Blog


One Rule

Good, sustainable health policy must start with acknowledging two competing moral issues – the financial devastation of some now vs. the financial burden for many in the future.

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Ten Months of June

After many blog posts that assume the role of outside critic, your humble writer accepts a challenge to lay out what he would do to fix healthcare (as if anyone would ever ask).

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Closing Arguments

To conclude, most advocates of a single payer system view this is primarily a moral debate, believing that any developed society has a responsibility to provide coverage for all citizens.

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Iowa Hurricane Insurance

The strongest economic argument for a single payer system is that it provides the largest, most diverse pool of insureds possible across which financial risks can be spread.

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Dirty Words

Because healthcare costs are so unevenly distributed, it is a given that some form of income redistribution is required to help pay for those who are poor or who incur extremely high costs.

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A Minsky Moment

Increasing the government’s share of healthcare spending, at a time when it is already the major contributor to the public debt, would surely increase the likelihood of a financial crisis.

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Syllogisms

Before we get to specific alternatives and solutions, we must clearly accept the inevitable conclusion that some form of cost sharing across the population is required.

 

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O Canada

For many, ‘single payer’ is presumed to be the Canadian system, a federally funded, locally administered system that pays private providers on a fee-for-service basis according to government mandated rates.

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The Fundamentals are Fundamental

There is growing evidence that Medicare Advantage plans deliver equal or slightly better care at lower rates of utilization, but there is much debate as to what those findings mean.

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Risk Management

Most Medicare Advantage plans are HMOs or tightly defined PPO networks, a model that would likely continue if the single payer model were the ‘Medicare Advantage for all’ idea.

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ALN

Tim Coan, ALN’s CEO, writes an insightful and witty blog three times a week about a variety of topics relevant to independent physician practices.

Yes, I'd like to get Tim's blog.