What the Washington Post Gets Right…And Wrong
March 19, 20129:35 am
In this morning’s editorial, “This Cost-Cutting Reform Deserves a Chance,” the Washington Post paints opposition to the Independent Payment Advisory Board as largely political, or parochial, in nature. Republicans, the Post argues, want to sink one of President Obama’s initiatives before it can get off the ground, while some Democrats take issue with a non-elected board carrying out responsibilities that belong to Congress.
In making these points, the Post editorial goes off the rails early by focusing too heavily on inside-the-Beltway political banter. In fact, opposition to IPAB extends well beyond conventional White House-v-GOP partisan skirmishing. As of today, over 400 patient, healthcare, employer, veteran and disability organizations from all 50 states have signed a letter to Congress urging an immediate repeal of IPAB.
That kind of strong grassroots sentiment transcends partisan gamesmanship.
That’s not to say the Post editorial is entirely offbase. Actually, the opinion piece is right on the mark in saying that the Medicare status quo cannot stand and that Washington politicians have been negligent in not pursuing substantive change to address the program’s serious financial problems.
The newspaper is dead wrong, though, in asserting that IPAB represents a workable solution to this problem. The editorial pulls out what have become, by now familiar canards – that IPAB will be made up of healthcare experts, that the law creating it specifically forbids any kind of healthcare rationing. The simple fact is, though, that IPAB’s structure, in which changes must be made immediately in order to get program spending below an arbitrary level, will limit the board’s realistic options to cutting payments for healthcare services.
In some policy circles, chopping Medicare reimbursement levels is referred to as bringing greater efficiency to the program. In the real world, though, it means fewer physicians seeing Medicare patients and less beneficiary access to new healthcare innovations. The law may say that IPAB can’t recommend rationing, but reduced access to care is an inevitable result.
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The Art of Precision Chronometry
The central system of a mechanical watch involves the mainspring, which provides energy as it loosens. This system, however, can be vulnerable to environmental factors that may affect its accuracy. COSC-validated mechanisms undergo strict testing—over 15 days in various conditions (five positions, 3 temperatures)—to ensure their durability and dependability. The tests evaluate:
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For timepiece aficionados and connoisseurs, a COSC-validated timepiece isn’t just a item of technology but a demonstration to lasting quality and accuracy. It symbolizes a timepiece that:
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Historic Background and the Development of Chronometers
The notion of the timepiece dates back to the need for precise chronometry for navigational at sea, emphasized by John Harrison’s work in the 18th century. Since the formal foundation of Controle Officiel Suisse des Chronometres in 1973, the accreditation has become a standard for assessing the accuracy of high-end watches, continuing a tradition of excellence in horology.
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Owning a COSC-certified timepiece is more than an aesthetic choice; it’s a dedication to excellence and accuracy. For those valuing accuracy above all, the COSC validation offers tranquility of mind, guaranteeing that each validated watch will function reliably under various circumstances. Whether for individual satisfaction or as an investment decision, COSC-accredited watches distinguish themselves in the world of horology, bearing on a tradition of precise timekeeping.
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