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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.

US Health Insurance Cost-Sharing Benefits Insurers & Harms the Rest of Us

Posted July 11, 2022

Summary: A chief health officer and pediatrician at Indiana University speaks plain and powerful truth about growing insurance cost-sharing – it’s designed to reward insurers, to

Oh So Many Problems with Medicare Advantage

Posted July 9, 2022

Summary: A news article reports on Congressional hearings on problems with Medicare Advantage. An academic article describes big challenges and valuable public benefits lost if traditional

Private Care Outsourcing in the UK Increases Mortality

Posted July 6, 2022

Summary: An important study in the United Kingdom finds that care contracting with for-profit companies sharply raises preventable mortality. Privatization with for-profit providers threatens health outcomes

Freedom in Health Care

Posted July 4, 2022

Summary: Independence Day is about celebrating freedom. Let’s contemplate the freedoms we can achieve with universal health insurance.

Comment:
By Jim Kahn, M.D., M.P.H.

On this day in 1776

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

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