I look forward
I look forward to a year in which estimates of the state's financial savings under Medicaid privatization do not triple and then increase again, while still at less than 75 percent of Governor Branstad's original estimated yearly savings.
I look forward to a year in which a majority of Iowans are not of the opinion that our current governor has not addressed significant problems with Medicaid privatization.
I look forward to a year in which the quality of privatized Medicaid is measured in terms of patient and provider outcomes, i.e. the quality of care the taxpayer is getting for the dollar, as well as in arguments about the numbers of dollars in use.
I look forward to a year in which large increased inputs of state money to managed care organizations have clear and specified outcomes in terms of improvements to, for example, mental health services.
I look forward to a year in which patient complaints are not derided by state officials and in which patients who have won judicial proceedings about denied care are not immediately denied again.
I look forward to a year in which health care providers are given a public voice in meetings with state officials about the privatized system instead of such meetings being kept closed to prevent debate from becoming "clouded."
I look forward to the year in which my state representative does not tell me that MCOs as contractors to the state "should" be held accountable but that they "are" being held accountable.
Dr. Karen A. Larson