CQ HEALTHBEAT NEWS
Dec. 11, 2012 – 5:26 p.m.
From the Editor: Remembering Alec Vachon
By John Reichard, CQ HealthBeat Editor
Many were the days when hunting for news and wary of being scooped, I picked up my phone, punched Alec Vachon’s number and heard a clipped greeting at the other end of the line: “Vachon.”
Just like the sound of his name, Vachon, who died Dec. 5 after a long illness, was terse and to the point. He was razor-sharp, a focused thinker who had no patience for baloney. But oh, did he have an enormous capacity for fun.
A consultant for many years and a GOP aide on the Senate Finance Committee before that, Alec was an important but not terribly well-known figure in the health policy community. His memory deserves to be honored and his career to be remembered simply because of how much he knew. Vachon probably knew the fine points of health policy as well as anyone. That knowledge helped keep reporters and his clients at the leading edge of the flow of information that drives health policymaking.
I suspect, too, that it helped keep more than a few of the aides on the Hill and in the executive branch — those people on whom lawmakers and government officials relied for expertise — at the top of their games.
A native of Massachusetts, Vachon worked on physician payment and other Medicare issues during his tenure on Senate Finance in the 1990s. He served on the panel during its negotiations on the 1997 balanced budget law. As a consultant, he advised companies in the long-term care and dialysis industries.
But for me, what really makes Alec’s career notable is that it’s a reminder that the health policy world really is a community and of how rewarding it can be because of the relationships involved and the stimulating work that people do.
Alec really helped nurture the conversation through his quirky and somewhat notorious email publication, Health Notes. And that’s ironic given how intensely private he was otherwise.
Through Health Notes, Alec drew that community in by making himself the hub of inside information. To get good stuff from Alec, you found yourself trying to give him good information. The more inside Health Notes got, the more people wanted to be a part of it, and the bigger his web of contacts grew.
Alec reported things most reporters would not publish through the innovation of calling unsubstantiated information “chatter.” What a concept! If you call something chatter, you’re alerting people that it may or may not be true. And it sounds so benign. People chatter, right? So why not tell folks what the chatter is? If it’s wrong, well hey, you called it chatter. If it’s right, you’re the first to let everyone know.
Health Notes also had a catchy way of labeling people that was kind of mean but kind of true and kind of funny. Reporters collectively became “the press sheeple,” presumably because of our sometimes timid, and often herdlike, behavior. And Nancy Ann DeParle, increasingly inaccessible and increasingly powerful because of her elevation to the post of White House Office of Health Reform director, became “the tsarina,” which she found amusing.
Health Notes had other catchy lingo. To make Wall Street seem less alien to the policy crowd, Alec called it “Mr. Market.” And Health Notes brimmed with enthusiasm for upcoming policy events that Alec posted and wanted to watch. “Pop the Popcorn!” he would say in excitement about some obscure upcoming hearing.
Alec’s product got to be a big hit, and he got kind of cocky. He’d call reporters during and after their stakeouts of the health care overhaul negotiations, suggesting questions to ask negotiators after they came out and wanting a fill on what Chairman
Health Notes reached the peak of its fame — well maybe infamy — on April Fool’s Day of 2009. Alec liked to make up a phony but plausible news story and run it in Health Notes at the start of every April. The more he did it, the more wary readers got.
From the Editor: Remembering Alec Vachon
That made his challenge more difficult each year — but it also made him more fiendishly clever. By 2009, everyone was determined not to be snookered by what appeared in Health Notes that day.
But reporters were on pins and needles waiting for a legislative proposal to emerge from health care overhaul negotiations. So on that day, when Health Notes appeared with a story announcing that Baucus had released a long-awaited legislative package with a link to the document, reporters leaped to file stories. I don’t know of anyone who wasn’t fooled, some only for a few minutes, some for longer.
There was talk that at least one story appeared in the press based on Vachon’s “leak.” When one of my colleagues in an adrenaline rush called him for details, Vachon frantically warded him off. “Steve! Steve!,” he warned him. “Have you clicked on the link? Click on the link! It’s the Clinton Health Security Act!”
Since the news came last week of his death from bone marrow cancer, I’m sure I’m not the only one who has wondered at least a little bit whether he was staging his most amazing prank yet. I can just hear him musing, “I wonder what they’ll say about me after I die ... hmmmm.” Deepening the mystery is that the news of his death came by tweet from Alec’s own twitter account. It would delight Alec to no end to hear this kind of lingering uncertainty expressed.
Alec’s snarkiness could make you think he was cynical, but in some ways he was anything but that. He used to close Health Notes by saying, “You make it a nice day.” One day, thinking of the hackneyed “Have a Nice Day” phrase people use with each other, I mocked his Health Notes closing. “What’s the matter with that?” he asked, wounded and genuinely puzzled.
Hints of Alec’s illness started popping up a few years ago.
Last fall when I asked him directly about rumors that he had a terminal illness, he acknowledged it. When we went to lunch early this year, he said he’d been through extensive treatment and was in remission. Gazing vacantly out on Dupont Circle, Vachon said, “It turns out that dying of a terminal disease is pretty boring.” That was pure Vachon.
Leaving that day, I told him to let me know whether I could be of help in some way. I called and emailed a few times after that, but increasingly we failed to connect. He was all over Twitter, though, so I didn’t know how close he was to death.
I think one major way Alec found comfort was in the pleasure and interest he took in his work and in the connections to the health policy world that he made through Health Notes and Twitter, where he had 4,000 followers. It also helped, I believe, that he mapped out a plan of how he would die on his own terms, including, it seems, slyly arranging to tweet his own demise.
So I think the best way we can remember Alec is to pop the popcorn. And you make it a nice day.