The Associated Press: Got Help Paying For Health Care? Watch Your Mailbox
If you're among the millions of consumers who got financial help for health insurance last year under President Barack Obama's law, better keep an eye on your mailbox. The administration said Monday it has started sending out tax reporting forms that you'll need to fill out your 2014 return. Like W-2s for health care, they're for people who got health insurance tax credits provided under the law. (Alonso-Zaldivar, 1/12)

Kaiser Health News: Insuring Your Health: Most Marketplace Customers Have New Filing Requirements This Tax Season
Kaiser Health News consumer columnist Michelle Andrews writes: "In addition to the normal thrills and chills of the income tax filing season, this year consumers will have the added excitement of figuring out how the health law figures in their 2014 taxes. The good news is that for most people the only change to their normal tax filing routine will be to check the box on their Form 1040 that says they had health insurance all year." (Andrews, 1/13)

Some people, though, opted against the tax credits -

U.S. News & World Report: Eligible Americans Turn Down Obamacare Tax Credits
Grace Brewer says she never thought she would be without health insurance at this stage of her life. "I'm a casualty of Obamacare," says Brewer, 60, a self-employed chiropractor in the Kansas City, Kansas, area. She wanted to keep the catastrophic health insurance plan she once had, which she says fit her needs. But under the Affordable Care Act, the government's health care reform law, the plan was discontinued because it did not comply with the law's requirements, and her bills doubled to more than $400 a month. "I wanted a minimal plan and I’m not allowed to have it," she says. "That seems like an encroachment on my freedom." (Leonard, 1/12)

The Oregonian: Cover Oregon Health Insurance Exchange Prepares To Lay Off 61 People
The Cover Oregon health insurance exchange intends to lay off 61 people starting in March, cutting its workforce in half. A political embarrassment since failing to deliver a working enrollment-and-subsidy website last year, the exchange is expected to be dissolved as a stand-alone legal entity by the Legislature in the next few months, its remaining functions transferred to a state agency. (Budnick, 1/12)

The Minneapolis Star-Tribune: MNsure Website Flaw Keeps 7,500 People From Enrolling
A prob­lem with the MNsure sys­tem has pre­vent­ed about 7,500 peo­ple from en­rol­ling in public health in­sur­ance programs, state of­fi­cials said Mon­day, as they de­scribed what ap­pears to be the larg­est tech­nol­o­gy glitch of the cur­rent open en­roll­ment pe­riod. (Snowbeck, 1/12)

The Denver Post: Colorado Health Exchange Approves $322,000 To Fix Enrollment Problems
The Connect for Health Colorado board of directors agreed to spend an additional $322,000 through the end of February to try to sign up applicants stalled in the state health insurance exchange's online enrollment system. Interim chief executive Gary Drews said the emergency expenditure was needed to resolve about 1,900 outstanding reports of problems — down from as many as 4,800. (Draper, 1/12)

Health News Colorado: Board Approves ‘Band-Aid Fix’ For IT System As Health Guides Plead For Help
Cancer patients desperately in need of critical care are among those unable to get health insurance because Colorado’s sign-up system is failing to work properly, health coverage guides told state officials on Monday. (Kerwin McCrimmon, 1/12)

Heartland Health Monitor: Company Chosen To Replace First Obamacare Navigator On Missouri Side Of State Line Faces Criticism
A Maryland company that has reaped millions of dollars in federal health-reform grants for work around the country is drawing fire for its performance in the Kansas City area. Critics say that Advanced Patient Advocacy, a privately held company, has been slow off the mark in its role as a “navigator” organization, charged with helping consumers find coverage through the health insurance marketplace established by the Affordable Care Act. (Sherry, 1/12)

Politico Pro: Ducey Ignores Medicaid Expansion In Addressing Arizona Lawmakers
Arizona Gov. Doug Ducey pledged Monday to bring an era of fiscal responsibility and smaller government bureaucracy to his state, but his first speech to the Legislature never mentioned his most pressing health issue: whether to defend Medicaid expansion despite conservative fury over Obamacare. (Pradhan, 1/12)

