The always informative Jonathan Cohn at the New Republic recently wrote about an opinion poll that seems to show significant support for at least one part of The Affordable Care Act. It showed a majority not only of Democrats and independents, but also Republicans, supporting Medicaid expansion: Only one problem with that finding. Ask the…
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,…
Take a look at the image below and decide what you are seeing: Some of you might have seen a “B.” Others might have seen the number 13. The image, after all, is ambiguous. For that reason, in fact, it was used by researchers to study how our hopes influence our perceptions. The study design…
A while back, my friend and colleague Brendan Nyhan sent out a disturbing picture showing that moderate politicians, from both the Democratic and Republican parties, are less likely to run for seats in the House of Representatives than more extreme politicians: Very disturbing trend! It is hard to see the policies of our country improving if…
In health policy circles (yes, those exist!), experts often refer to three aims for a modern healthcare system – to offer (1) universal access to (2) high quality medical care at (3) an affordable cost. Access, quality, and cost: a possibly unachievable set of goals, certainly in the U.S., where the quality of our care…
Most of us have at least one cranky old relative who not only has stronger opinions than the rest of us, but is also convinced that those opinions are superior to ours. Not just content to believe that, say, voter ID laws are a good idea, this relative is also derisive of anyone with a…
Politics in the US is discouragingly partisan. National politics has become increasingly partisan since at least the late ’60s, when the passage of civil rights legislation influenced many conservative southern Democrats to join the Republican Party. Even state politics has become more partisan, where even famously nice people in Wisconsin have found themselves battling their neighbors across…
Until recently, the state of North Carolina, where I live, was a bastion of political moderation, especially compared to our neighbors in the southeast. Our politics were moderate in part because the Democratic Party remained relatively strong in the state, and to survive in this region of the country had embraced center left, rather than…
I am very fortunate to have never been sued. That is not necessarily because of my amazing ability as a physician. I always practiced in Veterans Affairs medical centers, where my status as a federal employee meant I would not get sued by my patients. I also had an incredibly appreciative patient population. But I…
I have been thinking a lot about C Everett Koop lately, ever since his death on February 25 at the ripe old age of 96 and more recently with the announcement that our current Surgeon General, Regina Benjamin, is planning to step down from that post. In particular, I have been pondering what made Koop…