Is the VA the Key to Healthcare Reform?
To find out the answer to this question–ok, a partial answer–listen to my appearance on the NPR show The Takeaway. CLICK HERE.
To find out the answer to this question–ok, a partial answer–listen to my appearance on the NPR show The Takeaway. CLICK HERE.
Lyndon Johnson’s advisers were worried. They were drafting a Medicare proposal, a major component of Johnson’s war on poverty. But the cost of this program was turning out to be much larger than expected. By their estimates, in the first year alone, they would face $400 million more in expenditures than they had budgeted for….
US healthcare spending is maddeningly high. As in: fifty percent higher than what other wealthy countries spend, with no evidence we’re getting any bang for all those additional healthcare bucks. In 2014, the state of Maryland took direct aim at this profitless profligacy, enacting a bold (dare I say European?) approach : it gave hospitals fixed…
Regular followers of my blog probably realize by now that I am a big fan of Sarah Kliff , at the Washington Post, who does a great job of reporting on the many ups and downs of Obamacare. Here is a video Sarah just put together, explaining the health insurance exchanges which go “live” today,…
Healthcare systems are big and complex beasts, that are very hard to transform overnight. In the United States, for example, we have long had a system of care dominated by fee-for-service payment. In this kind of system, the more tests and procedures and office visits that a physician orders, the more that physician gets paid….
I have been writing a bit lately on the need for healthcare providers to talk with their patients about healthcare costs, if for no other reason than to enable patients to determine whether they can afford to pay for the healthcare that their doctors are recommending them to receive. I have been criticized for this position, on…
Students at Duke University and UNC Chapel Hill just put together a very thoughtful proposal on how the state of North Carolina could expand its Medicaid program, while still promoting the private insurance market. Here’s a link to a wonderful story, that highlights their efforts and shows, I think convincingly, that the students are taking…