Arizona Republic: Ducey: 'Stop Paying Lawyers And Start Paying Teachers'
Ducey, who took office Jan. 5, gave additional signals about how he plans to guide the state through a challenging fiscal crunch, although his remarks lacked key details. And while he devoted time to discussing tax policy, regulatory reform and even the need for a civics curriculum in schools, he was silent on border security — a major theme of his 2014 campaign — as well as higher education and whether he would continue former Gov. Jan Brewer's legal defense of her 2013 Medicaid expansion. (Nowicki, 1/12)

The Idaho Statesman: Otter Urges Idaho Legislature To Examine Medicaid Options
Gov. Butch Otter urged lawmakers to hold a hearing on the findings of his Medicaid Redesign Workgroup. Some 104,000 state residents get caught short because they fail to qualify for tax credits under the state health insurance exchange or meet the state's Medicaid eligibility requirements. (Dentzer, 1/13)

The Associated Press: Study Says Insure Tennessee Could Bring $1.14B To State
A University of Tennessee economic study commissioned by advocates for expanding Medicaid says Gov. Bill Haslam's Insure Tennessee could create 15,000 jobs and bring $1.14 billion in new spending to the state. According to the study released Monday by UT's Center for Business and Economic Research, an estimated 200,000 of the 470,000 eligible Tennesseans would participate in Haslam's proposed version of Medicaid expansion. The $1.14 billion figure comes from an estimated $5,705 in medical spending by each of those 200,000 people. (1/12)

Heartland Health Monitor: Medicaid Expansion In Missouri Would Yield Up To $100M In Annual Savings
Even as prospects appear bleak for Medicaid expansion in Missouri, a new report says the state would save $81 million right off the bat and $100 million annually later on if it expands the program. The report by the Missouri Budget Project, a nonpartisan think tank in St. Louis, says the savings would come from money the state currently spends on Medicaid services provided to pregnant women, mental health patients and prisoners in need of medical care. (Margolies, 1/12)

Reuters: Supreme Court Rejects New Challenge To Obamacare Law
The U.S. Supreme Court on Monday declined to take up another broad challenge to President Barack Obama's signature health care law. The court rejected an appeal filed by the Association of American Physicians and Surgeons and the Alliance for Natural Health USA. The groups had challenged various aspects of the law known as Obamacare including the so-called individual mandate that requires people to obtain health insurance or pay a tax.(1/12)

The Hill: Supreme Court Rejects Obamacare Challenge From Doctors' Group
The Supreme Court on Monday rejected a 2-year-old legal challenge to a central provision of Obamacare from a conservative doctors group. The case, which was led by the Association of American Physicians and Surgeons, sought to strike down the law’s individual mandate, which fines individuals who fail to purchase health insurance. (Ferris, 1/12)

Reuters: U.S. House Republican Optimistic About Obamacare Replacement Plan
Congressional Republicans believe they can replace Obamacare with their own health care reforms, if the Supreme Court strikes down a key segment of the current health care law in a ruling expected in June, a senior U.S. lawmaker said on Monday. (1/12)

The Associated Press: Cruz: GOP 'Will Get Walloped' Without Action On Obamacare
Republicans "will get walloped" in 2016 if they do not deliver on campaign promises, such as working to scrap the controversial national health care law and blocking President Barack Obama's immigration proposals, Sen. Ted Cruz said Monday. The freshman Texas lawmaker said fellow Republican candidates promised during last year's elections to scrap the health care law, which they call Obamacare, and to deny Obama's executive actions, which they call "amnesty." (Elliott, 1/12)

All the while, President Barack Obama and GOP leaders jockey for negotiating positions -

