PNHP

Our current medical system is failing

Our current medical system is failing

By H. Dixon Turner, M.D.
Portsmouth (N.H.) Herald, September 24, 2018

To the Editor:

I have been involved in providing primary care medical care for 44-plus years. Unfortunately, I now on a daily basis encounter many ways that our current medical system is failing. The costs of medical insurance, medications and many aspects of care are outrageously expensive and many patients do not even have access to basic care.

A case in point is the cost of epinephrine. I regularly order epinephrine ampules for the emergency cart in my office. Not too long ago I could get 25 ampules for around $25. When I ordered ampules about 18 months ago the cost for 25 ampules had risen to $62.50 or $2.50 per ampule. When I ordered the same ampules 2 weeks ago the cost had risen to $23-$25 per ampule!! That represents a 10 fold increase in cost in 1 ½ years. This is outrageous and quite frankly immoral. Unfortunately under our current medical care system such arbitrary price increases are allowed and are not regulated.

President Trump’s and the Republicans’ efforts to dismantle the Affordable Care Act will further fragment our medical care system, lead to more people not having access to care and will greatly increase the cost of medical care for all of us. These efforts — in the name of allowing “free choice” — only lead to increased profits for insurance and pharmaceutical companies.

Currently in the USA 17 percent of our GPA is spent on medical care, which does not cover all of our citizens. Compared to other developed countries, we have the worst medical outcomes even though those countries’ expenditures are as little as half as much as ours.

We must move toward a single payer or regulated payers’ system where reasonable limits are set on the cost of medications and medical care and in which all people are included and have access to medical care.

http://www.seacoastonline.com…

For profit hospitals have higher readmission rates

Proprietary management and higher readmission rates: A correlation

By Manish Mittal, Chih-Hsiung E. Wang, Abigail H. Goben, Andrew D. Boyd
PLOS ONE, Abstract, September 18, 2018

Introduction

Reducing preventable readmissions among Medicare beneficiaries is an effective way to not only reduce the exorbitantly rising cost in healthcare but also as a measure to improve the quality of patient care. Many of the previous efforts in reducing readmission rate of patients have not been very successful because of ill-defined quality measures, improper data collection methods and lack of effective strategies based on data driven solutions.

Methods

In this study, we analyzed the readmission data of patients for six major diseases including acute myocardial infarction (AMI), heart failure (HF), coronary artery bypass graft (CABG), pneumonia (PN), chronic obstructive pulmonary disease (COPD), and total hip arthroplasty and/or total knee arthroplasty (THA/TKA) from the Center for Medicare and Medicaid Readmissions Reduction Program (HRRP) program for the period 2012–2015 in context with the ownership structure of the hospitals.

Results

Our analysis demonstrates that the readmission rates of patients were statistically higher in proprietary (for profit) hospitals compared to the government and non-profit hospitals which was independent of their geographical distribution across all six major diseases.

Conclusion

This finding we believe has strong implications for policy makers to mitigate any potential risks in the quality of patient care arising from unintended revenue pressure in healthcare institutions.

From the Discussion

The policy makers need to carefully evaluate and design healthcare policies that mitigate potential risks associated with unintended revenue pressure in harming patients.

https://journals.plos.org…

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Comment:

By Don McCanne, M.D.

Is the primary mission of the health care organization to serve the needs of patients, or is it to make a buck? It makes a difference. This study shows that readmission rates were higher in proprietary (for profit) hospitals than in non-profit hospitals.

This fundamental difference in hospitals that must cater to passive investors is one reason why the single payer, improved Medicare for all model as supported by Physicians for a National Health Program would covert for profit entities to non-profit. Unfortunately, this important policy recommendation is being left out of many of today’s discussions on health care reform.

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There is just no denying that Medicare for all is the right solution

By Olveen Carrasquillo, M.D., M.P.H.
Miami Herald, September 21, 2018

Keep the government away from Medicare.

Seriously?

Herman Cain, former CEO of the National Restaurant Association and a former presidential candidate, ludicrously argues that single-payer healthcare would be a death sentence for seniors in his Sept. 19 op-ed in the Miami Herald.

He seems unaware seniors are already insured through single-payer health insurance — it’s called Medicare.

He cites anecdotes from other countries, yet all academic studies show such nations have better access and quality healthcare. They also have better health outcomes at much lower costs.

In our public hospital, we are confronted daily with the suffering that results from having so many with poor access to health care.

In our offices, we waste way too much time fighting private insurance companies that arbitrarily deny tests, procedures and medications to our patients.

