Forging a new path to real health care reform

As specific health care reform proposals begin to emerge, the predictable partisan critiques are appearing. This back-and-forth is a necessary part of the democratic process, but we must agree our system is broken and seize this opportunity for real reform.

Two major objectives need to be achieved. First, all Americans should have coverage for at least major health care expenditures. Second, we must bring down the rate of increase in health care ... Full Story »

Posted by Kristin Gorski
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Subjects: Politics, U.S., Health
Topics: Health Care
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Posted by: Posted by Kristin Gorski - Jun 30, 2009 - 3:57 AM PDT
Content Type: Article
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Edited by: Kristin Gorski - Jun 30, 2009 - 3:57 AM PDT

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Fred_gatlin_thumb
3.8
by Fred Gatlin - Jun. 30, 2009

This is a very good article. It is well written and important. Too many do not like single payer insurance and this makes sense. If the federal government covers major hospital stays and chronic diseases then insurance would cost less and cover preventive care and other less costly care.

This is the one of several changes that should be considered. We must look more broadly and with open eyes at this idea and others.

See Full Review » (12 answers)
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4.0
by Peter Henry - Jun. 30, 2009

Interesting short commentary by emeritus professor of health policy. He explicitly addresses political realities (likelihood of weighing down a plan with tons of goodies for established players) and practical necessities (a minimum of catastrophic coverage for everyone, and necessity for containing cost increases).

Health care is not and has not been a "free market" at least since the VA and Medicare/Medicaid. Push for a public mandate that everyone belongs to, ... More »

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3.0
by Patricia Blochowiak - Jun. 30, 2009

Superficially very good story, but support for the premise that only major medical should be covered, rather than covering preventive care, is only an analogy to car care. No mention is made of the cost savings that occur with preventive care. What is left out is too significant to consider this quality anything.

Should have mentioned that Dr. Luft is a Ph.D., rather than an M.D.

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3.7
by Derek Hawkins - Jun. 30, 2009
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3.9
by Kristin Gorski - Jun. 30, 2009

Written with urgency and a compelling tone, this essay by Dr. Luft outlines specifics to a compromise between many competing health care reform priorities. It addresses both the ethics and economics of the need to reform. Including links to any relevant studies or sources would would have been helpful and provided needed factual support.

See Full Review » (11 answers)
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3.6
by Kaizar Campwala - Jun. 30, 2009

True cost containment will come from realigning incentives for physicians and hospitals. This can be done voluntarily by offering bundled payments to those providers ... More »

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3.5
by Fabrice Florin - Jun. 30, 2009
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4.6
by Naomi Isler - Jun. 30, 2009

This article tries to pinpoint what it feels need to be the major achievements of health care reform, and some of the steps that need to be taken to achieve them. I am not familiar enough with the statistics and technical issues to understand whether his formulation is correct. And I'm not sure Medicare is so dysfunctional (I'm on it) that it can't be a model - or that the VA system can't.

I guess the more analyses of problems achieving health care reform the better? The question is how to overcome the moneybags who have a vested ... More »

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