Is a test that costs $800,000 to add one year of life worthwhile? In one survey, most physicians said yes-evidence that controlling costs will require overcoming very powerful, and irrational, psychological forces. Imagine for a moment that you are in charge of the U.S. health care system, and must decide whether to pay for a…
Obamacare is a big, messy law with so many moving parts, it is often hard to tell how well it’s working. People debate whether it is killing jobs or creating them; they argue about whether it is lowering medical expenses or raising them. These debates often feel irresolvable because the law, being a national one,…
Here is a new post I’ve got up at the Health Care Cost Monitor, in which I try to convince folks that even Republicans should be in favor of federalizing Medicaid. I’d love your feedback, as I’m still developing this idea.
In a recent Washington Post article, Sarah Kliff reported that “Cancer clinics across the country have begun turning away thousands of Medicare patients” because of reductions in reimbursement caused by the sequester. Specifically, oncologists will no longer be able to markup the price of chemotherapy by 6% “to cover the cost of storing and administering” the drugs….
Two problems loom large over the American medical care system. First, we spend outrageous amounts of money on healthcare, with too many patients receiving too many services at too high a price. Second, our malpractice system is an international embarrassment, with too many healthcare providers sued by too many patients for too little reason. Many…
Recently my employer, Duke University, announced it would be charging $10 more per month to offer health insurance to smokers (see story here). Duke’s policy has a couple motivations. Smokers get sick you see, and those smoking related illnesses cost Duke money. So it’s only fair to pass some of those expenses… (Read the rest and view…
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