Health Insurance Exchange Decisions…So Far!
But in this partisan world, not all states are going ahead with the idea of creating these exchanges. The Washington Post’s Sarah Kliff has a nice summary, in one simple picture, of where things stand:

Jonathan Gruber went from unknown to infamous in the last few weeks, a result of disparaging comments he made about the Affordable Care Act (aka Obamacare) and even more disparaging ones he made about the American people. According to Gruber, the Obama administration counted on “the stupidity of the American voter” to pass the bill. In fact,…
With jobs disappearing faster than a major league fastball, the public is understandably irate at the damage that greed has wrought upon our economy. Financiers destroy their companies, and our retirement portfolios, and then complain when their bonuses are less than 7 figures. The greedy behavior in recent headlines has not been limited to Wall…
Medicine, today, is supposed to be “patient-centered.” But sometimes the patients feel a little off balance. What can they do when everyone seems to be trying to push aggressive, expensive treatments on them? One solution — or a partial solution — is known as shared decision making, in which patients are given specific tools, such…
In the previous two posts, I show that out of pocket costs are rising given the increasing prevalence of high deductible insurance plans. That means that even though you have insurance, you are going to be paying for your own care until you reach the deductible. Here is a picture showing that out-of-pocket costs are…
Recently my employer, Duke University, announced it would be charging $10 more per month to offer health insurance to smokers (see story here). Duke’s policy has a couple motivations. Smokers get sick you see, and those smoking related illnesses cost Duke money. So it’s only fair to pass some of those expenses… (Read the rest and view…
With increasing frequency, Americans are purchasing health insurance plans that require high out-of-pocket costs. Chief among those costs are deductibles, the amount of money a person or family must spend out-of-pocket on medical care in a year before their health insurance “kicks in.” As this figure illustrates, from the Kaiser Family Foundation, deductibles have been…