Politico: GOP Targets Budget Process For Tax Reform
Several influential Republicans want to use a filibuster-proof budget procedure to overhaul the corporate tax code — rather than wield it as a weapon against Obamacare, as conservatives are demanding. The quiet push, led by South Dakota Sen. John Thune, seeks to use the potent tool known as budget reconciliation to give both the GOP and President Barack Obama the sweeping victory on tax policy that business groups want, which could include a significant cut in corporate tax rates as well as provide funding for a long-term transportation bill. In contrast, an attempt to use reconciliation to gut Obama’s health care law might showcase Republicans’ new strength on Capitol Hill but would inevitably end in a veto. (Raju and Everett, 1/13)

The New York Times: When Picking A Fight Can Also Be A Way To Start To Talk
With his quick veto threats — he issued three more on Monday night — Mr. Obama signaled that he would be aggressive in rejecting legislation he sees as chipping away at his policy priorities, such as the health care law, or his presidential authority to do things like approve an oil pipeline. But by insisting that he wants to collaborate with Republicans, the president — who will host congressional leaders of both parties at the White House on Tuesday — also hinted that there is negotiating room beyond those threats. “The president’s attitude is that we shouldn’t let our disagreements, as big as they are on some issues, prevent us from working together on the things we do agree on,” said Dan Pfeiffer, a senior adviser to Mr. Obama. “If Republicans take a similar attitude, there is an opportunity to prove people wrong and make some progress.” For now, Mr. Obama and congressional Republicans are dwelling mostly on the big disagreements. (Hirschfeld Davis, 1/12)

Modern Healthcare: Not-for-profit Hospitals Shunned Bond Market In 2014
Hospital bond issuances fell to their lowest level in more than a decade last year as not-for-profit providers scaled back their capital spending despite low interest rates and eager lenders. Instead of investing in traditional brick-and-mortar building projects, many health systems are focusing their attention on upgrading their information technology systems. These projects are not only less expensive, but they have a relatively short lifespan before providers must make the next upgrade. (Kutscher, 1/12)

Los Angeles Times: Heritage Provider Network Teams Up With Hospital Chain Trinity Health
Southern California-based Heritage Provider Network is forming a joint venture with the nation's second-largest nonprofit hospital system to better coordinate patient care across much of the country. The agreement announced Monday calls for Heritage and Trinity Health to build networks in different markets that focus on integrating the fragmented care many patients receive from multiple providers. Financial terms of the deal weren't disclosed. (Terhune, 1/12)

Modern Healthcare: Are Hep C Exclusivity Deals Taking Power From Doctors?
Exclusivity deals for hepatitis C drugs by pharmacy benefit managers and a major health plan have raised concerns that the decision of which drug is best for a patient is being taken away from clinicians. Last week Anthem became the first payer to announce an exclusivity deal for a hepatitis C drug. As part of the pact, beneficiaries must try Gilead Sciences' Harvoni before trying any other treatment for hepatitis C genotype 1, which accounts for up to 75% of all U.S. cases. (Dickson, 1/12)

Meanwhile, news outlets also detail changes in the marketplace from the emergence of big-box store walk-in clinics to how smartphones might play a role in personal health  -

The Huffington Post: Why We're Picking Walmart And CVS Over Doctors' Offices
The American health care system may finally be catching up to the rest of the 21st-century economy, in which convenience is not only expected, but demanded -- and massive retailers are driving the change. Patients suffering everyday complaints like chest colds or ankle sprains have long faced the lamentable choice between waiting days to see their family doctors or enduring time-sucking, unpleasant and expensive visits to hospital emergency rooms, especially at night and on weekends when physicians typically aren't open for business. It's one of the most annoying aspects of the way medical care is provided in the United States. (Young, 1/12)

