Fixing U.S. Healthcare Blog – One-Year Appraisal & Summary

Fixing U.S. Healthcare blog reached its one-year anniversary last month. That’s a good time to take stock. And it’s a good time to summarize this blog’s message - that U.S. healthcare spending far outpaces spending in other comparable OECD (Organization for Economic Cooperation & Development) countries, as shown in the masthead graphic, above, and needs to … Continue reading Fixing U.S. Healthcare Blog – One-Year Appraisal & Summary

What If U.S. Healthcare CAN’T Be Fixed?

What if Americans are too divided to reach any common ground? Or what if healthcare has become so rigged and so enmeshed that it can’t be untangled?  Or what if vested interests have become so powerful that they can’t be overcome? Not so fast, claims the Beyond Intractability project championed by Heidi and Guy Burgess based … Continue reading What If U.S. Healthcare CAN’T Be Fixed?

Healthcare Reform & Civility – “Everyone Talks About the Weather. . .”

“Everyone talks about the weather, but nobody does anything about it.”  This quip is attributed (erroneously?) to Mark Twain. The same could be said about healthcare reform. Except, Americans have trouble even talking about healthcare reform, much less doing anything about it. Let’s look at the challenges of talking about and doing healthcare reform. In … Continue reading Healthcare Reform & Civility – “Everyone Talks About the Weather. . .”

Reframing Healthcare Reform: Cost-benefit, Systems Engineering, Both?

Fixing U.S. Healthcare blog has championed the success of the Oregon Health Plan of 1994 (OHP), and has attributed its success to cost-benefit analysis.  But was cost-benefit analysis really the key factor in its success? Or did the OHP succeed for other more fundamental reasons? And what are the implications for healthcare reform now? My answers … Continue reading Reframing Healthcare Reform: Cost-benefit, Systems Engineering, Both?

Needed:  A New Idealism to Guide Healthcare Reform

Fixing U.S. Healthcare blogsite has laid out the mounting need for healthcare reform and a compelling case for Oregon-style cost-benefit approach as the foundation for it. But this blogsite’s reasoned arguments from history, politics, finance, and ethics are not enough. Americans need a rekindled core idealism to impel them toward reform. Here are three key ideals … Continue reading Needed:  A New Idealism to Guide Healthcare Reform