New CMS head gets recess appointment

On Wednesday, July 7, President Obama appointed Dr. Donald M. Berwick as administrator of the Centers for Medicare & Medicaid Services (CMS). Dr. Berwick has served as a pediatrician at Harvard Community Health Plan, and has taught health policy as a professor at Harvard Medical School and the Harvard School of Public Health. As president and co-founder of the Institute for Healthcare Improvements (IHI), Dr. Berwick worked to reduce hospital-acquired infections and deaths, and produced standards to improve health care quality.

Dr. Berwick’s term will last only through 2011 due to his appointment during Congressional recess, which bypassed the Senate confirmation process. The post had been vacant since October 2006.

CMS, which oversees the Medicare and Medicaid programs, plays a key role in health reform implementation.

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It's really Spring!

It's clearly Spring around here. On the way to work this morning I saw several groups of Turkeys. In each group there was at least one male presenting his tail for the females. This looks like the classic picture you see of a Turkey around Thanksgiving with his big tail unfurled like a peacock. But, you won't see that in November, it is courting behavior used in the Spring to find a mate. Imagine if we humans had some sort of mating system like that. The males puff themselves up, furl out their tails and strut around waiting for a female to find them attractive ... that would be something ... oh, wait! Three Turkeys at my Bird Feeder - April 2011 (C) Edward Adamsky, 2011

4 Planning Tips for Parents of Disabled Children

Buy enough life insurance . You can’t be replaced, but someone will have to fill in if you aren’t there. Your family will probably have to pay for some services that you used to provide. You can provide the money necessary, even if you don’t have much now, with life insurance. Set up a trust . Any assets left for a child with special needs, including life insurance proceeds, should be held in trust. Leaving money directly to someone with a special need jeopardizes public benefits. Some families disinherit children with special needs, relying on siblings to care for them. This approach is fraught with potential problems. The best approach is a trust fund set aside for the child with special needs. Write down the care plan . You must write down what a future caregiver will need to know about your special needs child. You may know everything but you need to write it down so it can be passed on. The memo or letter can be kept in the attorney's files or with the parent's estate plan...

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Marge’s husband, George, would call for her and she would come running. But when she came into the room he would say, “Who are you? I want Marge!” She would say, “It is me, George,” and he would reply, “But you’re an old woman, I want my wife, Marge.” This was devastating for Marge. George couldn’t remember the recent times and what his wife now looked like as an older woman. All he could remember was his young bride. Later, after George’s death, Marge was able to laugh about how silly it was. George would wake up in bed next to his wife and call for “Marge” wondering why an old woman was in the bed with him. You had to either cry or laugh about it. George had some sort of Dementia. Probably it was Alzheimer’s Disease; a common form. But there are many types of Dementia and not everyone with memory or cognitive issues has Alzheimer’s. Dementias are clas...

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