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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.

A Libertarian Appreciates Public Health Insurance

Posted January 21, 2022

Summary: Conservative columnist Ross Douthat of the NY Times wrote this week about his shifting views on health insurance. He evolved from supporting a fully

Contra-Indicated Care: High with For-Profit Providers, Low with Strong Primary Care

Posted January 19, 2022

Summary: A new study of all Medicare beneficiaries examined health system factors associated with “low-value care” – medical services that are contra-indicated (shouldn’t be done)

Investor Profit is Not the Solution for Primary Care

Posted January 17, 2022

Summary: In the U.S. health care system, primary care is often overlooked by companies and investors in search of profit from more remunerative specialty care.

Voting Rights and Single Payer – Strikingly Similar

Posted January 14, 2022

Summary: The Freedom to Vote Act now facing a filibuster defeat in the US Senate specifies rules to implement fair elections. It is a desperately

Can’t we try harder to find common ground?

Posted January 12, 2022

Dana Harbor, California, Jan. 11, 2022

By Don McCanne, M.D.

Sandy and I went down to Dana Harbor late this afternoon for our daily walk, my preferred

California Single Payer: Lower Net Cost to Families

Posted January 10, 2022

Summary: Last week saw the release of a tax plan to finance California’s single payer legislation, AB 1400. It was immediately attacked as a tax

Understanding Insurer Profits: “4.5%” = 30%

Posted January 9, 2022

Summary: Today we scrutinize health insurer profit margins. Magically, a modest apparent margin of 4.5% reveals itself upon closer inspection to be a ginormous 30%.

Deception Comeuppance: Theranos & Privatized US Health Insurance

Posted January 5, 2022

Summary: Yesterday Elizabeth Holmes was convicted of four counts of fraudulently representing the capabilities of Theranos, her incredibly hyped lab tech company. Good; that was

Temporary & Tenuous Health System Boosts Don’t Cut it

Posted January 3, 2022

Summary: The ACA is currently more generous and thus popular, but it’s time-limited. The “Build Back Better” bill proposes some incremental fixes, but they’re tenuous.

Single Payer Overview 2021 & 2022

Posted January 1, 2022

Summary: The 2021-2022 transition invites contemplation of health reform over the past year and upcoming. We process last year via a perusal of HJM. We

Bonuses Fail to Improve Clinical Quality in Medicare Advantage

Posted December 24, 2021

Summary: A new study finds that financial incentives failed to raise clinical quality measures in Medicare Advantage plans. This completes HJM Medicare Advantage week, in

Medicare Advantage for All: A Bad Idea for Single Payer

Posted December 22, 2021

Summary: A recent commentary in JAMA proposed using private insurance health plans as intermediaries in a universal health insurance system, instead of direct payments from

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