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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.

Medical Debt – Inadequacy of Mainstream Policy Options from Our Best Policy Think Tanks (Or: Public Policy Think Tanks are Not Thinking)

Posted July 2, 2022

Summary: Today’s post by a visiting blogger reflects on recent policy think tank reports on medical debt, and bemoans the lack of attention to a much-needed

Geographic Predictors of Medical Debt

Posted July 1, 2022

Summary: Recently we reported on a national survey of medical debt. A new report uses credit bureau data to describe which local factors predict high levels

Radio Break

Posted June 29, 2022

Summary: Reflection seems the order of the day. US politics are in turmoil. Health insurance problems and the need for single payer are clearer than ever.

The Demise of Roe v. Wade, Threats to Democracy & Single Payer

Posted June 25, 2022

Summary: Yesterday the Supreme Court reversed 50 years of abortion rights established by Roe v. Wade. This attack on reproductive rights and health is an integral

REACH ACO Rules & Plunder of Public Funds

Posted June 23, 2022

Summary: CMS promised that the Medicare REACH ACO program, which supplants Direct Contracting Entities as a capitated replacement of fee-for-service Medicare, would prevent using diagnostic upcoding

Time to End Health Savings Accounts: Regressive & Ineffective

Posted June 21, 2022

Summary: Health savings accounts (HSAs) paired with deductibles are regressive: they yield financial gains mostly for healthy individuals with high income. They are justified as reducing

A Framework to Understand Systemic Racism in Health

Posted June 19, 2022

Summary: Juneteenth commemorates an 1865 US army order to end slavery in Texas. Emancipation was the first essential step to offer Black Americans the opportunity to

Medical Debt in the US: Pervasive, Harmful, Unnecessary

Posted June 17, 2022

Summary: A new survey on health care debt quantifies its very high prevalence (41%) and the dire consequences for individuals and families: financial insecurity, reduced access

COVID + 41 M uninsured = 339,000 Excess Deaths

Posted June 14, 2022

Summary: Stellar health system modeling and empirical analysis together quantify what many of us suspected all along – the huge uninsured problem in the U.S. increased

House of Representatives Public Hearings Done Right

Posted June 11, 2022

Summary: This week the US Congress televised an extremely compelling hearing on the January 2021 Capitol riot and coup attempt. It may nudge our country toward

Private Equity Targets Gastroenterology & Lots More in Medicine

Posted June 9, 2022

Summary: Private equity inroads to clinical practices are both targeted (to especially lucrative activities) and far-reaching (with so many profitable deals to make). However, ethical standards

Repeat: Medicare Advantage & Other Private Investment Hurt Medicare

Posted June 7, 2022

Summary: A September 2021 Health Affairs blog revealed how Medicare Advantage insurers use aggressive and fraudulent diagnostic coding practices to artificially boost revenues, with similar risks

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