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

Genes, Cost-Effectiveness and Healthcare Reform – Dialog with Dr. Buchanan

This is a posting of my reply to British health economist Dr. Buchanan's Comment of February 17, 2018.  The original posts are: Medicines's future? The health economics of population-wide genomic screening (October 26, 2017) Cost-Effectiveness: From Genes to Healthcare System Reform (December 17, 2017) 2 thoughts on “Cost-Effectiveness: From Genes to Healthcare System Reform” (Reply, February … Continue reading Genes, Cost-Effectiveness and Healthcare Reform – Dialog with Dr. Buchanan

Elevator Pitch for Oregon-style Healthcare Reform

Jack Welch, the former CEO of General Electric, was famous for cornering his managers to justify their projects with an “elevator pitch” that could be delivered to him during a short ride from one floor to the next. Here’s mine pushing for healthcare reform and an Oregon-style cost-benefit analysis approach: You know, of course, how … Continue reading Elevator Pitch for Oregon-style Healthcare Reform

FAQ: How Many Healthcare Dollars Are Wasted?

 Between $700 billion and $1.1 trillion every year. This amounts to between 21% and 34% of the $3.3 trillion total healthcare spending for 2016. These figures are the estimates published in 25 authoritative studies done between 2003 and 2012. Donald Berwick MD, former head of Medicare, assembled these 25 studies for the RAND Corporation. Fixing … Continue reading FAQ: How Many Healthcare Dollars Are Wasted?