NPR: Imagining A Future When The Doctor's Office Is In Your Home
Extracting medical care from the health care system is all too often an expensive exercise in frustration. Dr. Eric Topol says your smartphone could make it cheaper, faster, better and safer. That's the gist of his new book, The Patient Will See You Now. Lots of people are bullish on the future of mobile health to transform health care, but Topol gets extra cred because of his major medical chops: Former head of cardiology at the Cleveland Clinic and present director of the Scripps Translations Science Institute in La Jolla, Calif. (Shute, 1/13)

The Wall Street Journal: Tenet Upbeat On 2014 Results
Tenet Healthcare Corp. said Monday said that it expects 2014 results to be near the top of its previously raised range, as the hospital operator continues to benefit from the Affordable Care Act, which helped spur a 21% admissions jump in the fourth quarter. For 2014, earnings should be near the top of range of the $1.90 billion to $1.95 billion range, Tenet said. For 2015, the Dallas-based company forecast revenue ... slightly above the $17.4 billion predicted by analysts polled by Thomson Reuters. It also foresees admissions growth of 2.5% to 3.5%. (Chen, 11/12)

The Wall Street Journal: Aetna Sets Wage Floor: $16 An Hour
Amid signs of a tightening labor market, Aetna Inc. plans to boost the incomes of its lowest-paid workers by as much as a third in a bid to draw top prospects and reduce turnover. The move by the big health insurer highlights larger debates over the pace of the economic recovery and the compensation of people toward the bottom of the wage scale. Around 12% of Aetna’s domestic work force will see a raise to a floor of $16 an hour, primarily employees in customer service and billing-related jobs. Aetna, which also said it will cut health-care costs for many of the same employees next year, follows Gap Inc., Starbucks Corp. and others in raising the lower limit on workers’ wages. (Wilde Mathews and Francis, 1/12)

In other news -

PBS NewsHour: Navigating The Complexity Of A Long-Term Care Insurance Policy
People buy long-term care insurance as one way of financing “personal or custodial care” in a nursing home or a community facility, according to the U.S. Department of Health and Human Services. The cost of these insurance plans is calculated based on a person’s age, how much a policy will pay per day, how many days or years a plan will pay out, among other factors. Without long-term care insurance, people often either use their own savings or Medicaid to cover long-term care. Medicare does not pay the “largest part of long-term care services.” (Santhanam, 1/9)

NPR: VA Data Show Disparities In Veteran Benefits Spending
If you're a veteran and rely on benefits from the U.S. Department of Veterans Affairs, where you live may have an effect on whether you receive the benefits you've earned...Veterans' benefits cover a wide range, including health care, monthly disability checks, home loans, life insurance, and education through the GI bill, among others. Among the states, West Virginia and Arkansas had the highest per-veteran spending in 2013 – just over $7,600. Indiana, New Jersey, Delaware and Pennsylvania had the lowest – less than $5,000. Nationally, the average is just over $6,000. That's after filtering out things like costs to build and operate VA facilities. (Lawrence and Bebinger, 1/13)

The Washington Times: VA Pharmacists Unpunished For Serious -- Even Fatal -- Errors Dispensing Drugs
Pharmacists who made serious or potentially fatal errors dispensing drugs at the VA in New Jersey kept their jobs and often weren’t even severely disciplined, according to testimony from their colleagues and other records. One chemotherapy patient died after a 2001 overdose, but the pharmacist continued working for the VA for years, according to records obtained by The Washington Times under the Freedom of Information Act. (McElhatton, 1/12)

The Hill: House Passes Bill To Prevent Veterans' Suicides
The House on Monday passed legislation to help prevent veterans' suicides that failed to clear the last Congress due to now-retired Sen. Tom Coburn (R-Okla.). Members of both parties overwhelmingly supported the bill by a vote of 403-0. It now heads to the Senate, where it is expected to be approved easily. (Marcos, 1/12)

The New York Times: Manhattan Clinic That Treated Joan Rivers Will Lose Federal Funding
The Manhattan clinic where Joan Rivers went into cardiac arrest while being treated for a voice problem has failed to correct deficiencies implicated in her death and will be prohibited from having its services paid for by Medicare and Medicaid funds, according to a letter released on Monday from the federal agency that oversees those two programs. (Hartocollis, 1/12)