Skyrocketing insulin prices force many with diabetes to ration or not take their lifesaving medications.

It is easy to dismiss rhetoric from someone whose political ads highlighted the virtues of smoking.

But Cain is correct that Obamacare was problematic. It provided many with expensive private insurance with limited benefits. Wisely, Obama has seen the error of his ways and now advocates for an improved Medicare for All.

Medicare is the right solution for our seniors and now needs to be extended to everyone else!

Dr. Carrasquillo is professor of medicine and public health, and chief, division of General Internal Medicine at the University of Miami, Miller School of Medicine.

https://www.miamiherald.com…

Middle Georgia medical crisis made worse by state- and national-level decisions

By Jack Bernard
The (Macon, Ga.) Telegraph, September 20, 2018

Georgians self-report poor/fair health at a much higher rate than Americans in general, 19 percent to 16 percent. Georgians are correct based on objective morbidity factors (University of Wisconsin “County Health Rankings and Roadmaps”) as shown below. Even more important to a Telegraph reader, Bibb County is significantly worse than the rest of the state, ranking 143 out of 159 counties on statistical health outcomes and 98 on general health factors.

A major reason for Georgia’s poor health status is that our rate of medically uninsured (younger than 65) is 16 percent, much higher than the national average of 11 percent. This dismal situation was caused by the failure of our state leaders to accept Medicaid expansion via the Affordable Care Act (Obamacare), although 90 percent of the cost of expansion is paid by the federal government. But, the long-term solution is Medicare expansion, not Medicaid.

I’ve pulled two indicators to illustrate how our state falls short: (a) Premature deaths for the U.S. as a whole are 6,600 per 100,000 versus 7,500 per 100,000 for Georgia. The low birth weight rate for the USA is 8 percent versus 10 percent for Georgia.

On the provider end, The Medical Center of Central Georgia and other hospitals that serve a disproportionate number of medically uninsured have high levels of bad debt, causing medical price increases for Bibb’s private pay patients. Also, due to indigent care, many of Georgia’s public hospitals are asking for increased subsidies paid for from local taxes.

The bottom line is that Georgia is a less healthy state, and Bibb is even more unhealthy. Clearly, providing health insurance to more Georgians will have a greater positive impact on Bibb citizens versus the state as a whole. And that is the reason that single payer (Medicare for All) should be supported by all Bibb taxpayers. But it is not because of deliberate misinformation, some of it by health professionals.

Medicare is one of the nation’s most efficient and popular programs, having an overhead of just 2 percent versus an average of 12 percent for private insurance. Few conservative Americans older than 65 believe that their Medicare represents socialism. All providers are private, as will be the case when it is finally expanded.

Countries with single payer and similar systems all provide universal care at a fraction of the cost here while covering everyone.

All have better healthcare outcomes. Some of this is undoubtedly due to a healthier lifestyle. But, I doubt that all my distant relatives in Naples and Paris turn down second helpings of food while bicycling to work daily.

It is a real pity that the word “socialism” scares politicians who would otherwise endorse Medicare for All. Trump repeatedly endorsed single payer until he became a politician.

Health coverage and cost are not problems that will resolve themselves via minor changes. Thirty million folks are still uninsured. Since my time as director of health planning for Georgia, national expenditures on health care as a percent of GDP has risen from 8 percent to over 18 percent. This situation has meant less money for infrastructure and education.

But, there is hope long term. The majority of Democrats now supports single payer. Someday, so will the GOP. If for no other reason than cost, change will inevitably come. At that point, hopefully health status for Bibb residents will improve.

Jack Bernard, the first director of health planning for Georgia, has been an executive with several national health care firms. A Republican, he’s a former chairman of the Jasper County Commission.

https://www.macon.com…

Kentucky’s Medicaid expansion is cost-effective and saves lives

By Barbara Casper, M.D.
Louisville Courier-Journal, September 20, 2018

I am a physician who has spent my entire 32-year career caring for uninsured and underinsured patients – 20 of those in Kentucky. I have written editorials in the past supporting the ACA as well as the Medicaid expansion and I feel that I need to respond to an editorial published in this paper written by Jordan Harris.

