This keeps coming back to me: federal level health care reform is stalled, related to massive dysfunction in the legislative branch of government in Washington D.C. Add to that the fact that we have a huge and incredibly diverse country, and it is not too surprising that we haven’t come up with an acceptable health care reform bill. But what about Massachusetts? They managed to pass health care reform, and though it is not perfect, it beats the heck out of what they have in Washington and Idaho, the states in which I practice medicine. Just today I read an article in the New England Journal of Medicine about the way the medicaid system is administered in Oregon. They use cost effectiveness research to determine a basic health care package, and then budget to allow as many people as possible to be covered by the state Medicaid system. This is the article: http://content.nejm.org/cgi/content/full/362/7/e18 I would very much like to see Idaho, where we spend 20% of o...
The cost of health care in the US is higher than anywhere else in the world, and yet we are not healthier than our peer nations. In fact, in terms of such measures as infant mortality and life span, we don't measure up. Why is this? Many people involved in providing or receiving care have some pretty good ideas about what costs so much, and what we can do to reduce costs and improve quality. Sharing these stories is an important step in creating affordable universal health care.