Unbiased Analysis of Today's Healthcare Issues

Archive for the 'Public Policy' Category

CBO 2014 Budget Projections

California Healthline reports that At least one million fewer people than previously expected are projected to obtain health insurance coverage through the Affordable Care Act’s exchanges this year, primarily because of the troubled rollout of the federal health insurance exchange website last fall, according to the Congressional Budget Office’s new annual budget outlook report. WonkBlog has a […]

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Are voters like medieval doctors?

According to ”In Praise of Passivity” by philosphopher Mike Huemer, the answer may be yes. Voters, activists, and political leaders of the present day are in the position of medieval doctors. They hold simple, prescientific theories about the workings of society and the causes of social problems, from which they derive a variety of remedies-almost all […]

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Geographic Variation in Health Care Spending and Promotion of High-Value Health Care: Preliminary Committee Observations

Last week I shared a report I wrote at Acumen that described regional variation in spending, utilization and quality for Medicare and Medicaid beneficiaries.  Based on our work, an Institute of Medicine committee (lead by Joseph P. Newhouse, Alan Garber, and Robin P. Graham) reached the following conclusions in their newly released report: Health care […]

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What does a NICE health economist do?

What role do health economists at the UK’s National Institute for Health and Clinical Excellence (NICE) play and how do they conduct their cost effectiveness analyses for new treatments? I answer this question today based on NICE’s own documents.  According to their guidelines manual, the role of the health economist in clinical guideline development is to: […]

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Theory vs. Reality: End of Life Care

Charles Ornstein is a well-regarded health journalist who has written extensively about end-of-life care. Then his mother became sick. How did his preconceptions about end-of-life care change (if at all) as a result of his experience. An excerpt from the full article is below.   I’ve always thought that the high cost of end-of-life care is […]

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2013 Republican Response: A Healthcare Review

Earlier this week, I posted on the President’s State of the Union address.  Now its time to discuss the Republican Response. The main critic offered by Senator Marco Rubio is how Obamacare is increasing health care costs, shifting these costs to employers, and slowing down employment growth and the growth of employer-provided insurance. And because […]

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2013 State of the Union: A Healthcare Review

What did the President’s speech say about health care? Today I give a review. On Medicare, I’m prepared to enact reforms that will achieve the same amount of health care savings by the beginning of the next decade as the reforms proposed by the bipartisan Simpson-Bowles commission. What does Simpson-Bowles propose?  Here is a list: […]

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How will your healthcare change if Paul Ryan is the Vice President?

To answer this question the best place to look is Paul Ryan’s budget proposal.  The proposal would convert Medicare and Medicaid into voucher-based programs.  Individuals and families not covered by either of these programs would receive assistance through a refundable tax credit based on the individual’s income.  You can find more information on Mr. Ryan’s […]

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Red de Protección Social: CCTs in Nicaragua

Oportunidades (formlerly known as Progresa) is a well known initiative in Mexico that provides cash payments to families in exchange for regular school attendance, health clinic visits, and nutritional support.  The program started in 1997 as a program known as Progresa; Oportunidades in its current form began in in 2002. Oportunidades, however, is not the […]

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HEALTH REFORM UPHELD

Today the Supreme Court upheld the large majority of Affordable Care Act (a.k.a., Health Reform, ObamaCare, ACA) including the individual mandate. Why was the individual mandate allowed to remain in the law?  According to Justice Ginsburg and others, it is a form of a tax. “Justice Ginsburg makes clear that the vote is 5-4 on […]

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