First of all, Mr. Harris points out in his editorial that 1.4 million of our neighbors are poor enough to qualify for Medicaid. That is simply stunning – it means that 1.4 million people are living below 127 percent of the poverty level inner state. As someone who cares for many of these patients, I can tell you that the idea that these folks are taking advantage of the system is simply untrue. Are there a few “able-bodied” people who have chosen not to work and therefore qualify for Medicaid? Yes there are. However, the vast majority of our patients work in jobs that do not provide employer-based insurance, have disabilities that have taken them out of the workforce or are caring for aging parents and children. In addition more and more of my patients are caring for their grandchildren as the children’s parents are suffering in the current opioid use crisis.

Secondly we cannot afford to let these folks lose their insurance. The cost of medical care does continue to increase but taking insurance away from patients will not decrease that cost, but will shift it. Patients will continue to get sick. We have to make a decision as a society whether we are OK with patients dying because they cannot afford lifesaving treatment or if we are willing to absorb that cost. It is also much more cost-effective to treat illnesses earlier rather than when the disease has progressed. Let me give you a real-life example.

A 50-year-old man has a screening colonoscopy as recommended for his age. A 1 cm polyp is found in his rectal area and is removed and has no evidence of cancer. Because he had a polyp, he has a repeat colonoscopy every five years for the next 10 years and thankfully has no further polyps. The cost of the initial colonoscopy with biopsy is $2,145 and the subsequent colonoscopies are $1,905 each for a total cost over 10 years of $5,955.

By contrast his brother does not have insurance and cannot afford to pay for a screening colonoscopy. Five years later he develops rectal cancer requiring a resection and a colostomy. He also undergoes chemotherapy and radiation treatment. The cost of the colon resection alone can be up to $38,000. The cost of chemotherapy and radiation treatment will be equally if not more expensive. I am not an accountant but it seems much more cost-effective to allow people to have recommended treatments and preventive care. This does not even take into account the pain and suffering for our patient now with a colostomy.

The only way taking Medicaid away from the patient is cost effective is if we allow them to die. People die from lack of insurance. Unfortunately, I have personally experienced situations where patients delay treatment due to concerns of cost and seek care when there is little we can offer. I hope we will not, as a society, get to the point that this is acceptable.

Which brings me to Mr. Harris’ second point. He posits that conservatives are uncomfortable with a “welfare” state. He cites studies which do not show cost-effectiveness of the expansion of Medicaid. I can provide equally compelling evidence from the literature that shows that since the implementation of the ACA and Medicaid expansion, there have been fewer ED visits, increased primary care visits and improved compliance with medications in Kentucky. My own experience corroborates this. It will take years to prove the benefits of management of chronic medical conditions such as diabetes and hypertension. However, I have witnessed improved BP and diabetes control in my patients who now have access to medications and other resources. As a physician I am confident we are making a difference.

I also believe it is time to have an honest discussion about the role of government in our lives. I find it interesting that conservatives decree government intervening when people need help with health care, housing, etc., but have no issue with telling me who I can love or what I can do with my body. It is true that the cost of health care has skyrocketed but taking insurance away from people will NOT change that cost. Please be clear that very few people could afford to pay for health care with the assistance of insurance, whether employer-based or Medicare or Medicaid. The absolute best solution would be to have a single payer system – Medicare for all. Until we, as a country, decide we need to provide essential medical care to all citizens, we cannot afford to dismantle the Medicaid expansion.

Dr. Barbara R. Casper is a professor at the University of Louisville School of Medicine.

https://www.courier-journal.com…

Follow the money to health care’s undo administrative costs

By George Bohmfalk, M.D.
The Aspen (Colo.) Times, September 20, 2018
(Part 3 of 6. Read parts 1, 2, 4, 5 and 6.)

Last year, the United States spent around $3.5 trillion on health care. As there are about 325 million of us, that comes to a bit over $10,000 per person.

Not only is that twice the per-person average that other industrialized countries spend, at around 18 percent it is also about twice the percentage of gross domestic product that those countries spend on health care. And they cover everyone.

According to data provided by the Organization for Economic Co-Operation and Development, a group of 36 countries working on economic and social issues, we are not getting our money’s worth.

We pay the world’s highest prescription drug prices. Our medical outcomes, such as maternal and infant mortality and our overall life expectancy, are worse than those of most other modern nations. Millions of Americans have no health care insurance, and millions more who have insurance either defer needed care or go bankrupt due to unaffordable deductibles and copayments. Where is all the money going, if not to good care?

Some experts point to our high prices as the culprit. They believe that price transparency and more competitive markets can solve our problems. Our prices are high, but there’s an even larger elephant in the room, gobbling up a ton of money. In fact, it consumes close to one-third of all health care spending. That unproductive and ravenous elephant is administrative overhead.

