Another Model Medical Home, but the Poor Need Not Apply
The Wall Street Journal (March 15, B1) describes a high quality Medical Home at the Westminster Clinic, which is located between two affluent communities (Westminster and Arvada) in the northwest...
View ArticleHealth Care Spending and GDP in One Chart
There has been a great deal of discussion about the recent decreases in the rate of growth of health expenditures, and there has been a tendency to attribute it to the early effects of health care...
View ArticlePoverty, Wealth and Health Care Utilization: A Geographic Assessment
http://www.springerlink.com/content/d647854766vt4688/fulltext.pdf The test of our progress is not whether we add more to the abundance of those who have much. It is whether we provide enough for...
View ArticleIt’s Official: There IS a Physician Shortage
The New York Times has made it official. There is a physician shortage: “Doctor Shortage Likely To Worsen with Health Care Law” They’ve published that news as their lead story today, although they...
View ArticlePOVERTY and the WAR on WASTE
Why does the US spend so much on health care, and what is (and is not) being done about it. The answer to “why” is embedded in a narrative that goes something like this: The US spends twice as much as...
View ArticleFederal Reserve Paper: Geographic Variation Can’t Tell Much about Efficiency...
Why the Geographic Variation in Health Care Spending Can’t Tell Us Much about the Efficiency or Quality of our Health Care System Louise Sheiner, Federal Reserve Board of Governors Full paper...
View ArticleReadmission Legislation is Harming Hospitals that Care for Poorer and Sicker...
This blog post was originally published on the Action for Better Healthcare site on Jan 6, 2010 (http://actionforbetterhealthcare.com/?p=250). It warned that policies directed toward stemming...
View ArticleCritical Access Hospitals: The Canary in the Mine for Specialist Shortages?
An article in the April 3rd issue of JAMA describes the higher mortality from acute MI, congestive health failure and pneumonia in critical access hospitals (CAHs) (small hospitals in sparsely...
View ArticleNot Your Usual Primary Care Provider
Physician shortages are being disproportionately felt in primary care, as fewer physicians practice office-based primary care and as more NPs and PAs work in specialty practices. Who will provide...
View ArticleMore War on Waste: Do Hospitals Profit from Complications?
Gawande has struck again, concluding in his recent JAMA article that “some hospitals have the potential for adverse near-term financial consequences for decreasing post-surgical complications” (aka,...
View ArticleGeographic Variation Is Explained by Disease
In a new paper in Medical Care Research and Review, Reschovsky, Hadley and Romano have shown quite conclusively that geographic variation in health care spending is related to the burden of illness and...
View ArticleIOM says “Target Decision Making.” No. Target Poverty
The IOM’s new report on geographic variation in health care was released yesterday. It attempted to define the reasons for the variation that has been projected by the Dartmouth Atlas and has fed the...
View ArticleSqueezing Physicians is Not Good for Jobs Growth
Four years ago, as ObamaCare was being debated, and as action on expanding physician supply languished (as is still the case), I wrote on this blog, “More Jobs, But Not Without More Physicians.” Over...
View ArticleAnother Look at Jobs
In response to a recent blog about jobs (see below), Alan Maynard, the dean of UK health economists, asks whether the loss of health care jobs is a manifestation of expenditure control or efficiency....
View ArticleNational Income Inequality and Local Poverty: Correlates of Health Care Spending
I recently posted an essay on the Health Affairs blog entitled “Inequality is at the Core of High Health Care Spending: A View from the OECD.” It explores the relationship between GDP and health care...
View ArticleHospitals Know that P-O-V-E-R-T-Y is at the Core of the Problem
For more than a decade, a coalition of health care pundits associated with Dartmouth, the IOM, MedPAC, CMS, the Urban Institute, the GAO, the CBO and the Commonwealth Fund has been peddling a line...
View ArticleYES, NEW YORK TIMES, THERE IS A PHYSICIAN SHORTAGE
For the first time (to my knowledge), the editorial staff of the New York Times has acknowledged that there is a PHYSICIAN SHORTAGE and pointed to the need to increase the number of residents being...
View ArticleURBAN POVERTY and HEALTH
This post, by my friend and collaborator Tom Rosenthal , Chief Medical Officer of the UCLA Health System, responds to an article that was published in the New York Times Magazine, entitled “What’s the...
View ArticleIntroduction Chapter from Poverty and the Myths of Health Care Reform
The following is an excerpt from the book “Poverty and the Myths of Health Care Reform” by Dr. Richard A. Cooper, M.D., which is published by Johns Hopkins University Press. To order a copy, please...
View ArticlePoverty and the Myths of Health Care Reform
Buz Cooper’s book “Poverty and the Myths of Health Care Reform” (The Johns Hopkins University Press) written in the last two years of his life and published just months after his death in 2016, argues...
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