Fixing U.S. Healthcare blog each year posts an annual review. This blog’s year can be summarized in two sentences: Along with many other writers, this blog has recognized that President Biden’s handling of the coronavirus pandemic is a test – of deliberate governing versus laissez-faire, of Big Government versus anti-institutionalism, of individualist freedom versus shared … Continue reading Fixing U.S. Healthcare – Annual Summary & Review 2021
Deane Waldman MD, MBA, has a simple solution to healthcare reform: StatesCare and market-based medicine. His rallying cry is to get the federal government completely out of healthcare. This post will acknowledge that many of his ideas do have some merit. But it will argue that his key message – less government -- is hollowly … Continue reading Waldman’s Simple Solution to the Complex Problem of Healthcare
Might the U.S. have improved its COVID-19 vaccination roll-out by having a Medicare-for-all single-payer system in place? The simple answer is, You betcha! The three main problems with the United States vaccination effort are lack of centralized control, fragmented delivery systems, and non-interoperable data systems for tracking. Local healthcare monopolies can be “free-lancers,” operating willy-nilly … Continue reading Slow Vaccination Is a Tell-Tale Symptom of a Sick Healthcare System
No less a sage than Socrates said that -- to paraphrase him -- every good argument deserves a good counter-argument. Here are the best counter-arguments against single-payer healthcare financing. All are well intended. Some are well taken. Some require hard choices. But some are based on faulty logic. The counter-arguments against single-payer financing fall into … Continue reading Best Arguments Against Single-Payer — and Rebuttals
This month Harvard Business Review (HBR) published the dramatic results of Walmart’s innovative centers-of-excellence (COE) care-bundling initiative. Walmart’s third-party administrator, Health Designs Plus (HDP), claims that this approach saved Walmart $86 million on spine surgery alone over 3 years, and could “address the cost-and-quality dilemma and drive change nationally.” But will it? FixingUSHealthcare blog agrees that … Continue reading Walmart’s Care Bundling – Will It Fix U.S. Healthcare?