How did we come to spend around $1 trillion a year on health care administration? There are many reasons, but the main ones are for-profit private insurance companies and a bureaucratic industry called managed care.

The overheads of private insurance companies average around 20 percent. Until reigned in by provisions in the Affordable Care Act (aka Obamacare), many companies spent even more than that, on advertising, executive compensation, sales commissions, shareholder dividends, and routine claims processing, including denials and appeals. The overhead of Traditional Medicare is 2 percent to 3 percent, because all it does is process claims.

In the 1970s, as health care costs were rising everywhere, we in the United States tried to bring them under control through better management. We experimented with health maintenance organizations and hired physicians, nurses and case managers, to reduce hospital lengths of stay, deny treatments and otherwise micromanage health care. The result has been a slight improvement in some medical costs, but this has been accompanied by an enormous new managed care bureaucracy, spread among hospitals, physicians’ offices and insurance companies. The cost of all this bloated administration accounts for that trillion dollars.

About the same time that we went in that direction, Canada implemented its single-payer national health care system, with private doctors and hospitals. By eliminating around half of the administrative overhead of a complex, multi-payer, for-profit insurance system, their percentage of GDP spent on health care remained fairly flat, while ours has continued to escalate. Their health outcome results are better than ours, and everyone is covered.

Multiple academic studies agree that we could cut our health care administrative overhead by around half by moving to a single-payer system, saving as much as $500 billion each year. We could save $100 billion more by negotiating prescription drug prices. That total amount is many billions more than it would cost to provide full health care insurance to everyone, with no deductibles or copayments. That amount is more than enough to pay negotiated prices for prescription drugs, as well as dental, vision and hearing care. Billions now spent each year on paperwork could be redirected to actual care.

How do we move the money around? There will be taxes, as you have no doubt heard. What you may not have heard is that for 95 percent of households, those taxes will be less than what they currently pay in insurance premiums, deductibles, copayments, prescription drugs and other components of health care. The only ones expected to pay more are those with annual incomes around $400,000 and higher. For the 99 percent, you would pay less and get more.

The simplest route to this goal is to expand and improve Medicare, a proven and efficient single-payer system. There may be some tradeoffs, but the greatest result would be improvement in our nation’s health and the relief of much unnecessary physical and financial suffering.

Dr. George Bohmfalk practiced neurosurgery in Texas before retiring to spend half of each year in the Roaring Fork Valley. He is active in Physicians for a National Health Program, a physician-driven group advocating for a single-payer health care system.

https://www.aspentimes.com…

Opening the Pandora’s Box of commercial insurance data

Health Care Spending Under Employer-Sponsored Insurance: A 10-Year Retrospective

By Amanda Frost, Eric Barrette, Kevin Kennedy, and Niall Brennan
Health Affairs, September 19, 2018

Abstract

Using a national sample of health care claims data from the Health Care Cost Institute, we found that total spending per capita (not including premiums) on health services for enrollees in employer-sponsored insurance plans increased by 44 percent from 2007 through 2016 (average annual growth of 4.1 percent). Spending increased across all major categories of health services, although the increases were not uniform across years or categories. Growth rates for total per capita spending generally slowed after 2009 but increased between 2014 and 2016. Spending on outpatient services grew more quickly (average annual growth of 5.7 percent) compared to spending on the other types of services. However, the overall distribution of spending across categories remained largely unchanged. In the context of the dramatic economic and policy events that have taken place since 2007—including the Great Recession, the Affordable Care Act, and numerous medical innovations—this assessment of ten-year spending trends provides insights into how the largest insured population in the US contributes to health care spending growth.

https://www.healthaffairs.org…

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Comment:

By Don McCanne, M.D.

Previously much of our access to data on health care spending has been through government programs – Medicare and Medicaid. Data on commercial insurance spending, especially employer-sponsored plans, were hidden in a cloud of secrecy as proprietary information. Now a group of major insurers has made that information available though the Health Care Cost Institute. Having this information is helpful because it can reveal underlying health care spending trends in the very large sector of commercial insurance (covering 54 percent of Americans) that was not disturbed by the Affordable Care Act (ACA).

In the decade that included the Great Recession and the enactment and implementation of ACA, there was an initial slowing in the rate of health care spending increases. The ACA enthusiasts were quite willing to take credit for that slowing, though there was not much evidence that the specific polices contained in ACA could be credited for it. It seemed much more likely that the slowing in health care spending growth was merely a manifestation of the global slowing of the economy during the recession.

