Wednesday, January 30, 2013

TROUBLE GETTING "DEATH PANELISTS"

From the Washington Post

Jonathan Gruber was one of the Obama administration’s key advisers during the health-care reform debate. As the economist who conceived the ideas at the heart of the Massachusetts health-care law, he is arguably the intellectual godfather of the Affordable Care Act.

All of which would make him a natural fit for the Independent Payment Advisory Board, the new, 15-member panel that has the authority to reduce Medicare doctors’ reimbursements and pilot new ways to deliver high quality care for less. There’s just one tiny problem: Gruber has absolutely no interest in serving on the panel. “No way,” he says without pause. “Maybe if it was a part-time gig. But full time? I can’t see it.”

It’s not just Gruber. Obama’s former health policy advisers worry that other top health economists, those in hot demand in academia and in the industry, won’t be interested in a federal job where the compensation is low, the political controversy high and the ultimate payoff unclear.

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