NEW at @RSI!! @courtneyatlas and I did a post updating the ideas we had in March to highlight what we still need to be doing: Licensing reform for mobility and scope of practice for medical professionals, telehealth, access to care broadly, etc.
Temporary reforms are good. Permanent ones are better and allow for better access with regulatory certainty that temp fails to provide.
1) UNIVERSAL LICENSING RECOGNITION in mold of model in AZ, @dougducey being the first to do it. And have provisions to expedite in emergency
Medical professionals have to be allowed to help in hotspots now, and they should be able to make permanent moves when they so choose. And 19 states have special statutes to protect volunteers during emergencies!!!
2) EXPAND TELEHEALTH to include asynchronous and audio- and video-only methods. Every bit of flexibility helps increase access to care and reduce strain on the system
3) For the same reasons, state lawmakers should eliminate requirements that a patient and doctor must have an in-person relationship before they can engage in telehealth services.
4) Both state and federal lawmakers should review health information laws like those in HIPAA to ensure that doctor discretion is optimized for future public health emergencies.
5) Expand scope of practice to reduce doctor strain now, and increase access now AND later. Nurses, but also make sure pharmacists can administer the vaccine. That's a huge deal
6) FINALLY fix the system to allow foreign med school grads and doctors to place into the system instead of nearly starting from scratch
7) Last. GTFO CON LAWS. They're strangling the system.
And, finally, some of these are outdated now bc it was what we knew back in March, but alcohol reg reform, home-based biz reform, and a few other recs can help add flexibility for businesses and individuals rstreet.org/2020/03/18/sma…
"According to a UPS survey, 41% of small businesses changed course, with 65% doing more business online."
STOP TRYING TO KILL THE GOLDEN, RESILIENT GOOSE
"Online sales have doubled compared with the same period in 2019. An interesting consequence of the pandemic has been the sudden influx of NYC residents to regions north, leading to an increase in sales of upstate-branded products."
"I am thankful we have digital platforms such as @Etsy, @instagram, and @Google to provide affordable services to keep business humming during this difficult year — from connecting with suppliers to communicating with customers."
"Prodigy argued it should not be responsible for the content its users create. It had no way of knowing whether Stratton Oakmont was a fraud or not and had never expressed an opinion on the subject. But a New York court held in favor of the real-life Wolf of Wall Street..."
"The court specifically cited Prodigy’s efforts at content moderation, aimed at prohibiting online harassment, as the reason for treating it differently than online platforms where “anything goes.”"
But if judiciary grills her on rational basis, it's silly bc they usually DEMAND this view from judges. Which is fine, but if they grill her and turn towards a @RandyEBarnett view for reals I'm here for it
Also most of my links will be @reason bc they sum up my larger thoughts in a readable way!
Also worth noting she seems like Kavanaugh-level of judge in certain ways. Very focussed on maintaining judicial stability but also moving gently in the future direction of jurisprudence