If you live in the rural U.S., you probably face relatively limited access to the wonders of American healthcare. There won’t be as many physicians per capita offering you their services. This paucity of healthcare professionals will be especially stark for subspecialty care. There are not many ENT specialists opening up shops in rural…
For anyone interested in health policy, Sarah Kliff at the Washington Post has perhaps the most useful and informative blog to be found. Here’s a picture she posted recently, showing the status of state Medicaid programs, in a post exploring which states she expects to be revisiting their decisions about how, or whether, to expand in…
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…
The U.S. medical malpractice system is broken. It frequently does not punish doctors who need punishing, while levying fines against doctors who did nothing wrong. And this dreadfully inaccurate system still manages to take almost five years, on average, to settle claims. Experts have been promoting a type of reform known as “safe harbor rules,”……
I have written a couple of pieces lately documenting the high percentage of physicians who refuse to take Medicaid patients, and some of the reasons for their refusal. One of my pieces prompted a physician to email me with his take on this matter. I am going to quote from that email, but take out…
There has been controversy recently about whether obesity is truly bad for people’s health, or in fact whether it might even protect people from early mortality. A study from the New England Journal in January provides strong evidence that obesity kills. It shows that people with very low body mass index have high mortality rates,…
Here is a nice picture, from a HuffPo article , showing how much money states are losing by not expanding Medicaid in accordance with the Affordable Care Act: Not a small change, by any measure. Shows how much it means to some folks to prove their anti-ACA bonafides. What is too often lost, in this…
Here is a picture from a recent Atlantic article, showing that, pre-Obamacare implementation, women have more difficulty paying for medical care: The ACA should fix improve this situation, meaning Obamacare should help women more than men. (Click here to view comments)
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…