Supporters of the health care status quo are outraged, predictably, over what they see as Donald Trump’s search-and-destroy mission on Obamacare. They cite all of the newly insured people under the Affordable Care Act -- then turn to gloom-and-doom scenarios, insisting everyone will lose insurance, especially those who are low-income and on Medicaid. Change is never easy, and it can sometimes be scary when facts aren’t known. So will millions of ...

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We are at a watershed moment for health care, both nationally and in Massachusetts. Massachusetts, the state that first piloted the model, "Romneycare" in 2006, that was disseminated to the nation as "Obamacare" is now going full steam ahead with ACO models under the newly approved 1115 waiver, that received the CMS green light in early November. Having expanded to near universal coverage in 2006, now, at the end of 2016, we are taking on ...

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Quick, name the most watched, financially successful and competitive sports league in the United States? The NFL. Right? Now, name the most tightly regulated, transparent sports league, one that has a multilayered system of wealth redistribution and the one of the strongest unions of any profession in the United States? The NFL. Surprised? This is not a coincidence Major problems with concussions and Roger Goodell’s persona and salary aside, the NFL offers a tremendous lesson ...

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Recently, President-elect Trump selected Rep. Tom Price, MD to lead the Department of Health and Human Services.  Suffice it to say, this signals Mr. Trumps’ resolve and commitment to definitively repealing and replacing.  Dr. Price has already sunk his teeth into health care reform, having proposed alternative health care solutions in every Congressional session since 2009. As a physician myself, I am delighted at the prospect of having another doctor at ...

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It’s widely acknowledged that the American health care system achieves relatively poor ­quality outcomes compared to most industrialized nations and at much higher cost. A new survey, conducted by Nielsen Strategic Health Perspectives and commissioned by the Council of Accountable Physician Practices (CAPP), provided important insights into why this could be the case — and more ominously, why the future may be no better. CAPP is made up of ...

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If we want to rein in the costs of the U.S. health care system -- now equal to nearly 18 percent of the nation's gross domestic product -- we cannot ignore the fragmented technologies used to help heal and save lives. At first glance, the devices, monitors, electronic health records and machines found in today's hospitals might inspire awe. Look beyond the slick displays with blinking lights, however, and the picture ...

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The patient was in pain and had been for over a year. And it was getting worse, not better. Exhausting all avenues of treatment, I decided it was time to refer him to a pain management doctor. Because of the injury to his back, the patient lost his job and his health care coverage. With no alternative for health care coverage, he ended up covered by Medicaid. While health care ...

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Every health care system in the world is facing its fair share of challenges. Aging populations, the exponential increase in chronic diseases such as heart disease and diabetes, expensive new treatments—all at a time when most countries desperately need to curtail rising health care costs to save their economies. At the two extremes, we have fully public-funded (socialized) medicine versus entirely free-market (private) health care delivery systems. I’ve written previously ...

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With Donald Trump’s promise to repeal and replace Obamacare on many Americans’ minds, there are numerous questions about how the health care system will work in the very near future. There are equally as many, if not more, outlandish speculations. Donald Trump was elected a week ago and doesn’t assume office for two more months. Much of what will get changed and how is yet unknown. Yet the mainstream media has been quick ...

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The Wall Street Journal, The Washington Post, CBS News and other news outlets have led with headlines touting the big news that Donald Trump is willing to keep parts of the Affordable Care Act -- notably the pre-existing condition protections and the ability for children up to the age of 26 to stay on their parents policies. Except this isn’t news. In May, Trump’s policy advisor told Healthline that a ...

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