You know that one patient? The one who calls the nurses every five minutes and keeps hoarding the jello cups down the hall? She has a thousand problems but doesn’t bother to take care of herself. She keeps coming back complaining about her issues and wasting our time by asking the same question again and again without listening to what we say. And don’t get me started on how awful ...

Read more...

If the Democrats capture the White House, keep the House and take over the Senate, no matter who they elect as president, this Biden health care outline, not Medicare for all, will likely be the plan Democrats embrace in 2021. The Biden health care proposal directly takes on the big things that haven't worked in Obamacare. Here are the things that are most broken in Obamacare:

  • The individual health insurance premiums and ...

    Read more...

Health care remains the nation’s top voting issue ahead of the 2020 elections, just as it was during the 2018 midterms. Surveys show voters remain frustrated with high drug prices, growing out-of-pocket expenses, and skimpy health-insurance benefits.

The leading candidates have publicly promised to fix these problems, but all are omitting certain details about their health care plans. To help voters ...

Read more...

First in a series. Way back as a business strategy undergrad and then as a medical student, I developed a framework for understanding health care systems. I call it the Healthcare Incentives Framework, and I believe it clarifies the big-picture components of health care systems that people need to grasp to be able to understand the sources of problems, which then leads to appropriate solutions. The whole thing cannot be explained ...

Read more...

Sometimes an image captures the heart of a nation by putting a face on a human crisis.  The one of Óscar Alberto Martínez Ramírez and his 2-year-old daughter Valeria lying face down in the Rio Grande after drowning was powerful.  Their family had been turned away from crossing the border and decided to take their chances and swim across the river.  They were not successful. Why did this picture seize our attention?  Is it because ...

Read more...

Researchers around the world hail Germany for its robust health care system: universal coverage, plentiful primary care, low drug prices, and minimal out-of-pocket costs for residents. Unlike in the U.S., the prospect of a large medical bill doesn’t stand in the way of anyone’s treatment. “Money is a problem in [their lives], but not with us,” said Merangis Qadiri, a health counselor at a clinic in one of Hamburg’s poorest neighborhoods. But ...

Read more...

Over half of Medicare spending is concentrated in 10 percent of patients. With Medicare expenditures rising at an unsustainable clip, reigning in the costs of those patients is key to controlling health care spending.

So who are those patients and what expenses are they racking up?

It’s not who or what I expected. When I think of high-cost patients, I envision people with drawn-out hospital stays, or imagine people ...

Read more...

Recent polls show a majority of Americans support Medicare for all, but few seem to realize that no other system in the world operates like the current single-payer proposals in Congress.  I addressed the concept of single-payer health care, with Cuba’s system as an example.  Today I’m writing more about the ideas being discussed now in our country and how those compare to other nations that provide some ...

Read more...

Why does the most expensive health care system on the planet do such a poor job protecting the lives of pregnant women? More important, what can be done about it? The United States continues to lead the world in health care spending yet it has the highest maternal death rate among wealthy nations. Researchers have found that maternal mortality in the United States 
Read more...

When Ashley Pintos went to the emergency room of St. Joseph Medical Center in Tacoma, Wash., in 2016, with a sharp pain in her abdomen and no insurance, a representative demanded a $500 deposit before treating her. “She said, ‘Do you have $200?’ I said no,” recalled Pintos, who then earned less than $30,000 at a company that made holsters for police. “She said, ‘Do you have $100?’ They were not ...

Read more...

Most Popular

Join 150,000+ subscribers

Get the best of KevinMD in your inbox

Sign me up! It's free. 
close-link