Haven Healthcare Break-Up: “I rest my case”

Jeff Bezos, Warren Buffet, Jamie Dimon Haven Healthcare’s break-up vindicates the message of this blog:  Only the full faith and clout of the federal government can overcome structural cost pressures and reform the U.S. healthcare system. Haven Healthcare was formed in 2018 by Amazon’s Jeff Bezos, entrepreneurial financier Warren Buffet, and banker Jamie Dimon with … Continue reading Haven Healthcare Break-Up: “I rest my case”

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?

Doctors Critique Oregon-Style Cost-Benefit Approach to Healthcare Reform . . . But Not So Fast!

Noted surgeon and social-medical commentator Atul Gawande MD hosted a video roundtable in 2014 entitled “Avoiding Low-Value Care.” His panel seemingly challenged the idea that low-value care can be avoided, which is the crux of the cost-benefit approach to healthcare reform. But on closer look Dr. Gawande and panel may actually, in fact, be validating … Continue reading Doctors Critique Oregon-Style Cost-Benefit Approach to Healthcare Reform . . . But Not So Fast!