Despite the goal of the ACA to make health care more affordable, we have to admit that it has failed to do so, and that containment of health care costs is still just an illusion in this country.
The recent 5,000 percent overnight price increase of Daraprim brought the crisis of drug costs once again to the front burner of public discussion and outrage. Daraprim is a 62-year-old drug that is the standard of care for treating toxoplasmosis, a life-threatening parasitic infection. It was acquired a month earlier by Martin Shkreli, a former […]
These examples, based on the latest available evidence, make the case that the ACA is not a success, that just looking at the drop in the number of uninsured is not an adequate measure, and that more fundamental reform will be required:
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This situation stands in sharp contrast to elsewhere in advanced societies. Health care has been recognized as a right since 1948 when the General Assembly of the United Nations adopted a Universal Declaration of Human Rights including access to health care.
by John Geyman, M.D. www.johngeymanmd.org Traditional, or Original Medicare, turns 50 on July 30, having had many challenges and achievements from the days of its passage to today. It is time to celebrate its many successes, note some of its current challenges and threats to its future, and briefly discuss how it gives us a […]
by John Geyman, M.D. www.johngeymanmd.org You might think that we learned the lesson of discredited managed care in the 1990s. The term “managed care” is confusing to many, but really amounts to managed reimbursement rather than managed care, whereby a set prospective annual payment is made by federal/state governments, as in the case of Medicaid […]
“I think that the momentum for a single payer system will sweep the country . . . it will be such a huge popular issue . . . that even if it’s not successful the first time, it will eventually be.” —Hillary Clinton
After five years’ experience with the ACA, we now know that insurers themselves are a major barrier to achieving the kind of access to affordable care that our population so desperately needs.
The proposed legislation casts in concrete an almost laughable complex and expensive clinical record-keeping regime, while preserving the very volume-enhancing features of fee-for-service payment that caused the SGR problem in the first place. The cure is actually worse, and potentially more expensive, than the disease we have now.
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