Senator John Marty

If we do the same thing in education, which we were trying, some people were trying for a number of years, we're going to measure teachers. Well, there's no, objective way to do so. You have the principal come in and measure what, well, principals have their favorite teachers and they, different people are evaluating every way. So how do you measure it?

If we do the same thing in education, which we were trying, some people were trying for a number of years, we're going to measure teachers. Well, there's no, objective way to do so. You have the principal come in and measure what, well, principals have their favorite teachers and they, different people are evaluating every way. So how do you measure it?

So how are you going to pay some more because of that? So instead we do think, oh, we'll use standardized tests. When teachers quickly figure it out is if we're going to do standardized tests, I'm going to take the senior teachers who may be the most qualified and best ones. I'm not going to take the troubled kids. I'm going to take the good kids.

So how are you going to pay some more because of that? So instead we do think, oh, we'll use standardized tests. When teachers quickly figure it out is if we're going to do standardized tests, I'm going to take the senior teachers who may be the most qualified and best ones. I'm not going to take the troubled kids. I'm going to take the good kids.

I talked to one teacher who said, you know, years ago, I felt I thrived with the most troubled kids. They're more challenging, but I think I did better with them than other kids, with other teachers, comparatively me compared to other teachers, he said.

I talked to one teacher who said, you know, years ago, I felt I thrived with the most troubled kids. They're more challenging, but I think I did better with them than other kids, with other teachers, comparatively me compared to other teachers, he said.

And to me, I thought, when you're measuring that, you find out that the ones who have the sickest patients, or in the school case, the struggling students, you know, you're discriminating, you're making disparities worse.

And to me, I thought, when you're measuring that, you find out that the ones who have the sickest patients, or in the school case, the struggling students, you know, you're discriminating, you're making disparities worse.

And so to me, one of the things we have to do is recognize that all these quality measures, which are designed to save money and improve health, maybe are costing money and arguably are making care worse. Why do I say that? There was a, one of the measures they often use to prove how good this stuff is, is a hospital readmissions reduction project or whatever it's called.

And so to me, one of the things we have to do is recognize that all these quality measures, which are designed to save money and improve health, maybe are costing money and arguably are making care worse. Why do I say that? There was a, one of the measures they often use to prove how good this stuff is, is a hospital readmissions reduction project or whatever it's called.

Medicaid and Medicare, the federal government was pushing this. And there was actually one study out in 2017 that suggested that this quality measure that for cardiac patients, it was having the impact. Hospitals would be penalized if a patient came in, was readmitted within 30 days or something when they last left.

Medicaid and Medicare, the federal government was pushing this. And there was actually one study out in 2017 that suggested that this quality measure that for cardiac patients, it was having the impact. Hospitals would be penalized if a patient came in, was readmitted within 30 days or something when they last left.

And hospitals, they also penalized a little bit of somebody for mortality kind of thing. So Actually, the incentive, if you look at it carefully, the incentive was actually kick people out of the hospital. And if you don't readmit them, well, they might die.

And hospitals, they also penalized a little bit of somebody for mortality kind of thing. So Actually, the incentive, if you look at it carefully, the incentive was actually kick people out of the hospital. And if you don't readmit them, well, they might die.

But anyway, there was one study suggested there may be a University of Michigan study suggesting as many as 5,000 more fatalities from this quality measure. Well, if a quality measure is killing people, instead of trying to tweak the quality measure, maybe the first thing we should do is get away from the quality measure. So in real short, that's a long story to say.

But anyway, there was one study suggested there may be a University of Michigan study suggesting as many as 5,000 more fatalities from this quality measure. Well, if a quality measure is killing people, instead of trying to tweak the quality measure, maybe the first thing we should do is get away from the quality measure. So in real short, that's a long story to say.

One of the things is that the bureaucracy, a lot of the bureaucracy is well-intended. We're going to measure quality. We're going to pay for quality. And the fact that it may cost 10 times as much and take hours and hours of doctor and medical staff time to evaluate and bill and everything else, maybe That's counterproductive.

One of the things is that the bureaucracy, a lot of the bureaucracy is well-intended. We're going to measure quality. We're going to pay for quality. And the fact that it may cost 10 times as much and take hours and hours of doctor and medical staff time to evaluate and bill and everything else, maybe That's counterproductive.

And maybe what we should be doing is trying to focus on having doctors and nurses and others be well-trained, have them have peer pressure and their own personal pride that makes them want to do a better job and not a little more. So, all right.

And maybe what we should be doing is trying to focus on having doctors and nurses and others be well-trained, have them have peer pressure and their own personal pride that makes them want to do a better job and not a little more. So, all right.