As anyone who has followed the Obamacare roller coaster over the past 4 years knows, passing legislation is only the first step in reforming a healthcare system. Since Obamacare came into law, we have been consumed by battles over how to implement it, and by struggles over how to make it work effectively. But such…
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….
On October 10, 1952, President Dwight Eisenhower gave a speech in Salt Lake City in which he reiterated his opposition to socialized medicine. In fact, he had long asserted that he would “use every single attribute and influence of the Presidential office to defeat any move toward socialized medicine.” But Ike also recognized that all…
In The Heart of Power, David Blumenthal and James Morone relate the 75 year history of presidential efforts (typically unsuccessful) to reform the U.S. healthcare system. I used to think major reform efforts did not happen for many years after FDR’s New Deal. After all, social security had taken a huge dent out of poverty among…
As I pointed out in a recent post, experts have been debating what has caused the recent slowdown in medical spending in the United States. They are also try to figure out whether that slowdown will continue. And figuring this out is pretty darn important, because it has a major impact on how we budget…
A recent article in the New York Times, projects increasing problems with federal budget deficits over the next several decades, problems caused in no small part by the likelihood of increased health expenditures. More evidence of the importance of overcoming partisanship. Whether you are a liberal or conservative, you have to recognize that Medicare and…
Health policy wonks have been pointing for a while now to large variations in Medicare spending across different parts of the country. Live in Miami, and the government is probably going to spend a heck of a lot more for you on Medicare than if you live in Minneapolis, even after accounting for how healthy or…
For most Medicare patients in United States right now, Medicare pays for hospital stays on the basis of what are called Diagnostic Related Groups or DRGs. You get diagnosed with pneumonia, and your hospital gets payment to treat a typical case of pneumonia. Name the diagnosis, and the hospital will know what it gets paid….
If you have been paying attention to US healthcare policy debates lately, you know that hospitals have a price problem. Walk across the street from one hospital to a competitor hospital, and you could easily find yourself facing a $30,000 increase in your medical bills. At one extreme for instance recent information shows that replacing your hip…
There is one thing that politicians on both sides of the aisle agree upon: the biggest threat to the future fiscal solvency of the United States is Medicare, the program that pays medical expenses for elderly and disabled Americans. For many years now, the Medicare budget has been growing much faster than the economy as…