Margot Savoy, MD, MPH
I never got up the courage to say it out loud to the senior physician leader who had declared he was now officially my mentor. Not exactly the way I usually start off a mentor-mentee relationship, but my leadership coach said be curious and go with it.
We met for my semiannual check-in. I came prepared to share what progress I had made over the past months since we last met and had some goals I wanted to get his advice on. He started with “How have things been going?” and within the first 30 seconds he had interrupted me and taken over the conversation. Over the next 45 minutes I never got more than a sentence in before he started talking again. He wrapped up by telling me what I needed to work on before our next meeting while escorting me out of his office. (I have to say, if that is how we make patients feel during office visits, shame on us!) It was an unsatisfying encounter leaving me feeling disappointed, frustrated, and angry.
Hope Wittenberg, MA
Director, Government Relations
This past session of Congress was frustrating. Seemingly no movement was made on spending levels for health programs, GME reform, and on broader national issues such as gun control or immigration reform. Brinksmanship over the national debt led to a 16-day government shutdown that cost the government money.
In the aftermath of the shutdown, however, key lawmakers sat down and worked out a budget.
This budget set the overall spending levels for the Fiscal Year 2014 (Oct 1, 2013–Sept 30, 2014) enabling the appropriations committees, which are in charge of discretionary spending, to move forward and craft a spending bill. When Congress returned in January from their winter recess, appropriators were hard at work on the Consolidated Appropriations Act of 2014, which culminated in some success for some of our key health programs.
Historically, both AHRQ and Title VII primary care programs have limited support in the House. Both programs have been zeroed out in the House version of the spending bill in recent years.
However, the spending bill kept them intact, with Title VII primary care support growing to $39.6 million (only a 1% increase). Unfortunately, the current amount of Title VII funding, while enough to fund continuing grants, isn’t large enough to allow for a competitive cycle again this year. AHRQ’s total spending, including trust fund transfers, grew to $471 million (9% increase). AHRQ’s increase was mainly due to expanded funding from the Patient-Centered Outcome Research Trust Fund as mandated in the Affordable Care Act. Continue reading