John Geyman, MD is Professor Emeritus of Family Medicine at the University of Washington School of Medicine in Seattle, where he served as Chairman of the Department of Family Medicine from 1976 to 1990. As a family physician with over 25 years in academic medicine, he has also practiced in rural communities for 13 years. He was the founding editor of The Journal of Family Practice (1973 to 1990) and the editor of The Journal of the American Board of Family Practice from 1990 to 2003. His most recent books are Health Care in America: Can Our Ailing System Be Healed? (Butterworth-Heinemann, 2002), The Corporate Transformation of Health Care: Can the Public Interest Still Be Served? (Springer Publishing Company, 2004), Falling Through the Safety Net: Americans Without Health Insurance (Common Courage Press, 2005), Shredding the Social Contract: The Privatization of Medicare (Common Courage Press, 2006), and The Corrosion of Medicine: Can the Profession Reclaim its Moral Legacy? (Common Courage Press, 2008), Dr. Geyman served as President of Physicians for a National Health Program from 2005 to 2007 and is a member of the Institute of Medicine.

Blog Entries by John Geyman

No Health Care Bill is Better Than a Bad Bill

24 Comments | Posted November 5, 2009 | 05:45 PM (EST)


The new House bill for health care reform (HR 3962), unveiled by Speaker Nancy Pelosi on October 29th, will not fundamentally reform U.S. health care.

If you were to believe the hype that accompanied its release, you might think that it would be as important as Medicare and Social Security....

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A Death Every 12 Minutes: The Price of Not Having Medicare for All

17 Comments | Posted September 18, 2009 | 05:01 PM (EST)


Americans are dying at a faster rate -- 1 every 12 minutes, 5 an hour, 120 a day, 45,000 a year -- not from war or natural disaster, but from lack of health insurance.

That's the stunning finding of a study published today in the American Journal of Public...

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Republicans Defending Medicare: Duplicity Beyond Belief

1 Comments | Posted September 15, 2009 | 11:29 AM (EST)


Medicare has long been a flashpoint generating intense disagreement across party lines over the role of private markets versus that of government.

Republicans have fought against Medicare from the very beginning. They bitterly opposed it in various committees in both houses of Congress in 1964 -1965. But they relented,...

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The Corporate "Alliance" For Health Care Reform: V - Organized Medicine

Posted September 9, 2009 | 05:18 PM (EST)


Having considered four of the major corporate stakeholders in our medical industrial complex -- the insurance, drug, and hospital industries as well as business -- it is now time to turn our attention to organized medicine. Since physicians order almost all services that are provided within our health care system,...

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The Corporate "Alliance" For Health Care Reform: III. The Hospital Industry

2 Comments | Posted September 1, 2009 | 04:04 PM (EST)


Faced with increasing political momentum toward some kind of health care reform, the hospital industry, together with other major stakeholders, wanted to retain a place at the negotiating table and protect its interests in whatever legislation resulted. Urgency increased after the drug and insurance industries offered up their pledges to...

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The Corporate "Alliance" for Health Care Reform: Pledges, Agendas, Tactics and Likely Rewards the Insurance Industry

Posted August 25, 2009 | 11:40 AM (EST)


In May, 2009, President Obama held a high-profile event in the White House, convening leaders from the health care industry to a meeting to discuss reform of the U. S. health care system. Participants included representatives from the insurance, drug, medical device, and hospital industries as well as business, labor...

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Fiscal Conservatism and Health Care Reform: a Bipartisan No-Brainer?

11 Comments | Posted August 20, 2009 | 11:17 AM (EST)


We are told by supporters of health care reform bills in the Democrat-controlled Congress that they will save us money in the long run and contain skyrocketing health care costs. But the CBO has projected that the most comprehensive proposal yet, America's Affordable Health Choices Act of 2009 (H.R.3200 in...

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Health Care "Reform" 2009: The Fallacy of Affordability and Cost Containment

12 Comments | Posted August 19, 2009 | 12:28 PM (EST)


Now that we're into the recess period of bitter and distorted controversy over the shape of health care reform when Congress re-convenes in September, it is timely to reassess the extent to which legislation this year may or may not meet the goals for reform. Recall that the three major...

