Covid-19 Shut-Down Is A Cost-Benefit Bargain

Covid-19 has everyone talking about cost-benefit analysis.  The President himself started the conversation with his notorious tweet, “We can’t have the cure be worse than the problem.” Fixing U.S. Healthcare blog has touted cost-benefit analysis as a key approach to taming the healthcare cost tapeworm. This week, columnist Tom Friedman and political philosopher Michael Sandel … Continue reading Covid-19 Shut-Down Is A Cost-Benefit Bargain

Rethinking the Cost-Benefit of PSA Tests

Was this Fixing U.S. Healthcare blog wrong to single out PSA as not worth its cost? This was the claim in two previous posts, including the overall most popular one, The Problem of Diminishing Marginal Benefit in Healthcare. Some new information suggests that we need to rethink that original claim. Prostate Specific Antigen Since prostate … Continue reading Rethinking the Cost-Benefit of PSA Tests

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

New Data from AMA Journal Rekindles Calls for Healthcare Reform

The Journal of the AMA (JAMA) on March 21 released the most comprehensive study to date on U.S. healthcare spending. It confirms that Americans are spending too much, and getting too little. But it also gives us some new insights on what’s driving up costs. The study has been widely reported in mainstream media – … Continue reading New Data from AMA Journal Rekindles Calls for Healthcare Reform