…and redefining and strengthening the role of the consumer. *** Published Comment: By Stephen Kemble, M.D. Two problems with this proposal: 1. Bundles incentivize delivering more bundles of care for…
The Case for Single-Payer
Reduce Healthcare Cost with Administrative Simplification and Restore Professional Autonomy
By Stephen Kemble, M.D. Counter Punch, May 22, 2025 Privatization of publicly funded Medicare and Medicaid, managed care, and “value-based payment” (1) have failed to reduce cost or improve population…
Physicians’ Proposal
Beyond the Affordable Care Act: A Physiciansā Proposal for Single-Payer Health Care Reform
…M.D., Roseville, MN Maureen Kelly, M.D., Rye, CO William Kelso, M.D., Thomasville, GA Sarah Kemble, M.D., MPH, Chester, VT Stephen B. Kemble, M.D., Honolulu, HI Mary Kemen, M.D., Cedar Rapids,…
Universal publicly funded health care: Establishing accountability without competition
By Stephen Kemble, M.D. Consider H.R.676, the House single-payer bill kept “off the table” during health reform negotiations. It proposes public financing of universal health care, but leaves care delivery…
Removing the Middlemen from Medicaid
A Blueprint for Better Care and Lower Costs
Physicians for a National Health Program, September 2, 2025 Table of Contents Executive Summary Section 1: Fundamentals of Managed Care Section 1A: What are “Managed Care Organizations”? Section 1B: Are…
How Would Medicare for All Affect Physician Revenue?
…single-payer healthcare financing in the United States: a systematic review of economic analyses. PLoS Med 2020;17(1):e1003013. Article Google Scholar Duffin J. The impact of single-payer health care on physician income…
Fee-For-Service is Not the Problem
By Stephen Kemble, M.D. OpEd News, July 14, 2012 There is a widespread assumption among health policy experts that the key problem with runaway health care costs is unnecessary care…
Hawaii should end Medicaid managed-care model
By Stephen Kemble, M.D. Honolulu Star-Advertiser, April 21, 2013 Hawaii was recently awarded a $937,691 State Innovation Model grant to plan health care reform for Medicare and Medicaid. However, no…
Excise middle-men from Hawaii Medicaid
By Stephen Kemble, M.D. Honolulu Star-Advertiser, Dec. 21, 2025 Thanks for the excellent articles in the Star-Advertiser’s Dec. 14 Insight section, on proposals to save primary care practices in Hawaii,…
Health care policy hurts Hawaii patients
By Stephen Kemble, M.D. Honolulu Star-Advertiser, Nov. 19, 2024 The current health policy fad is “value-based payment” — blaming high health care cost on fee-for-service and overutilization of care and…
Fee-for-Time Payment for Physicians
…such a proposal. Optimizing physician payment for a single-payer healthcare system, International Journal of Social Determinants of Health and Health Services, May 24, 2023, by Stephen B. Kemble and James…
PNHP Newsletter: Spring 2023
…Insured Americans Are an Injury Away From Bankruptcy: Study,” HealthDay, 11/15/22, featuring Dr. Stephen Kemble “AARP Is Welcoming the Privatization of Medicare,” Jacobin, 11/22/22, featuring Dr. Susan Rogers “North Texas…