Healthcare Reform: What About Free Riders?

One of the most potent objections to government-backed universal healthcare is the problem of free riders. John Smith said in 1608, “he that will not work shall not eat.” Getting something for nothing offends the American sense of fairness. But is this the right way to think about healthcare? Let’s look at free-rider claims and … Continue reading Healthcare Reform: What About Free Riders?

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

Healthcare Reform: Where to Start?

Fixing U.S. Healthcare blog has made the case for reform that reins in spending in the whole system. But where possibly to start on such a massive undertaking?  Here are four ideas. Klein’s “Muddling incrementalism” Redefining Price’s “essential benefits” using Oregon-style cost-benefit analysis Rosenthal’s “Salami strategy” Emanuel’s “low-hanging fruit” Let’s look at each one. Idea #1:  … Continue reading Healthcare Reform: Where to Start?

Healthcare Hits A Pothole – And How to Fix It

The next time you hit a pothole in the road, blame your local health insurance or hospital CEO. Because your hard-earned healthcare premiums and tax dollars are literally going straight into their bonuses at the expense of infrastructure repair. Exorbitant national health spending produces what economists call opportunity costs. Our healthcare spending takes away not just … Continue reading Healthcare Hits A Pothole – And How to Fix It

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?