So, You Want Competition to Bring Down Healthcare Costs? – Then, Logically You’re Talking Single-Payer

Debates over fixing U.S. healthcare often end up with each party choosing a side – either “Competition” or “Government.” But in a strange twist of politics, logic, and the broken healthcare market, turns out that Competition and Government are on the same side. Let me explain… In order for there to be competition, there must be … Continue reading So, You Want Competition to Bring Down Healthcare Costs? – Then, Logically You’re Talking Single-Payer

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?

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?

Healthcare Reform & Civility – “Everyone Talks About the Weather. . .”

“Everyone talks about the weather, but nobody does anything about it.”  This quip is attributed (erroneously?) to Mark Twain. The same could be said about healthcare reform. Except, Americans have trouble even talking about healthcare reform, much less doing anything about it. Let’s look at the challenges of talking about and doing healthcare reform. In … Continue reading Healthcare Reform & Civility – “Everyone Talks About the Weather. . .”

Healthcare is Political Hot Button Issue in 2018

You can expect to hear a lot about healthcare from political candidates during the 2018 campaign.  If Pennsylvania is any indication, candidates from both parties will almost all be talking about the healthcare issue. I surveyed the 17 Republican and 18 Democrat candidates for U.S. House as well as both candidates for U.S. Senate from … Continue reading Healthcare is Political Hot Button Issue in 2018