Becker's Hospital Review

September 2022 Issue of Becker's Hospital Review

Issue link: https://beckershealthcare.uberflip.com/i/1476979

Contents of this Issue

Navigation

Page 43 of 103

44 THOUGHT LEADERSHIP ine, but our commitment is to follow this state and the constitutional right of women to access those services. We did include a travel benefit for our em- ployees because we do have employees that live outside of Minnesota and dependents as well. Self-insured employers have the option to do that if they so desire, and we're work- ing with them. I think that this is one area that's going to be interesting to watch because we think about care as local, but none of us really are fully that anymore. We've become a much more transitory world in many ways. I think that it'll be critical for us from a Blue Cross perspective to work across our association across all of our health plans to make sure that we're following the law, certainly, and that we're also listening to our consumers and making sure people have access to the care that they are entitled to. Q: Final thoughts? DE: e system that we have today and the healthcare system that's been created has set up a structure that is unsustainable, and I think we're sort of there. We have to come together across the healthcare ecosystem to align financial and health incentives that can address the cost of care and move care more upstream, which it is really just not designed to do. I'm optimistic about doing that. It's ur- gent for our industry. n Michael Dowling: The lost art of compromise By Michael J. Dowling, President & CEO, Northwell Health I n nearly every facet of our lives, all of us are routinely put in the position of trying to settle disputes or dis- agreements, whether it be with our spouses or signifi- cant others, our children, our siblings, co-workers, neigh- bors, contractors — you name it. It's part of everyday life. Conflicts arise and we figure out how to resolve them. Unfortunately, in the politically toxic environment in which we now live, compromise is now perceived as a sign of weakness. Elected leaders are routinely criticized and at- tacked by fellow party members and their constituents for trying to find middle ground on any issue, particular- ly those rooted in ideology. The bipartisan agreement reached in Congress last week on gun safety was a rare and welcome exception." to "The bipartisan agreement recently reached in Congress on gun safety was a rare and welcome exception. While they hold starkly different positions and come from states that are thousands of miles apart geographically and politically, Senators Chris Murphy, D-Conn., an outspoken proponent of stronger gun safety laws, and John Cornyn, R-Texas, a staunch Second Amendment advocate, found a way to set aside their differences and reach compromise on the so-called Bipartisan Safer Communities Act that was approved by the Senate 65-33 and the House by a margin of 234-193. President Joe Biden signed the legislation into law June 25. While the new law does not go nearly as far as Senator Murphy and most of his fellow Democrats wanted by, for instance, banning the sale of assault rifles or at least in- creasing the age to buy them, the willingness to finally get something done after 30 years of Congressional gridlock was a long-overdue victory for common sense. Bipartisanship has also been evident in Congressional support for military funding for Ukraine and the 2021 Infra- structure Investment and Jobs Act, but little else. Despite the glimmer of progress in our nation's legislative branch of government, it appears that polarization now has a firm grip on our nation's top court. In trying to find mid- dle ground in deliberations on Roe v. Wade, U.S. Supreme Court Chief Justice John Roberts sought this compromise with his five fellow conservatives and three liberals on the bench: support Mississippi's prohibition against abortion after 15 weeks, but preserve some semblance of repro- ductive rights for women by not overturning Roe v. Wade or the court's 1992 ruling in Planned Parenthood v. Casey. "The Court's decision to overrule Roe and Casey is a seri- ous jolt to the legal system — regardless of how you view those cases," Roberts wrote. His incremental approach found no takers among his entrenched colleagues on ei- ther the right or the left. Hence, constitutional protections for abortions that had stood for nearly 50 years — and are supported by the vast majority of Americans — were stripped away in a 5-4 vote, leaving the power to individ- ual states. Unfortunately, bipartisanship can be equally elusive in state capitals around the country, which does not bode well for reproductive rights advocates in 21 states where abortion is now illegal or have "trigger bans" that will take effect within 30 days of the Supreme Court's June 24 rul- ing. Regardless of whether the issue is abortion or other divi- sive topics such as immigration, gun safety, voting rights, bail reform or LGBTQ rights, governors and state legisla- tors of one controlling party or another routinely dig in and take intractable positions, leaving little or no room for negotiation. We would all be well served to reintroduce ourselves to the art of compromise, for the good of our family rela- tionships, for the good of our respective professions, for the good of our country and society in general, and even for the good of our own personal health as we consider whether to consume that extra helping of food or another cocktail. Moderation is key in our lifestyle choices and it could also go a long way in trying to find middle ground with those who have differing opinions. If adversaries are truly moti- vated to do the right thing, not political gamesmanship, they should always choose their words carefully, listen with an open mind and always be open to making concessions. In short, we should all start by embracing civility. Michael Dowling is president & CEO of Northwell Health, the largest healthcare provider and private employer in New York State. n

Articles in this issue

view archives of Becker's Hospital Review - September 2022 Issue of Becker's Hospital Review