Deficit Commissions and Smoking Cessation

Have something in common. It typically takes multiple attempts for them to work. From the AHRQ smoking cessation guideline finding 1:

Tobacco dependence is a chronic disease that often requires repeated intervention and multiple attempts to quit

There have been numerous debt/deficit panels and they all conclude that spending will have to decline and taxes will have to increase if we are going to ever have a balanced and sustainable budget. They all acknowledge that health care costs are the biggest long term problem. The last step looks something like the Fiscal Commission recommendations (Bowles/Simpson) that got 11 out of 18 votes last December, and a yes from 6 out of 12 sitting members of Congress on the Commission (interestingly, 5 of 6 Senators voted yes, and 5 of 6 members of the House voted no).

Another commission/super Congress–whatever it may be called is not a dodge, it is the way that we will one day actually do it.

About Don Taylor
Professor of Public Policy at Duke University (with appointments in Business, Nursing, Community and Family Medicine, and the Duke Clinical Research Institute). I am one of the founding faculty of the Margolis Center for Health Policy, and currently serve as Chair of Duke's University Priorities Committee (UPC). My research focuses on improving care for persons who are dying, and I am co-PI of a CMMI award in Community Based Palliative Care. I teach both undergrads and grad students at Duke. On twitter @donaldhtaylorjr

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