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
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
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?
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
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?