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?
Tag: Healthcare System
What If U.S. Healthcare CAN’T Be Fixed?
What if Americans are too divided to reach any common ground? Or what if healthcare has become so rigged and so enmeshed that it can’t be untangled? Or what if vested interests have become so powerful that they can’t be overcome? Not so fast, claims the Beyond Intractability project championed by Heidi and Guy Burgess based … Continue reading What If U.S. Healthcare CAN’T Be Fixed?
Taming the Healthcare Tapeworm
Fixing U.S. Healthcare blog has argued that unsustainable healthcare spending is the Real Problem with healthcare. How can we tame this giant healthcare tapeworm machine, as Warren Buffett has dubbed it? This blog has described how medical professionals of the post-war generation built up our current system. Our system now delivers previously unimaginable healthcare miracles. … Continue reading Taming the Healthcare Tapeworm
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?
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
Fixing U.S. Healthcare 