Why people hate health reform

Here is a link to an Op-Ed I wrote with two colleagues at Duke, in which we provide a novel explanation for why so many Americans hate Obamacare.

Here is a link to an Op-Ed I wrote with two colleagues at Duke, in which we provide a novel explanation for why so many Americans hate Obamacare.
About one in fifty people reading this essay will be diagnosed with kidney cancer at some time in their life. In fact, one out of one people writing this essay has already been diagnosed with kidney cancer. (I had a small tumor removed from my left kidney not long after I turned 50.) But how many people…
Physician reimbursement increasingly depends upon measures of healthcare quality. Physicians who fall short on quality measures now face financial penalties. But it might be quality measures, themselves, that are falling short, according to a study conducted by the American College Physicians. The study involved a panel of people with expertise in evidence-based medicine. Panelists were asked…
In a recent post, I pointed you towards a very nice article by Jason deBruyn about controversies over the role of nurse practitioners in providing primary care. A recent study in the journal Health Affairs showed that when states loosen up their regulations over what nurse practitioners can do, the percent of people receiving primary…
In 2010, the state of Rhode Island decided to tackle high healthcare costs. It did so by requiring insurers to meet affordability standards. The plan worked, but not for the reasons you probably suspect. Let’s start with what Rhode Island’s standards look like. It required several things of insurers: Premium caps – with annual inflation equal…
Seven days into the patient’s hospital stay, his doctors realized they had fought a losing battle. The patient, an overweight smoker with a touch of diabetes, had come to the emergency department with shortness of breath. After a series of tests in the emergency room, he was given a dose of antibiotics for possible pneumonia…
Rural hospitals have been closing at alarming rates, no longer able to bring in enough revenue to serve their communities. Fortunately, there is something both state and federal legislators can do to keep local hospitals open. State governments: if you haven’t expanded Medicaid, do it now. Under the Affordable Care Act, most of the cost of that…