Category Archives: Uncategorized

Krugman Flunks Health Econ 101

John C. Goodman writes:

It’s painful to read Paul Krugman when he writes about health care. Makes you wonder how he ever won the Nobel Prize. Previously, he made the absurd claim that in repealing health reform Mitt Romney would allow “tens of thousands” of people to die. In his latest venture into the field, about which he knows embarrassingly little, he has this to say …

Read more: Krugman Flunks Health Econ 101 | John Goodman’s Health Policy Blog | NCPA.org.

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Canadians paying much more for health coverage then ten years ago

A new Fraser Institute study reviews what Canadians pay for their government-controlled health insurance. As the NCPA summarizes:

In Canada, taxpayers are increasingly being asked to pay more for the public health care system.

However, Canadians often misunderstand the true cost of the system because many services are offered free at the point of use. In addition, Canada’s health care system is financed through general government revenues so that funding comes from many sources, making it difficult for Canadians to track how much they contribute, say Nadeem Esmail and Milagros Palacios of the Fraser Institute.

[Over the past decade], the estimated average payment for public health care insurance for six common types of Canadian families has increased by:

  • More than 30 percent for two adults with no children.
  • Nearly 26 percent for a family of two parents and one child.
  • Twenty-two percent for a family of two parents and two children.
  • About 35 percent for a single individual.
  • More than 25 percent for a family of one parent and one child.
  • And finally, 21.5 percent for a family of one parent and two children.

Furthermore, the share of income that a Canadian has to pay for health care has also increased relative to the changes in cost of other necessities of life.

Read more: The Price of Public Health Care Insurance.

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Post: “Health care battle has plenty of fight left, Denver panel shows”

The Denver Post reports:

A key architect and a sharp opponent of national health care reform clashed in a debate Thursday over how much “Obamacare” limits consumer choice and holds hope of cutting costs. …

[Linda] Gorman of the Independence Institute said the subsidies and patient-managing plans of “Obamacare” wipe consumer choice out of the picture. By contrast, Gorman said, procedures where buyers know the price and have real choice, like Lasik eye surgery and urgent-care centers, have seen costs come down through true competition.

Read more: Health care battle has plenty of fight left, Denver panel shows – The Denver Post.

Also see Linda’s one-page issue backgrounder against ObamaCareThe Real Cost of ObamaCare: The End Of Reforms Promising Personal, Private, Portable, Affordable Health Care

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What reach your doctor 24/7? Pay her directly at a new Denver care center

Economist John Goodman explains why you typically cannot reach your doctor on the phone or over the Internet: Medicare and insurers don’t pay them for this. This changes when you pay your doctor directly. The Denver Business Journal reports on a new direct-pay medical office where doctors are available at all times:

Dialysis center giant DaVita Inc. has opened its first primary-care center in Colorado, offering concierge medicine to both employees and outsiders in what it says is an effort to improve health and reduce costs by competing with traditional physicians’ practices.

Paladina Health LLC, a clinic that opened on Sept. 3 at 1783 15th St., offers two physicians and two medical assistants to treat individuals or employers who pay a monthly fee. …

Under the concierge medicine concept practiced there, patients will pay a monthly fee — $99 for adults, $59 for children and various negotiated prices for companies — and receive unlimited services from doctors rather than paying per visit, Steinfort said.

By allowing doctors to spend more time with patients, and be available to them via cellphone and web portal at all times, DaVita believes it can drive improvements to customer service and to health while cutting the cost of care if patients don’t wait until they are severely ill to see a doctor, Steinfort said.

via DaVita opens Denver health care office.

At the Center for Individual Freedom, Ashton Ellis gives more background on direct-pay medicine:

Tom Blue, Executive Director of the American Academy of Private Physicians, says that doctors are seeing revenue drop precipitously as the costs of regulations, drugs and medical liability skyrocket, while reimbursements from public and private insurance providers plunge.

In response, Blue says that a growing number of doctors are converting their practices to a new business model that cuts out the middle men, and enhances the doctor-patient relationship.

Direct-pay medical contracts require a one-time annual fee that buys 24/7 access to a primary care physician, same day appointments and a doctor-patient relationship reminiscent of an era before third party insurers and government subsidies.

More: Direct-Pay Medicine: A Free Market Approach to Healthcare Reform

 

 

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Colorado Health Benefits Exchange: Will Federal Rules Dominate?

From Michael Cannon at Cato:

“It’s not that they don’t have answers because they’re withholding it from us, it’s that they don’t have answers because they don’t have answers,” [Wisonsin Sec. of Health Dennis] Smith said. “These are critical policy issues, critical technical issues. Again, what are you building if you don’t know who’s eligible? What are you building if you don’t know what the flow is out of the treasury to the health plan?”…”They have a mess on their hands,” Smith said… “You have to fundamentally say, ‘No, that just isn’t working, we have to go back to the drawing board.’ …

Smith also said that none of the states currently setting up exchanges would likely meet federal regulations and that there’s “no such thing as a state-run exchange.”

Read more: Wisconsin Health Secretary: ‘No Such Thing as a State-Run Exchange’ | Cato @ Liberty.

See also: State Health Insurance Exchanges Will Impose Federal Control, by Twila Brase

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States Can Still Kill Obamacare. But not Colorado. Thanks Amy Stephens.

In The American Spectator, David Catron writes:

Although the voters can put an end to the madness on November 6, the states don’t need to wait until Election Day to take aim at a point of vulnerability that remains in place despite the Courts latest caprice. They can refuse to implement the laws insurance exchanges. .

But thanks to Rep. Amy Stephens and others, Colorado has already implemented one. Catron continues:

How’s that? Well, as the Cato Institute’s Michael Cannon succinctly puts it, “Without these bureaucracies, Obamacare cannot work.” And, oddly enough, the law doesn’t actually require states to set up these “marketplaces.” Moreover, there is no rational incentive for them to do so. If a state sets up an exchange, it then must pay for it, which won’t be cheap. Cannon writes, “States that opt to create an exchange can expect to pay anywhere from $10 million to $100 million per year to run it.” This is a burden that the states, most of which are already in deep financial trouble, are not likely to embrace with enthusiasm.

Read more: The American Spectator : The States Can Still Kill Obamacare.

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John C. Goodman on his new book, Priceless

Originally aired June 21, 2012. Independent Institute Research Fellow Dr. John C. Goodman, author of “Priceless: Curing the Healthcare Crisis,” joins a panel on Stossel to speak on healthcare issues.

Note that the doctor in favor of ObamaCare starts from the false premise that health care is a “right.

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