Los Angeles Times: Clinic Where Joan Rivers Stopped Breathing Has Medicare Coverage Pulled
In a letter sent to the clinic on Friday, the federal agency said it is terminating the Medicare agreement Jan. 31 because the clinic "no longer meets the conditions of coverage for a supplier of ambulatory surgical center services" and will no longer receive federal funds for services provided to Medicare and Medicaid beneficiaries. (Megia, 1/12)

The Associated Press: N.Y. Clinic Linked To Joan Rivers' Death Losing Accreditation
The New York City clinic where Joan Rivers suffered a fatal complication during a medical procedure is losing its accreditation at the end of the month, a federal agency said Monday. "Yorkville Endoscopy no longer meets the conditions for a supplier of ambulatory surgical center services," the Centers for Medicare Services said in a statement. As of Jan. 31, the Manhattan medical facility will no longer be eligible to receive federal funds for services provided to Medicare and Medicaid beneficiaries. (1/12)

The Fresno Bee: Kaiser-Fresno Mental Health Workers Begin Seven-day Strike
Kaiser Permanente-Fresno mental health and eye-care workers began a seven-day strike Monday, picketing outside the northeast Fresno hospital to protest what they say is inadequate staffing by the health system. About 15 people were on the picket line Monday morning. The Fresno hospital has about 40 mental health workers and 12 optical, workers. Statewide, about 2,600 workers have been called to strike. The workers are represented by the National Union of Healthcare Workers. (Anderson, 1/12)

California Healthline: New Flu Shot Rules In New York City May Fan Debate Elsewhere, Including Calif.
A new policy requiring preschool children to receive the influenza vaccine went into effect Jan. 1 in New York City, bringing a new level of regulatory clout, as well as attention to other legislative efforts mandating immunization. (Lauer, 1/12)

The State: Haley, DSS Target Of Federal Lawsuit, 'Dangerous Deficiencies' In Care Cited
A federal class action lawsuit was filed Monday against Gov. Nikki Haley and the Department of Social Services, saying a lack of heath care and other basic services is endangering children in the child welfare system. The complaint alleges Haley and DSS are responsible for drastic foster home shortages, excessive caseloads for agency workers and a failure to provide children with basic health care. The complaint further alleges that child maltreatment while in foster care goes without investigation, and inaccurate data masks a much higher rate of abuse and neglect than the state reports to the federal government. (Cahill and Self, 1/12)

Marin Independent Journal: Blue Shield and Sutter Health Contract Dispute Affects Almost 280,000 Northern California Customers
A contract dispute between Blue Shield of California and Sutter Health threatens to force some 280,000 Blue Shield customers throughout Northern and Central California to switch doctors or change health plans, if they can. (Halstead, 1/12)

The Boston Globe: Partners Woos Investors Amid Fiscal Setback
It owns some of the world’s most famous hospitals and one of the leading medical research engines in the United States. But when executives of Partners HealthCare System appeared before investors here Monday, they sheepishly displayed a chart showing that the health care giant last year posted its first financial loss in 15 years. (Weisman, 1/12)

California Healthline: Budget Health Care Bartering Brewing
Last week's budget proposal by Gov. Jerry Brown (D) didn't restore cuts from previous years -- with the exception of the already agreed-upon reversal of a 7% cut in In-Home Supportive Services hours -- and that omission was not lost on consumer health advocates. (Gorn, 1/12)

The Atlanta Journal-Constitution: Deal: 'A New Term, A New Vision, A New Mandate'
Gov. Nathan Deal ushered in his second term in office Monday with a call for Georgians to unite over common political ground and embark on consensus-driven changes rooted in his first term in office. Deal used his platform to focus on a theme of a “new term, a new vision, a new mandate.” He made no mention of the partisan debate over President Barack Obama’s health care expansion or the brewing fight over whether to raise taxes to fund transportation improvements. (Bluestein, 1/12)