In the latter part of the decade studied, health care spending growth increased again. Although ACA is still in force, this increase further suggests that the previous slowing was due to the recession and not due to any magical policies contained in ACA. In fact, many other studies have demonstrated disappointing results in the ACA measures that were supposedly designed to contain spending.

The significance of this is that it is wrong to continue to support ACA based on the concept that we merely need to give it more time to work, maybe while adding a public option – an option that would not change in any fundamental way the huge, highly dysfunctional, fragmented infrastructure of our health care financing system. It is wrong to reject a proven model that would be effective in reducing the rate of spending increases to sustainable levels – a single payer national health program.

Now that we have opened the Pandora’s Box of private commercial insurance data, we have confirmed that private insurance is not capable of containing the excessive growth in health care spending. So let’s move forward with establishing our own public program that would work – a single payer improved Medicare for all.

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What do Americans want done about our high prescription drug prices?

High Prices, Broken Promises

NORC at the University of Chicago, September 13, 2018

Three-quarters of Americans consider the cost of prescription drugs in the United States to be “unreasonable,” and despite promises from the President and members of Congress to rein in prices, few approve of either’s handling of the issue, according to a new national poll from the West Health Institute, a nonpartisan, nonprofit healthcare research organization, and conducted by NORC at the University of Chicago.

The survey found the high cost of healthcare is a top public policy issue for Americans. When presented with a list of six issues, 78 percent said addressing healthcare costs was their highest priority, similar to the number who say the same about jobs and the economy (76 percent), and ranking higher than national security (71 percent), the environment (63 percent), immigration (51 percent), or trade (38 percent).

High prescription drug prices are a particular worry for most Americans. Sixty-five percent said they are extremely or very concerned about the issue. Another 88 percent said lowering medication costs should be a top priority for candidates running for Congress.

From the Survey:

To reduce the cost of prescription drugs, should…?

82% – Medicare be allowed to directly negotiate with drug companies to get lower prices on prescription drugs

82% – More lower-cost generic prescription drugs be allowed to compete with the equivalent high-cost brand name prescription drugs

80% – Drug companies be required to release information to the public on how they set their prices

65% – Americans be allowed to buy prescription drugs from Canada

52% – Prescription drug advertisements be eliminated

31% – Drug companies be required to set the price for a drug based on how well it works

Press release:
http://www.norc.org…

Full issue brief and results:
http://www.norc.org…

Topline:
http://www.norc.org…

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Comment:

By Don McCanne, M.D.

Not only do Americans object to the high prices of prescription drugs, they also feel that the President and members of Congress have failed us in not doing more about it.

When offered a list of various options on what we can do, to no surprise at the top was that Medicare should be allowed to negotiate for lower drug prices (along with more generic drug competition and more transparency in the setting of drug prices). Again, Americans support a major government role in drug pricing.

With the current popularity of Medicare for All it would have been interesting to see how strong the support would have been for including drugs as a benefit of an improved Medicare that covered everyone, but they didn’t ask that. Regardless, if we already had in place a comprehensive, single payer, improved Medicare for all that included a drug benefit, there is no question that it would be extremely popular.

We hear the opponents of reform talk about how bad the systems in Canada and Great Britain are, yet we hear from their people that they would never consider transforming their systems into one like ours. Since the majority of our politicians continue to fail us, it seems that we should replace them with leaders who can hear our message.

Stay informed! Visit www.pnhp.org/qotd to sign up for daily email updates.

Value-based care would improve under single payer

Payers and Providers Remain Far Apart

By Leemore Dafny, Ph.D. and Namita Seth Mohta, M.D.
NEJM Catalyst, March 2018

Health care stakeholders are not aligned in important goals and in large part are not working together to achieve value-based care, according to the NEJM Catalyst Insights Council. They are waiting on government regulators to change the payment model – including, possibly, single-payer health care.

More than half (58%) of Insights Council survey respondents indicate that their individual organizations are not aligned in working toward achieving value-based care. A higher percentage of clinicians (63%) than clinical leaders (53%) think that payers and providers at their organization are not aligned. At the health care industry level overall, the outlook is even bleaker, with 77% reporting a lack of alignment.

Unlike many industries where the private sector typically takes the lead in driving change, our survey confirms other research that in health care, government payers set the blueprint for private payers to piggyback on. Respondents rate regulatory payment model changes (such as from Centers for Medicare & Medicaid Services) as the most influential among drivers to improve payer-provider collaboration.

