Category Archives: The Health Care Cost Crisis

New Prescription Drugs Will Begin To Test Our Commitment To The Socialism That Is Health Insurance: Very Expensive Treatments For Very Few People

Pharmaceutical research and development during the past 30 years has resulted in the paradoxical situation faced by most drug manufacturers today: With the frustrating exception of cancer, the drug therapies that mitigate, manage, or “cure” the diseases that are most … Continue reading

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Ryan and Rivlin are right: a “Draconian” shift to a defined contribution Medicare benefit structure may be the only “fair” way to reduce the difference between how much government funded health care people want and how much we are willing to pay for. aka addressing The Long-Term Deficit

Ryan and Rivlin are right: a “Draconian” shift to a defined contribution Medicare benefit structure may be the only “fair” way to reduce the difference between how much government funded health care people want and how much they are wiling … Continue reading

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Great Recession? Not if you’re in the hospital business: Just look at the palatial new hospitals in your community.

Driving across the country lately, a consistent sight has been evident in the buildings near the populated highway exits: Wal-Marts (What percentage of Americans live 30 minutes or less from a Wal-Mart? It must be above 80%) and new shiny … Continue reading

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The Nature of the Often Cited “Adult Conversation” Is Politically Impossible: It’s the Medicare, Stupid: A Memo From Uncle Sam To Baby Boomers

The Nature of the Often Cited “Adult Conversation” Is Politically Impossible: It’s the Medicare, Stupid: A Memo From Uncle Sam To Baby Boomers   All the politicians of both parties have been using the phrase “adult conversation,” as in last … Continue reading

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Simple, Real, and Pragmatic Approaches to Fixing ObamaCare (Richard Thaler of Univ. of Chicago Nailed It)

Last weeks NYT included a column in the Business Section by Richard Thaler, a professor at the University of Chicago that succinctly and simply significantly improve the PPACA/ObamaCare. The Republicans and Democrats should enact legislation to accomplish the enhancements below, … Continue reading

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Medicare “Accountable Care Organizations” (ACOs): “Invisible Enrollment & Invisible Cost Reduction” ($5 billion Savings on $6 Trillion Cost Isn’t a Viable Plan)…

Thoughts About ACO’s (As Summarized/Defined In “Health Affairs” 8/2010) • The assertion (and regulatory definition) that ACO’s can be “successful” under any organizational structure (i.e. the five formats described in the article) means that they are everything and nothing. Being … Continue reading

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It is a moral and religious imperative for Medicare to encourage physicians to propose a voluntary discussion about their patients’ wishes for end-of-life care

Politicians or other government leader who are against Medicare providing an incentive for physicians to propose a voluntary discussion about their patients’ wishes for end-of-life care don’t care about patients. Our leaders are afraid to admit that commitments made to … Continue reading

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Medicare Costs Are The Most Important Issue In Long-Term Deficit Reduction

The least solvable part of our long-term deficit crisis is the infinite demand for medical services committed to the baby boom generation through the Medicare Program. Social Security long term financial stability can be achieved through mathematical and actuarial adjustments. … Continue reading

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The Virginia Supreme Court Decision & ObamaCare

Well I’m not sure where this is headed, but I’m going to start using the zero-cost of publishing feature of the Internet and do some blogging… Although I’ve spent 25 years on the “payor/administrator” side of the health insurance system, … Continue reading

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Dear Republican Party Proponents of “Repeal & Replace”: Here’s Some Practical Low Cost Ideas For What To “Replace” ObamaCare With…

Dear incoming Republican Majority House Members- What follows are some ideas if you’re seeking to put forward policy about the the “replace” part of “repeal and replace…” It just isn’t possible to “make the case” that employers have been steadily … Continue reading

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