The Chicago Tribune: Chicago Puts 'Urgent' Back In Name Of Urgent-care Centers
A prohibition on the use of "urgent" by urgent-care facilities in Illinois has been lifted. For years, traditional urgent-care facilities were not allowed to use the term in their titles. Illinois law allowed only emergency rooms to incorporate "urgent" or similar words in their names after some nonemergency centers were caught billing at emergency-room prices. (Hirst, 1/12)

The Philadelphia Inquirer: Camden Project Seeks Better Health And Safety Through Data-sharing
For close to a decade, a group of Camden health-care providers has used a database of information culled from the city's three hospitals to evaluate medical costs, identify hot spots in neighborhoods, and develop outreach programs. Soon, the Camden Coalition of Healthcare Providers will also be able to look at data from the criminal justice system, housing, and other public networks - information it hopes will lead the way to root causes of recurring problems. (Steele, 1/12)

The Texas Tribune: Former Abbott Deputy Named Insurance Commissioner
A deputy from former Attorney General Greg Abbott's office will be running the Texas Department of Insurance, Gov. Rick Perry's office announced Monday. David Mattax worked on defense and financial litigation at the attorney general's office. But he appears to just be a temporary replacement for outgoing Commissioner Julia Rathgeber, whom Perry appointed to the post in May 2013. (Satija, 1/12)

The Charlotte Observer: NC Doctors, Patients Feel Medicaid Pinch In 2015
The new year brings two new challenges for North Carolina doctors who take Medicaid, as a temporary boost from the Affordable Care Act goes away and a state cut kicks in after a year’s delay. Hardest hit will be the family practitioners and pediatricians who are supposed to take the lead in providing better medical care for about 1.7 million low-income children and adults in North Carolina. (Helms, 1/12)

The Associated Press: Senate Acts On Women's Rights Bills; Education Lobbies Rally
While hundreds of public education supporters jammed Capitol stairwells calling for more state support, New York's Republican-controlled Senate has approved eight bills intended to ensure women's rights in the workplace and housing while excluding an Assembly-backed measure to codify abortion rights. (1/12)

The New York Times' The Upshot: How Medicaid For Children Recoups Much Of Its Cost In The Long Run
When advocates talk about the advantages of government health care, they often talk about a moral obligation to ensure equal access. Or they describe the immediate health and economic rewards of giving people a way to pay for their care. Now a novel study presents another argument for the medical safety net, at least for children: Giving them health coverage may boost their future earnings for decades. And the taxes they pay on those higher incomes may help pay the government back for some of its investment. (Margot Sanger-Katz, 1/12)

Bloomberg: What Brill's 'Bitter Pill' Gets Wrong On Obamacare
Steven Brill's new book about the process of passing the Affordable Care Act is so meticulously reported, I found myself surprised by many details of a process I myself was deeply involved in. ... A substantial amount of skepticism, perhaps even within the White House, existed about whether the health-care legislation did enough on costs. Yet the cost curve in health care is bending more drastically than even I believed possible in the fall of 2009. That’s because the collective impact of the legislation’s individual measures, along with similar changes in the private sector, has produced a shift in perspective and therefore behavior among health-care leaders. This is a significant point that Brill fails to acknowledge. (Peter R. Orszag, 1/12)

The Wall Street Journal: High Health-Care Prices: More Talk Than Action
Price is the major factor that distinguishes the cost of our system from those in other developed nations. The sticker shock of some medical services and drugs is also the dimension of the health-cost problem most visible to the public. So it’s interesting that most efforts in this country to address health-care costs don’t focus on price much at all. Instead, they focus on reforming the delivery of health care and provider reimbursement to reduce the volume of health care Americans use and to weed out unnecessary procedures and hospitals days. (Drew Altman, 1/12)

