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Why Medicare’s Pilot Programs Failed
John C. GoodmanThe failure of Medicare’s demonstration projects to reduce the costs of care has been the subject of much disappointment in the health policy world. Recall that these are critical to President Obama’s challenge “To find out what works and then go do it.” If nothing works, the fallback weapon in Obamacare is to reduce fees ...
Health-Care System Traps Doctors
John C. GoodmanHealth care reform that raises quality, lowers costs, and improves access to care is almost inconceivable without physicians leading and directing the changes. Of all the people in the health care system, none is more central than the physician. Yet of all the actors in modern health care, none are more trapped than our nation ...
Should You Care Whether I’m Insured?
John C. GoodmanDo you really care whether I have health insurance? Some people seem to care a lot. They want to force me to buy it. What about other types of insurance? Do you care whether I have life insurance or disability insurance? How about homeowner’s insurance? Or whether my car is insured against collision damage or your car ...
After CLASS, Is Granny Headed to the Ice Floe?
John C. GoodmanThe failure of the ObamaCare program for long-term care must have been a huge disappointment to fans of Ponzi schemes everywhere. Like Social Security and Medicare, the Community Living Assistance Services and Supports (CLASS) program was designed to collect “premiums” during employees’ working years and spend the money immediately ...
Medicare’s Flawed Bundled Payment Experiment
John C. GoodmanFor several years now, scholars have been calling for a radical change in how Medicare pays doctors and hospitals. Instead of having Medicare set millions of prices for predetermined packages of care, we should allow providers the opportunity to produce better and cheaper care by repackaging and repricing their services. Everyone ...