A report on the Kaiser Family Foundation website shows how long it takes to get appointments with primary care doctors and subspecialists. The most dramatic finding comes out of Boston, where you can expect to wait more than two months to see a family physician. I expect the delay in seeing a family physician results…
I teach an undergraduate health policy class at Duke University. Recently, my students asked me whether states potentially hurt themselves by offering generous health care benefits when neighboring states don’t offer such benefits. Then I got home and pulled out a recent issue of Health Affairs, and read the results of a study suggesting that this…
Measuring healthcare quality has become a veritable cottage industry. Quality measures are proliferating so quickly that the Department of Health and Human Services has created a, and I’m not making this up, “Quality Measures Clearinghouse”. At last count, it included more than 2100 such measures. When it comes to health care quality, if you measure…
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…
In a very influential 2009 New Yorker essay, Atul Gawande described why health care spending is rampant in McAllen, Texas, an example of the regional variations in healthcare utilization that policy experts at Dartmouth have been studying for years. Indeed, this research has shown much higher spending in places like McAllen, compared to cities like Salem,…
Many readers will recognize Ronald Reagan’s famous maxim that: “Government is not the solution to our problem; government is the problem.” Some will even recognize his vehement opposition to Lyndon Johnson’s Medicare proposal, before the program was passed into law: “We are faced with the most evil enemy mankind has known in his long climb…
I have been worried about healthcare costs for a long time, so the fact that we’ve had a few years in which healthcare costs have risen more slowly than normal hasn’t got me overly excited. I’ve seen this happen before, and worry that costs will accelerate again soon. But a recent study suggests that this…
A recent Gallup poll shows that the percent of Americans without health insurance has dropped significantly in recent months. Here’s a picture of their findings: This drop has occurred largely in response to Obamacare – to the expansion of Medicaid in those states which went along with that provision of the law, and with the…
I’m-sure-you-know-this-by-now fact-of-the-day: the US leads the world in healthcare costs. As I’ve written previously, a big reason for this is that prices in the US for healthcare services are higher than elsewhere. This was nicely illustrated in a Health Affairs article from 2012. The article looked at how many physicians per capita practiced across six countries,…
Read the following quote, and try to guess which U.S. president made this statement: “A responsible budget is not our only weapon to control inflation. We must act now to protect all Americans from healthcare costs that are rising $1 million per hour, 24 hours a day, doubling every 5 years. We must take control…