Modern Healthcare: Should Dems Keep ACA Bargaining Chips In Case Supreme Court Strikes Down Subsidies?
[Senate Democrats] must be aware that the Supreme Court in June may invalidate the ACA's premium subsidies in 37 states. That would cripple the law unless the GOP-controlled Congress somehow agrees to restore the subsidies. Surely the Democrats also know that the Republicans would demand a very high price for doing so—if they would even consider it. So one wonders what Senate Democrats like Joe Donnelly of Indiana and Joe Manchin of West Virginia, who say they support the ACA overall, are thinking in being willing at this point to give up the 30-hour workweek rule, which might well be one of Democrats' bargaining chips. (Harris Meyer, 1/11)

Los Angeles Times: A Fishy Fee 'Adjustment' From Kaiser
Karen Kurokawa was happy to pay her husband's Kaiser Permanente bill. She just wanted to know why Kaiser had adjusted it almost $2,000 higher. The fact that the Culver City resident couldn't get a straight answer from Kaiser, even after she filed a formal grievance, highlights the challenge patients face in knowing their true healthcare costs. The episode also raises questions about Kaiser's billing system. Kurokawa said she was told by a senior company executive that "things happened that shouldn't have happened, and things that should have happened didn't." (David Lazarus, 1/12)

The New York Times' The Upshot: Doing More For Patients Often Does No Good
Given the remarkable advances that have been made in the last 50 or so years in pharmaceuticals, medical devices and surgical procedures, it’s not a surprise that people want more, and more invasive, care than they have had in the past. Just as it’s hard to do nothing when you’re ill, it’s sometimes hard to do less than the maximum when there are different treatments to choose from. (Dr. Aaron E. Carroll, 1/12)

The New York Times: When Diabetes Treatment Goes Too Far
There are roughly 11 million Americans over age 65 with diabetes. Most of them take medications to reduce their blood sugar levels. The majority reach an average blood sugar target, or “hemoglobin A1C,” of less than 7 percent. Why? Early studies showed that this can reduce the risk of diabetes complications, including eye, kidney and nerve problems. As a result, for more than a decade, medical societies, pharmaceutical companies and diabetes groups have campaigned with a simple, concrete message — to get below seven. ... Doctors are often rewarded based on how many of their patients hit the target. ... But, at least for older people, there are serious problems with the below-seven paradigm. (Dr. Kasia Lipska, 1/12)

Politico: No, The GOP Is Not At War With Science
Our national debt is more than $18 trillion, and the American taxpayer is hurting. If we, as a country, have decided to spend taxpayers’ hard-earned dollars on funding science and research, then we need to spend wisely. ... Similarly, the National Institutes of Health has engaged in the funding of wasteful projects like $258,000 on a website for the first lady’s White House garden. These programs might sound merely frivolous, but the problem is that when the NSF or NIH funds projects of these kinds, there is less money to support good scientific research that can yield technological breakthroughs and opportunities for economic growth. Ebola-related scientific research is something that Americans want to prioritize, yet this important research is competing with wasteful grants. (Sen. Rand Paul, R-Ky., and Rep. Lamar Smith, R-Texas, 1/12)

JAMA: Physician Self-Referral
A 1992 editorial singled out self-referral as a prime example of the “growing encroachment of commercialism on medical practice” previously characterized as the “medical-industrial complex.” Regrettably, more than 2 decades later, this observation of the failing of responsible professionalism still rings true. The recent GAO analysis reaffirms the inescapable effects of physician self-referral on increasing Medicare Part B spending. Viewed in this light, the GAO reports must be seen as nothing less than a call for action. Congress should address the relative shortcomings of the well-meaning if ineffective Stark provisions and enact simpler and enforceable ordinances in its stead. Failure to do so would constitute a costly opportunity missed. (Drs. Eli Y. Adashi and Robert P. Kocher, 1/12)