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  • If We Cut Surgical Pay, Will Surgeons Cut into More People?

    Shutterstock Knee replacements are booming. Between 2005 and 2015, the number of knee replacement procedures in the U.S. doubled, to more than one million. Experts think the figure might rise 6-fold more in the next couple decades, because of our aging population. Since many people receiving knee replacements are elderly, Medicare picks up most of…

  • 150,000 Walt Disney Employees Denied Mental Health Coverage – A Headline from the Future

    Newswire Services, April 11, 2015: Breaking News


    Since purchasing the Walt Disney Company six months ago, the Church of Scientologyhas been slowly remaking that venerable institution, in an effort to promote their ambitious religious mission. In the pipeline are an unprecedented number of science fiction films and John Travolta/Tom Cruise buddy movies, changes that have been surprisingly popular among movie fans.
    But now the church is making a change that is not so popular. It has decided that Disney employees will no longer receive insurance coverage for psychiatric care or any medications used to treat mental illness: “Psychiatrists are the enemy of the people,” stated Church spokesperson Walter McGee. “The church opposes their brutal, inhumane treatments and refuses to pay for such services because they collide with our religious beliefs.”
    Many Disney employees are up in arms over this decision. But the church is unrelenting in its position: “If people want to receive devil-care, they can either pay their own money or find a job somewhere else,” said McGee.
    Critics blame the situation on a decision made by President Obama in February of 2012. Early that month, he had announced regulations that would require health insurance companies to cover contraception, with exceptions for churches that oppose birth control but not for larger church run organizations such as hospitals or universities. The Roman Catholic Church cried foul, claiming that their religious freedom was being violated. In response to pressure, the Obama administration quickly backed off on its policy, broadening the religious exception to any church owned business that was run as part of the church’s broader religious mission.
    That shift in policy opened an opportunity for religious organizations to carve a broader set of services out of their health insurance plans. The Jehovah’s Witnesses had gained ownership of Wal-Mart in late 2013, and soon employees of that company (at least the ones who get health insurance) no longer received coverage for blood transfusions. An Orthodox Jewish organization became majority owners of Ace Hardware in early 2014, and now employees of that company no longer receive insurance coverage for insulin products that are derived from pork.
    The Church of Scientology is undeterred by critics who claim that treatments like antipsychotic medications and antidepressants ought to be part of any basic health insurance plan. “America is the land of religious freedom,” he explains “a place where the government has no right to stand between a church and its employees.”
    Who could argue with that logic?

  • How Physicians Respond to the Price of Lab Tests before Ordering Them

    Shutterstock Healthcare prices in the U.S. are often hidden. Some people think this price opacity contributes to our nation’s high healthcare spending. If people don’t know how expensive healthcare is, they won’t have much reason to restrain healthcare utilization. A recent study tested what would happen if physicians were immediately informed of the price of lab tests…

  • When It Comes to Controlling Healthcare Costs, the Government Outperforms Private Industry

    When I think of the federal government, “efficiency” is rarely the first thing on my mind. But when it comes to controlling healthcare costs, we need to consider the possibility that the federal government is better at this job than anyone else. Consider the fact that the United States dwarfs other countries in healthcare spending,…

  • Merger Mania in Medicine — What Will It Cost Us?

    The federal government is currently debating whether the big six health insurance companies in the U.S. will soon become the big four. Aetna and Humana have announced plans to merge, as have Anthem and Cigna. The American Hospital Association and the American Medical Association strongly oppose the mergers, saying they will reduce competition in consumer…