Center's Annual Dinner on April 13, discusses the political maneurvering that made passage of healthcare reform so challenging. Health Reform and End of Life Care (15.32)
VIEW: Eleanor Clift on Healthcare Reform MP3
 
 

Healthcare Reform and End-of-Life Decisions


At a town hall meeting in June 2009, Obama said he didn't want to see bureaucracies making end of life decisions. Myra Christopher, president and CEO of the Center for Practical Bioethics, and Christian Sinclair, MD, of Kansas City Hospice discuss what the president had to say.
VIEW: Healthcare Reform and End of Life Care MP3
 
 

End of Life Care in Healthcare Reform: It's Not About Saving Money


Myra Christopher, president and CEO of the Center, and Christian Sinclair, Kansas City Hospice, discuss hopes for end of life care in healthcare reform and appropriately expending resources. Why it’s not about saving money on the backs of dying people.
VIEW: End of Life Care in Healthcare Reform

 

Terri Schaivo - Five Years Later


Terri Schaivo's story turned into a national shouting match over life and death and who decides. It continued to ripple through state legislatures wrestling with end of life issues. But has much changed since Terri died on March 31, 2005. John Carney, vice president for aging and end of life, reflects on the five years since the case burst on the national stage and its continuing effects.
VIEW: Terri Schiavo -- Five Years Later MP3
 
 

Implications of 2012 Election on Bioethics and the Affordable Care Act


John Carney, president and CEO of the Center, discusses key bioethics issues he expected to be debated, post 2012 election, including evidence-based research, Medicaid expansion and research on human subjects. (November 9, 2012)
VIEW: Implications of 2012 Election on Bioethics and the Affordable Care Act MP3
 
 

Death of Death Panels


Death panels a term that certainly influenced the healthcare reform debate in 2009. Facing implementation of the Affordable Care Act in 2013, the question arose: Will the term be resurrected or can we put a stake in it and say death panels are dead? John Carney, president and CEO of the Center for Practical Bioethics, shares his insights. (December 5, 2012)
VIEW: Death of Death Panels? MP3
 
 
 

Withdrawal of Medicare Provision for End-of-Life Counseling


Now you have it, now you don’t. It’s the Medicare policy that would have paid for end of life counseling as part of an annual wellness visit. John Carney of the Center for Practical Bioethics explains what led to the withdrawal of the provision and where end of life counseling goes from here. (January 6, 2011)
Legal and Ethical: Health Information Exchanges (16.42)
VIEW: Withdrawal of Medicare Provision for End of Life Counseling MP3
 
 

Legal and Ethical? Health Information Exchanges


Jeff Ellis, JD, of Spencer Fane Britt and Brown in Kansas City and Glenn McGee, PhD, John B. Francis Chair at the Center for Practical Bioethics, discuss the potential impact of healthcare exchanges on personal healthcare information. (August 19, 2011)
VIEW: Legal and Ethical? Healthcare Information Exchanges MP3
 
 

Healthcare Reform: One Community at a Time


How do you go about reinventing America’s healthcare system? How about one community at a time? Michael Felix, a community health development specialist based in Allentown, Pennsylvania, explains. (March 9, 2012)
VIEW: Healthcare Reform: One Community at a Time MP3
 
 

The Affordable Care Act Impact on US Hospitals


John Bluford, president and CEO of Truman Medical Centers in Kansas City, explains the mounting challenges U.S. hospitals face with the implementation of the Affordable Care Act. (August 29, 2012)
VIEW: The Affordable Care Act Impact on US Hospitals MP3
 
 

Health Reform: Making the Moral Case


The Obama Administration needs to do a better job of making the moral case for health reform, according to Art Caplan, PhD, director of medical ethics at New York University. Caplan discusses why upholding the Affordable Care Act is a step in the right direction for healthcare, especially to protect the vulnerable, ensure equality of opportunity, and discourage "free riders" from driving up healthcare costs. (July 20, 2012)
VIEW: Health Reform: Making the Moral Case MP3
 
 

A Health Reform Perspective from an Affordable Care Act Architect


Ezekiel Emanuel, MD, chairman of the Department of Medical Ethics and Health Policy at the University of Pennsylvania, was one of the architects of the Affordable Care Act. Four years later, Dr. Emanuel provides an overview of the accomplishments and flexibility of the Act, addressing how it will constantly change as new issues arise. (Sept. 19, 2012)
VIEW: A Health Reform Perspective from an ACA Architect MP3
 
 

The Affordable Care Act and Brain Injuries


Brain injured patients don’t follow a schedule for recovery. That’s a point of concern for Joseph Fins, MD, when it comes to the Affordable Care Act. (August 21, 2012)
VIEW: The Affordable Care Act and Brain Injuries MP3
 
 

