That is how major medical associations have described this week’s cliffhanger-in-motion which is the GOP’s last-ditch effort to repeal and replace the ACA. We have curated important articles on this topic for your reference. For those who would rather have the Reader’s Digest version of it:

– The bill was hastily put together by Senators Lindsey Graham and Bill Cassidy as a final assault on the ACA. Support for the bill hangs by a thread, with 50 votes at most in the GOP’s hands. Senators John McCain and Rand Paul have given it a thumbs-down. The bill is being sweetened to win over Senators Susan Collins and Lisa Murkowski.

– The bill takes away protections for pre-existing conditions, hacks away at Medicaid funding, and transfers the healthcare spending budgets substantially to the states and away from the federal govt. The Brookings Institute estimates that some 32 million are likely to be left without insurance by 2027. The CBO is yet to issue an estimate.

– The healthcare and medical community have come out overwhelmingly against the bill.

I attended the Becker’s Healthcare Conference in Chicago last week and was pleasantly surprised at the refreshingly informative content in the sessions. Ed Marx, the new CIO of Cleveland Clinic gave an outstanding keynote and reminded everyone that we are all here to serve patients (I have also included his interview in Medcity News where he talks about digital health innovation).

One of my key takeaways from the conference was that digital health innovation in healthcare is scattershot, with a proliferation of apps but no standardization. The rules of the ecosystem such as security and FHIR API’s are still evolving. Speakers repeatedly underscored the need for an incremental approach and for every single project to be backed by a solid ROI. There is also a need for technology to be empathetic to people and to recognize the needs of millennials.

We leave you with the word of the week: Dotard

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