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Health Justice Monitor

The McCanne Health Justice Monitor is produced by a team of health policy experts and single-payer champions. For more information, and a complete archive of entries, visit the HJM website. For an archive of Quote of the Day entries from Dr. Don McCanne, click here.

Efficiency Gone Astray in Health Care

Posted June 3, 2023

Summary: Our medical system defines efficiency as maximizing revenue-generating care. This compromises clinical interactions and indeed access to care, as highlighted in today’s excerpts. Single payer

De-Sickening America

Posted May 30, 2023

Summary: The author of Sickening: How Big Pharma Broke American Health Care and How We Can Repair It trenchantly describes the fiscal and health damage done to the

Amazon Primary Care Financializes Health Data & Threatens Privacy

Posted May 27, 2023

Summary: With the acquisition of One Medical, Amazon becomes a primary care middleman. It wants to access your medical records and sell the data, sacrificing

Ady Barkan’s Alert on Medicare Advantage

Posted May 21, 2023

Summary: Mr. Barkan, a resolute and articulate advocate for single payer / Medicare for All, warns us about privatization of Medicare via Medicare Advantage. We must

Medicare-for-All Legislation in the Senate & House

Posted May 18, 2023

Summary: Senator Bernie Sanders & Representative Pramila Jayapal re-introduced their Medicare-for-All bills on May 17th. Although prospects for passage are low this Congress, enthusiasm for organizing

Insane Drug Prices & Gaming = Huge Profits for Pharma & PBMs

Posted May 13, 2023

Summary: Two news items this week lay bare US drug cost problems. The underlying cause is prices several-fold higher than elsewhere. Exacerbating that is convoluted gaming

Primary Care Corporate Takeover a Challenge for Single Payer

Posted May 9, 2023

Summary: The large-scale corporate appropriation of primary care reflects and enables the profiteering that now dominates US health care. The doctor-patient relationship suffers. Single payer financing

Single Payer Would Radically Transform Health Policy Research

Posted May 6, 2023

Summary: The May 2023 issue of Health Affairs, the leading health policy journal, has 20 articles. In our assessment, 9 of them would be unnecessary and

Call for a National Health System

Posted May 4, 2023

Summary: PNHP founders Woolhandler and Himmelstein propose that progressive health reform needs updating to respond to the widespread takeover of providers by for-profit corporations. The original

Suing for Inflated Bariatric Surgery Fees

Posted April 29, 2023

Summary: Aggressive collection tactics by a large bariatric surgery practice exemplify widespread problems with our health insurance: complex payment arrangements, confusing and misleading financial contracts, widely

Oracle Health Data Profit Fantasies

Posted April 26, 2023

Summary: Oracle Health, acquired by Cerner, is pursuing a global cloud-based health records repository. Except that they can’t even succeed in five Veteran’s Administration hospitals. And

Rescuing Primary Care, Part 2

Posted April 21, 2023

Summary: In Part 1, we discussed how primary care is being acquired and distorted by huge corporations pursuing massive profits. Today, we present a competing vision: a broad

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