Category Archives: Health Reform

More choices, less happiness

On a hot summer ice-cream-craving day, would you choose the shop that has three flavors of ice cream or the one with three dozen?  If you want to be satisfied with your choice, you go to – surprise – the … Continue reading

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The long and short of it

We create health over a lifetime.  We create profits in three- or twelve-month bits.  Herein lays a fundamental problem of health insurance – the clash of short-term and long-term. Health insurers are frantic about how much medical care newly insured … Continue reading

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Are the Exchanges Doomed to a Death Spiral?

There is talk that the insurance exchanges are headed for doom – people were sicker than expected and rates are rising fast, perhaps driving healthier people out. Before we start planning the funeral, let’s examine the evidence. Death Spiral Proof: … Continue reading

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Freaky Ideas for 2015

I recently read Think Like A Freak, which inspired me to do so and led to the following ideas for 2015. Freaky Idea #1: We start saying “So what?”

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Hobby Lobby sings halleluiah

The U.S. Supreme Court ruled this week that Hobby Lobby can refuse to cover contraception, based upon the owners’ religious objections.  There are various ways to describe this decision: As a victory for religious freedom. As a strike against Obamacare … Continue reading

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Staying alive

Massachusetts slowed down its death rate after its state-level health reform (which is remarkably similar to Obamacare), especially in low-income/ high-uninsured counties.  It’s an excellent and careful study published in the Annals of Internal Medicine. Does this mean that more … Continue reading

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Health Insurance Does Not Equal Health Care

The media often use the terms “health care” and “health insurance” as synonyms.  But the two things are distinct.  Confusing one for the other makes the issues more upsetting for everyone. For the sake of serenity, let’s look at the … Continue reading

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Obamacare: Cause of all evil?

Can one thing be the root cause of so much destruction? From destroying employer plans to killing new jobs, Obamacare gets a lot of credit.  (For your edification, a few of my favorite naysayers: On Main St., Obamacare hurts hiring: … Continue reading

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The Surprising Source of Health Reform

The Conservative Case for Obamacare (J.D. Kleinke New York Times, September 29, 2012) traces the origins of health reform to  — wait for it! — Republican roots. Yes, the idea of requiring people to buy health insurance came from a … Continue reading

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Our next President, our next health reform?

Just as Obama was sworn into office in 2009, the book “Healthcare, Guaranteed” by Ezekiel J. Emanuel, M.D., Ph.D.  (Public Affairs Books) was published.  Dr. Emanuel is related to Obama’s former chief of staff, Rahm Emanuel.  So you might think … Continue reading

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