Black Ribbon Project

for health care freedom and the doctor-patient relationship

Archive for Health Care Economics

Medicare is lousy “insurance”

Greg Scandlen explains:

Most of the elderly hold on to Medicare for dear life because there is nothing else available and they have no basis for comparison.

But the fact is that Medicare is a lousy insurance program. It would be impossible to sell a benefit structure like this on the private market.

He doesn’t even get to the parts about how Medicare fails to cover catastrophic medical events as a real insurance plan would–the longer you are hospitalized, the less Medicare covers the costs–but he still makes some important points.

Read the rest here.

A free market solution to health care

Michelle Andrews, author of KHN’s “Insuring Your Health” weekly feature, talks with Jackie Judd about clinics that charge a patient a monthly fee – usually around $65 – for unlimited access to physicians and nurse practitioners.

Video: A Novel Way To Get Unlimited Primary Care

Article: Some Medical Practices Move To Monthly Membership Fees For Patients

(Bonus discussion at the end of the video on Accountable Care Organizations, a new form of health care delivery promoted by PPACA.)

The Price of Political Health Care

Take decisions away from the market and give them to government and the cost-benefit deliberations no longer have anything to do with the economic value of the good or service. Instead, decisions will be made on the political value of the item under consideration.

Read Dr. Liberty‘s excellent elaboration of this phenomenon here.

Defending Health Care Freedom

Dr. Beth Haynes speaks on the economic and political principles which must be defended to protect health care freedom at the 2010 annual meeting of the American Association of Physicians and Surgeons.

You can view the talk here.

CMS Chief Actuary: PPACA will NOT hold down costs

Richard Foster, Chief Actuary, Center for Medicare and Medicaid.
1/26/11 Testimony before the House Committee on the Budget

McCLINTOCK: “True or false: The two principle promises that were made in support of Obamacare were one, that it would hold costs down. True or false?”

FOSTER: “I would say false, more so than true.”

Watch the video clip here.

Debt Reduction and Health Care Freedom

Two for the price of one.

With the national debt rising to dangerous levels, serious cuts to government spending are paramount. President Obama’s debt commission has made some interesting recommendations–but even better are the following proposals…

Read more here.

The White House is Telling Stories

In an email sent out today by Nancy-Ann DeParles, the White House is promoting a new website, 50 States/50 Stories.

In medicine, we refer to such instances as “case reports” which may be interesting  and informative, are also likely to be misleading and result in improper generalizations. That’s why large, randomized, double-blinded studies are the gold standard for getting at the truth of things….not isolated stories.

For a look at how economists approach such matters, read more here.


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