by John Geyman, M.D. Author of How Obamacare is Unsustainable. Now that Obamacare (the Affordable Care Act or ACA) is just turning five years since its enactment in 2010, it is time to assess its progress and shortfalls. This is the first of three posts that will deal with its experience toward its major goals—expanding […]
While there may be merit in some of these proposals, Brill’s brief prediction of how they would reform our system is unpersuasive and comes across as only wishful thinking, uninformed by evidence. His “plan” would just add another layer to our flawed system…
by John Geyman, M.D. http://www.copernicus-healthcare.org Having just finished reading Bob Herbert’s excellent book, Losing Our Way: An Intimate Portrait of a Troubled America, I am struck by the parallels between trends in public education and in health care. Herbert, opinion columnist for the New York Times for 18 years and now a Distinguished Senior Fellow […]
The prices and costs of cancer care in the United States have been growing so fast, for so long, that they are now a “canary in the coal mine” of an unaccountable health care system. Many cancer patients are now forced by their increased cost burdens to forego necessary care and die earlier without adequate care. There is a fix—single-payer financing that eliminates profits and waste to the detriment of patient care.
The V.A.’s failures are a failure of its delivery system, not its financing system (except to the extent that it is probably underfunded to meet expanded needs}. Contrast that with our civilian health care system, based as it is not on service but ability to pay, which continues to be a failed system on both the financing and delivery sides. Its failures have been documented in my latest book Health Care Wars: How Market Ideology and Corporate Power Are Killing Americans, and many of the posts from my fellow Health Care Disconnects panel members over the last year.
Ten of the 25 largest health systems in the U.S. are now Catholic-sponsored. As many Bishops interpret Ethical and Religious Directives (ERDs) for Catholic Health Care Services more rigorously, health professionals often are unable to provide evidence-based reproductive and end-of-life care based on religious grounds. This blog summarizes some of the problems and harms to patients.
“Premium support” or voucher proposals for Medicare are a mainstay of conservative health policy. They have been defeated for over three decades, starting with President Reagan’s FY 1981 budget proposal. They are a key feature of “managed competition” — type reform proposals. Although President Clinton embraced managed competition in his ill-fated health reform bill, he vetoed the 1995 Balanced Budget Act which would have turned Medicare into a voucher program. Premium support proposals were defeated again in 1997 and 2003.
As the Occupy Wall Street protest continues and spreads, a health care system that meets human needs is increasingly one of the demands.
There is a growing movement to stop the privatization and corporate-takeover of health care in the U.K. and internationally. PNHP member Dr. Matt Anderson from Montefiore medical center in the Bronx spoke recently at the International Association of Health Policy meeting in Ankara, Turkey, along with New Mexico PNHP member Dr. Howard Waitzkin. Save our NHS’s Dr. Jacqueline Davis will be a featured speaker at the upcoming PNHP meeting in Washington, DC on Saturday October 29.
We saw in our last post how the intensifying class war in America over the last 30 years has hollowed out the middle class and led to the widest gap between the haves and have nots in our country’s history. In this Second Gilded Age, the right has been winning the war by its promotion […]
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