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Exchanges, Co-Ops and Cop-Outs on Health Care Reform

3 Comments | Posted August 17, 2009 | 02:00 PM (EST)


As the leading proposal out of the gate for health care reform in this session of Congress, the House bill (H.R. 3200, America's Affordable Health Choices Act) during this August recess stage is considered the most robust of the various proposals so far coming out of congressional committees. This act...

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"Facts" About American Health Care Revisited

7 Comments | Posted August 6, 2009 | 06:57 PM (EST)


A recent post on the National Center for Policy Analysis's (NCPA) web site by Dr. Scott Atlas of the Hoover Institute and Stanford University expounded on 10 "surprising facts" about our health care system. After an opening statement that U. S. health care has been denigrated compared to other developed...

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Subsidizing Our Way To Affordable Health Insurance: A Futile And Unaffordable Quest

8 Comments | Posted August 1, 2009 | 03:14 PM (EST)


As the debate over health care reform becomes all-out warfare between parties and within the Democratic party, Congress will adjourn shortly for its August recess with many of the key questions unresolved. However, the bill as shaped by two or three House committees (H. R. 3200, America's Affordable Health Choices...

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The Public Option: Dead By Pen Strokes In Congressional Committees

18 Comments | Posted July 28, 2009 | 11:58 AM (EST)


The so-called public option has emerged as the single most divisive point in the health care reform proposals being shaped in various committees in Congress. Republicans have risen up to demonize it as a government takeover of health care on the slippery slope toward socialism. Within the powerful Senate Finance...

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Individual Mandates: Expensive Policy Failure And Bonanza For Insurers And Market Stakeholders

3 Comments | Posted July 23, 2009 | 04:44 PM (EST)


We've been here before. With much fanfare, health insurance mandates were enacted by Massachusetts in 2006 and touted by many as an effective model to reform health care. After three years' experience, here is what the "Massachusetts Miracle" tells us about mandates and their costs.

• Only about one-half of...

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Health Care Reform 2009: A Train Wreck In Slow Motion

5 Comments | Posted July 21, 2009 | 05:05 PM (EST)


As July starts to wind down and the August recess by Congress fast approaches, the debate over health care reform enters a late stage with increasingly bitter partisan differences over very divisive issues. Every day we hear about more Democrats siding with the Republicans, especially the Blue Dogs worrying about...

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Corpocracy vs. Democracy in Health Care Reform

2 Comments | Posted July 20, 2009 | 05:15 PM (EST)


Corporate America has highjacked the health care debate and threatens to make real health care reform impossible. Since corporate dollars trump individual votes, we have a corpocracy, not a democracy.

This is not a new story, but is still an under-recognized one. By a landmark ruling of the U....

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Societal Blind Spots As Barriers To Health Care Reform

5 Comments | Posted July 16, 2009 | 11:32 AM (EST)


History tells us that societal blind spots are common throughout the centuries from one society, culture or continent to another. An example in the late 1700s involves the first cancer hospital in the world. It was established in Reims, France, but was forced to leave the city in 1779 because...

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The Sham and Shame of the Health Reform "Debate": The Charade Goes On

15 Comments | Posted June 11, 2009 | 11:55 AM (EST)


Now that we have a new president espousing health care reform and a Democratic majority in both houses of Congress, isn't this a time to be excited and optimistic for long-overdue reform? Much as we would like to say "Of course!", we cannot. The "reform" effort is already way off...

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In Global Recession, Health Care Reform Which Saves Money Is An Economic Imperative

Posted October 23, 2008 | 12:23 PM (EST)


It is now widely recognized that we are in a global recession of historic proportions, raising comparisons with the Great Depression of the 1930s. The failures of deregulated markets, whether in housing, banking or other industries, has become obvious to all. So far the private health insurance industry has not...

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Market-Driven Inflation of Health Care Costs and Spreading Hardships

Posted September 19, 2008 | 12:55 PM (EST)


In a Letter to the Editor of the Wall Street Journal just days ago, John Goodman, president of the conservative Dallas-based National Center for Policy Analysis, repeats this classic premise of Milton Friedman's economic views: "Capitalism confers its greatest benefits on people at the bottom of the income ladder. People...

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Market Mythology in Health Care: Why Markets Can Never Control Health Care Costs

Posted September 16, 2008 | 07:05 PM (EST)


Market theorists have been telling us for years that the competitive marketplace will keep prices under control, as well as fix problems of access and quality of health care. This statement by senior fellows of the Hoover Institution in 2006 reflects market ideology which has framed health care policy for...

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