Health Reform and Family Physicians


There’s a mix of good and challenging news for family physicians when it comes to healthcare reform, according to Douglas Henley, MD, executive vice president and CEO of the American Academy of Family Physicians. (Sept. 5, 2012)
VIEW: Healthcare Reform and Family Physicians MP3
 
 

Just the Beginning: The Supreme Court Ruling on Healthcare Reform


The Supreme Court decides, and now we decide how to move forward to create an ethical, just and humane healthcare system. John Carney, Myra Christopher and Terry Rosell of the Center for Practical Bioethics talk about what’s next. (June 28, 2012)
VIEW: Just the Beginning: The Supreme Court and Ethical Healthcare Reform MP3
 
 

The Affordable Care Act and the Future of Free Health Clinics


The environment for free health clinics will change with full implementation of the Affordable Care Act. Bridget McCandless, MD, medical director for the Shared Care Free Health Clinic of Jackson County, MO, shares how either repeal and replacement or full implementation of the Affordable Care Act would positively or negatively affect free health clinics. She sees a future need for them, whatever the outcome, due to their specialization in poverty medicine. (Sept. 26, 2012)
VIEW: The Affordable Care Act and Future of Free Health Clinics MP3
 
 

State Insurance Commissioners and Healthcare Reform


State insurance commissioners were caught in the middle, waiting, for questions to be resolved over the Affordable Care Act. Kansas Insurance Commissioner Sandy Praeger discusses the challenges facing state insurance commissioners following the Supreme Court upholding of the Act and why states could only do so much until after the November 2012 election. (August 12, 2012)
VIEW: State Insurance Commissioners and Healthcare Reform MP3
 
 

Healthcare Reform and Healthcare Foundations


Healthcare reform took a giant step forward with the Affordable Care Act, but Steve Roling, president and CEO of the Health Care Foundation of Greater Kansas City, sees the lingering possibility that America is positioned for a giant step back as well. In this interview, he shares his concerns about the delay of state implementation following the Supreme Court upholding of the Act, which hinders the uninsured from being brought into the system. (Sept. 6, 2012)
VIEW: Healthcare Reform and Healthcare Foundations MP3
 
 

A Health Reform Perspective from Kansas


Robert St. Peter, MD, president and CEO of the Kansas Health Institute, addresses some of the uncertainties that arose with the Supreme Court's upholding of the Affordable Care Act, including variability between states regarding continuation of the current Medicaid program, whether deadlines will be extended, and the provision of controversial reproductive services. (Sept. 13, 2012)
VIEW: A Health Reform Perspective from Kansas MP3
 
 

Comparing  Healthcare Reform Under Clinton and Obama


A young Democratic President with large Democratic majorities decided to tackle healthcare reform in 2009? No, the year was 1993 and Bill Clinton was president. John Lantos, PhD, John B. Francis Chair at the Center, was on the task force for healthcare reform under President Clinton's administration. Here, he compares healthcare reform movements then and what we might expect under Barack Obama, including reasons why the movement did not succeed in the early 1990s, recovery of the economy, involvement of Congress and secretive process. (March 9, 2009)
VIEW: Comparing Healthcare Reform Under Clinton and Obama MP3
 
 

Healthcare Reform: An Ethical Analysis after Passage of the Affordable Care Act


Panelists from the Center for Practical Bioethics -- John Carney, Terry Rosell and Rosemary Flanigan -- explore ethical perspectives for moving forward after passage of the Affordable Care Act. Systems Reform and Innovation (12.22)
VIEW: Health Reform: An Ethical Analysis MP3
 
 

Systems Reform and Innovation in Healthcare


What will a reformed system look like? And how will it work. Robert St. Peter, president and CEO of the Kansas Health Institute, and Karen Miller, PhD, of the University of Kansas Medical Center, speculate.
VIEW: Systems Reform and Innovation in Healthcare MP3
 
 

Does the Advance Care Planning Provision Proposal in the Affordable Care Act Promote Euthanasia?


Myra Christopher, president and CEO of the Center, reacts to arguments against the advance care planning provision in the debate over the Affordable Care Act, including the concern that it would promote euthanasia.
VIEW: The End of Life Scare MP3
 
 

The Ethics of Rationing vs. Waste Avoidance in Healthcare


The ethical debate is now shifting from rationing to the avoidance of waste. John Carney and Terry Rosell of the Center for Practical Bioethics discuss what that means. (May 30, 2012)
VIEW: Ethics of Rationing vs Waste Avoidance MP3
 
 

Health Coverage for All


Steve Roling, president and CEO of the Healthcare Foundation of Greater Kansas City, and Dr. William Pankey of Swope Health Services, explain why they believe healthcare reform should cover everyone and discuss the controversy surrounding doing so. (October 13, 2009)
VIEW: Health Coverage for All MP3