The Truth Is!: Gilbert Cranberg: SHOULD PROVIDERS HELP PAY FOR WHAT THEY PRESCRIBE?

WELCOME to the debut of “The Truth Is!”, a blog of reporting and commentary that aims to be informative, thoughtful and provocative. At least initially, the blog will have a strong heartland flavor by virtue of the connection of a number of us to Cowles family journalism. I am former editor of the Des Moines Register’s opinion pages. Another contributor, Michael Gartner, is former editor of the paper; he later served as president of NBC News. Another former Register editor who has agreed to contribute, Geneva Overholser, is director of the University of Southern California’s Annenberg school of journalism. Followers of the blog will have access also to the work of Herbert Strentz of Des Moines, a close Register and other newspaper watcher who once headed Drake University’s journalism school. Bill Leonard, a longtime Register editorial writer, will add insights.

“The Truth Is!” will be supervised by my daughter, Marcia Wolff, a communications lawyer for 20 years with Arnold and Porter (Washington, D.C.). Invaluable technical assistance in assembling and maintaining the blog is provided by my grandsons Julian Cranberg, a college first-year, and Daniel Wolff, a high school senior.

If you detect a whiff of nepotism in this operation, so be it. All of it is strictly a labor of love. —Gil Cranberg

Wednesday, December 18, 2013

Gilbert Cranberg: SHOULD PROVIDERS HELP PAY FOR WHAT THEY PRESCRIBE?

A lengthy article in the Dec. 3 New York Times, headlined, “As Hospital Prices Soar, A Single Stitch Tops $500,” went into detail about runaway hospital charges in various parts of the country. Almost nothing was said, however, about what patients actually pay.

I recently experienced slight chest discomfort – very slight—during water aerobics. I mentioned it to the nurse in my retirement facility. She recommended calling an ambulance. The six-mile trip to the hospital took a few minutes, for which I was billed $668. I quit paying attention to the bill when I saw that insurance left me with a zero balance. Almost the same with the hospital charges. Those charges amounted to nearly $18,200 for a three-day stay, but when I noted that my portion of the bill was a mere $332, I barely scrutinized it.

My error. Patients should know in detail what’s being charged so they can understand and raise questions about it. While insurance companies review health bills, this is no substitute for patients doing their part.

My hunch is that my experience is more typical than not. When third parties pay much of the tab, there’s little incentive for patients to play what should be an essential role in the health-care system, as a check on provider charges.

If patients can’t or won’t do that, perhaps providers should be required to bear part of the cost for the services they prescribe. That’s a radical remedy for runaway charges that may not stand scrutiny. But there’s little in the health care system that can. When a bill for tens of thousands of dollars arrives in the mail and barely rates a glance, it may be time for radical remedies.

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Gilbert Cranberg is George H. Gallup Professor of Journalism Emeritus, the University of Iowa School of Journalism and Mass Communication. He was associated for 33 years with The Des Moines Register and Tribune where he was editor of the editorial pages of both papers.

Cranberg taught for 18 years at the University of Iowa's journalism school. He co- authored "Libel Law and the Press: Myth and Reality," (The Free Press) whose authors won the 1987 Distinguished Service Award of the Society of Professional Journalists for research in journalism. Another book, "Taking Stock: Journalism and the Publicly Traded Newspaper Company," (Iowa State Press), was published June 2001. He is the co-author of several law review articles on the subject of libel.

He served in the infantry in the Pacific during World War II. He graduated magna cum laude and Phi Beta Kappa from Syracuse University (1949) and received a master's degree in social science from Drake University (1956). He was for six years an at-large member of the National Board of Directors of the American Civil Liberties Union. He was a Fellow of the World Policy Institute and of the Open Society Institute.

Cranberg served as chairman of the Professional Standards Committee of the National Conference of Editorial Writers and as a director of that organization. He was a member of the American Society of Newspaper Editors and of its Ethics and Values Committee. He is a life member of the National Conference of Editorial Writers for having "achieved exceptional distinction in the profession." He has written for numerous publications, including the New York Times, Washington Post, Los Angeles Times, USA TODAY, Journalism Quarterly, Columbia Journalism Review, American Journalism Review, Nieman Reports, American Bar Association Journal and Iowa Law Review.

Michael Gartner was born in Des Moines, Iowa. He received his B.A. from Carleton College and J.D. from the New York University School of Law. He joined the staff of The Wall Street Journal in 1960 as a copy editor, later becoming Page One Editor. He served in various positions with the Des Moines Register over 11 years including Executive Editor, Editor, President, Chief Operating Officer and Editorial Chairman. He went on to serve as General News Executive for Gannett Co. and USA TODAY and editor of the Louisville Courier-Journal.

In 1988, Mr. Gartner became President of NBC News and served in this capacity until 1993 when he became Chairman and Editor of The Daily Tribune in Ames, Iowa. Mr. Gartner was for six years a member of the Iowa Board of Regents, and he is chairman and principal owner of the Iowa Cubs baseball team.

In 1997, Mr. Gartner was awarded the Pulitzer Prize for Editorial Writing for his editorials about community issues in The Daily Tribune.

Geneva Overholser is director of the Annenberg School of Journalism at the University of Southern California. Before her current position, she held the Curtis B. Hurley Chair in Public Affairs Reporting for the Missouri School of Journalism, in its Washington, D.C., bureau.

Overholser previously was editor of The Des Moines Register, a syndicated columnist for the Washington Post Writers Group, an editorial board member of The New York Times, ombudsman of The Washington Post and a reporter for the Colorado Springs Sun. Under her leadership, the Register won the 1990 Pulitzer Prize Gold Medal for Public Service. She is a fellow of the American Academy of Arts and Sciences and the Society of Professional Journalists and was a Nieman fellow at Harvard. She served on the board of the Pulitzer Prize for nine years, the last year as chair.

Overholser was named “Editor of the Year” by the National Press Foundation and “Best in the Business” by the American Journalism Review. She co-edited the book, The Press as an Institution of Democracy and authored “On Behalf of Journalism: A Manifesto for Change.” Overholser wrote a blog for the Poynter Institute Website and a regular column for the Columbia Journalism Review. She spent five years overseas, working and writing in Kinshasa and Paris.

Herb Strentz is professor emeritus of journalism at Drake University in Des Moines, Iowa. He was a founder of the Iowa Freedom of Information Council and served as its executive secretary from 1975 to 2000. In 2004 he was named to the "Heroes of the 50 States, The Open Government Hall of Fame" of the National Freedom of Information Coalition and the Society of Professional Journalists.

His PhD is from Northwestern University and he taught at Bakersfield College, the University Kentucky, and the University of North Dakota before going to Drake where he served as dean of the School of Journalism and Mass Communication from 1975 to 1988.

Strentz also worked as a reporter for The Fresno Bee and the Associated Press in Albany, NY, and worked part time and during the summers for The Minneapolis Tribune and the Des Moines Register and Tribune Company. He is the author of "News Reporters and News Sources," which was published by the United States information Agency in Spanish, Chinese and Arabic.