Will These Ideas Fix U.S. Healthcare?

Almost everyone agrees that the U.S. healthcare system needs to be fixed. For example, each of the 2016 Presidential candidates promised to fix it. Now that the election is over, heated debate continues over 2 basic questions: What, exactly, is the problem? How, then, should it be fixed? My answer to the first question is: … Continue reading Will These Ideas Fix U.S. Healthcare?

FAQ – Why Did Oregon Health Plan Fail in 2002?

The Oregon Health Plan took effect in 1994, but ended in failure in 2002. This blog explains that the failure was caused by external circumstances and by an internal policy error that can be avoided – provided that we learn a lesson from Oregon’s experience. Here are the straight answers explaining why OHP failed, and … Continue reading FAQ – Why Did Oregon Health Plan Fail in 2002?

Real Tax Reform: Cutting the Healthcare “Excise Tax”

Politicians in Washington have been wrangling over healthcare and tax cuts since January 2017 (really, since 2009). They got a couple of things right. First, they realized that health spending amounts to an 18% excise tax on all economic activity; that’s how much of GDP we currently spend on healthcare.  And that’s where real “tax … Continue reading Real Tax Reform: Cutting the Healthcare “Excise Tax”

Segment 9 – The Big Fix for U.S. Healthcare

This segment reviews the “Big Fix,” based on the idea of setting limits fairly. It describes the success of the Oregon Health Plan of 1994. In the first 8 Episodes, we have reviewed the evolution of the US healthcare delivery system and insurance system. We have identified the relentless growth of healthcare spending as the … Continue reading Segment 9 – The Big Fix for U.S. Healthcare