Single-Payer Health Care Would Have a Positive Effect on Value-Based Care

Would the ability to provide value-based care get better, worse, or stay the same under single-payer health care?

61% – Better
22% – Worse
16% – Stay the same

Single-payer health care would have a strongly positive impact on the ability to provide value-based care, say Insights Council respondents. This reaction is consistent across all three audience segments of executives, clinical leaders, and clinicians. In verbatim responses, many respondents single out single-payer as the systemic change that would most improve payer-provider collaboration. These results continue the trend that NEJM Catalyst has observed among Insights Council members holding a positive view of single-payer health care.

https://cdn2.hubspot.net…

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Comment:

By Don McCanne, M.D.

In the quest to change from volume to value in health care financing, gimmicky models such as accountable care organizations are being implemented, but the lack of alignment between payers and providers has not achieved the goal of value-based care. This survey of clinicians, clinical leaders and executives reveals that they believe that a single payer approach would have “a strongly positive impact on the ability to provide value-based care.”

Rather than continuing on the path to nowhere laid down by the politicians, bureaucrats, and policy community, doesn’t it seem logical that we should look at the model that those in the trenches – the clinicians, clinical leaders and executives – believe would actually work? Rather than having the payers attempting to align the providers, we should be having the providers who understand the delivery of health care give guidance to the design of the financing system. It becomes ever more evident to those providing the care that instead of a fragmented, dysfunctional market of private payers we should have a single, efficient public payer if we want to inject greater value into our health care system.

It would be infinitely better for the providers to give guidance to the design of the financing system to make it work optimally for patients than it would be to continue to allow the payers to try to design the health care delivery system. That’s how we have ended up with MACRA, MIPS, APMs, ACOs and other screwball ideas. Let’s work on improving the clinics and hospitals instead – under a single payer system. That’s where the value is.

Stay informed! Visit www.pnhp.org/qotd to sign up for daily email updates.

Jessica Schorr Saxe, MD

Family Medicine

Dr. Jessica Schorr Saxe is a retired family physician, national board member of Physicians for a National Health Program, and founder of PNHP’s Charlotte chapter, Health Care Justice-NC.

Dr. Saxe received her medical degree from Tufts University School of Medicine, and completed her residency at Duke. From 1980 to 2015, she worked as a family physician for the underserved in Charlotte. Her practice reinforced her interests in access to care, as well as in prevention and lifestyle changes.

Dr. Saxe has written guest columns for the Charlotte Observer for more than 30 years, and frequently speaks to community and medical groups about single-payer health care and other health advocacy topics. She has received numerous community and professional awards, including PNHP’s Dr. Quentin Young Health Activist Award in 2016.

Stephen K. Chao, MD

Family Medicine

Dr. Stephen Chao is an assistant professor of family medicine at the University of Texas Health Science Center at Houston. He was previously a staff physician at Legacy Community Health Services, a federally qualified health center in Houston, and was also previously on the faculty at Baylor College of Medicine.

Born and raised in Houston, Dr. Chao attended Rice University, graduating with degrees in Biochemistry and Health Policy. He received his medical degree from the University of Texas Health Science Center at San Antonio and also a Masters in Public Health from the University of Texas School of Public Health. He completed his family medicine residency training at UT Health San Antonio and is committed to caring for the underserved residents of Houston and Harris County. His interests include care for immigrant and refugee populations, community health, and public policy.

Dr. Chao is an advisory board member of Physicians for a National Health Program, secretary of the National Council of Asian Pacific Islander Physicians, and vice president of Health Care for All Texas. 

Judith Albert, MD

OB/GYN and Reproductive Endocrinology

Dr. Judy Albert is a reproductive endocrinologist. She served as a full-time faculty member of the Departments of OB-GYN at both the University of Pennsylvania and the University of Pittsburgh. For 30 years, Dr. Albert was a physician-owner of a women-owned and operated practice devoted to reproductive endocrinology, infertility, and IVF services in Pittsburgh. She retired in 2019, and currently devotes much of her time to health care justice advocacy. In 2016, Dr. Albert co-founded a local chapter of PNHP in Western Pennsylvania and is a member of the Western PA Coalition for Single Payer, the national board of PNHP, and the steering committee of National Single Payer. 

Dr. Albert received her medical degree from the University of Cincinnati College of Medicine, completed her residency in obstetrics and gynecology at Magee-Women’s Hospital at the University of Pittsburgh Medical School, and completed a fellowship in reproductive endocrinology and infertility at the University of Pennsylvania.