One Price Does Not Fit All for Medical Fees


As part of the Duke undergraduate course I teach on health care policy, I recently prepared a lecture on Bill Clinton’s ultimately futile efforts to reform the US health care system early in his first term of office, back in 1993. This preparation gave me an excuse to read Theda Skocpol’s wonderful book, Boomerang.
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In 2006, health-care expenditures in the U.S. rose 6%, a rate of growth significantly higher than inflation and one that, if sustained, would lead to a doubling in health-care spending in a mere dozen years. Some of that extra spending was a function of more doctors doing more things to more people—an increasing number of…
A while back, I linked to a story by Rebecca Plevin, out of California Public Radio, on the challenge of discussing health care costs. Well, she has tuned up that piece and placed it on Marketplace. Here is a print version: When a doctor prescribes a medication, most of us don’t ask how much it’ll…
Usually it costs money to get an MRI. But sometimes, in order to save money, insurance companies pay patients to seek less expensive medical care providers. Here is an excellent news report on the topic from The News & Observer: North Carolina’s largest health insurer is proposing a solution to control runaway health care costs:…
Aggressive control of blood pressure has saved millions of lives, and has prevented millions of people from experiencing heart attacks, strokes and kidney failure, among other things. Admittedly, controlling blood pressure is not the sexy part of medical care, but when primary care doctors like me help people get their blood pressure under control, we…
David Blumenthal and colleagues recently wrote a wonderful piece in the New England Journal on the future of Medicare. In it, they present a powerful picture comparing how often people in 11 countries have difficulty accessing medical care because of costs. The good news? The USA came in first place. The bad news? First is…