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John Geyman
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.

Entries by John Geyman

Catholic Hospital Systems: A Growing Threat To Access T0 Reproductive Services

(13) Comments | Posted March 11, 2014 | 3:27 PM

Expansion of Catholic hospital systems is accelerating around the country, partly by acquiring non-Catholic hospitals. This trend is posing an increasing threat to access to care in two major areas -- reproductive services and end-of-life care. Ethical and Religious Directives for Catholic Health Care Services (the ERDs) are being enforced...

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Continuity of Health Care: Going, Going... Almost Gone!

(4) Comments | Posted February 6, 2014 | 4:53 PM


We have heard the promises as the Affordable Care Act (ACA) was being sold to the public, including -- you can keep your doctor and insurance if you like it. We now know those promises to be mostly false as the...

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The Affordable Care Act: Not a Government Takeover But a Privatized Bonanza

(4) Comments | Posted January 14, 2014 | 7:10 AM

"(Obamacare) is not a government takeover of medicine. It's the privatization of health care."

Those words were spoken by Tom Scully, former administrator of the Centers for Medicare and Medicaid Services (CMS) during the George W. Bush administration. The occasion was as keynote speaker at an event in late October,...

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The Affordable Care Act: What to Expect in 2013

(4) Comments | Posted January 24, 2013 | 2:35 PM

The Affordable Care Act (ACA), crafted in large part by corporate stakeholders who are themselves responsible for the high costs of U.S. health care, is more secure with President Obama's win. But regrettably, the law will fail to control costs or prices, will not provide universal access to care, and...

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Personhood: Causality of Modern Medicine

(13) Comments | Posted December 6, 2012 | 12:38 PM

Even as we marvel at the latest advances in medical technology in this country, a dire and unacceptable consequence of these changes is already in plain sight -- the loss of the patient as person in the process of our fragmented and dysfunctional health care "system."

There are so...

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Employer-Sponsored Health Insurance: Time to Pronounce it Dead

(78) Comments | Posted October 14, 2011 | 5:00 PM

Although many may think today that we have always had employer-sponsored health insurance (ESI) in this country, that is not the case. While some companies offered coverage in the 1930s, the basic concept gained momentum only after the start of World War II. The war effort required a rapid buildup...

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Live or Die: Do We Care Anymore?

(31) Comments | Posted October 12, 2011 | 10:43 AM

Although many may think today that we have always had employer-sponsored health insurance (ESI) in this country, that is not the case. While some companies offered coverage in the 1930s, the basic concept gained momentum only after the start of World War II. The war effort required a rapid buildup...

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Health Care: A Casualty of Class Warfare

(0) Comments | Posted October 10, 2011 | 4:06 PM

As the Great Recession rolls on after three years, without signs of relief on the horizon, a growing army of many millions of Americans is finding it impossible to gain access to necessary health care that is affordable. Meanwhile, class warfare is gaining intensity with a widening gulf between the...

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'Moral Hazard' In Health Care: Duplicity On Steroids

(4) Comments | Posted September 22, 2011 | 2:53 PM

Under the theory of moral hazard, it is postulated that insured people overuse health care services and that patients themselves are a leading cause of health care inflation. If they would just have more "skin in the game" through enough cost-sharing (co-payments, deductibles and other restrictions), it is assumed that...

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Upside Down Health Care: Why It Matters

(55) Comments | Posted August 28, 2011 | 3:27 PM

Up to the middle of the last century, most Americans could count on good access to generalist primary care physicians with the training and commitment to evaluate and treat their medical problems, whatever they might be. Those days are long gone. The ratio of generalist physicians to specialists in this...

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Myths and Misperceptions About Primary Care

(2) Comments | Posted August 22, 2011 | 5:01 PM

With accelerating growth of medical technologies, specialization and sub-specialization since World War II, the U.S. now has 24 specialty boards and more than 135 certified subspecialties. As a result, a unified voice from the profession about how best to serve patients in a rational health care system has largely disappeared....

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The Decline Of Primary Care: The Silent Crisis Undermining U.S. Health Care

(5) Comments | Posted August 11, 2011 | 10:16 AM

Amidst all the crises confronting our country today -- ranging from the deficit, rising unemployment and underemployment, mistrust of legislators and the government -- there is another major crisis: the continued deterioration of primary care that threatens to break up the very foundation of U.S. health care. Underreported and widely...

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Waiving Away Affordability of Health Care

(0) Comments | Posted December 9, 2010 | 2:45 PM

It was clear from the beginning of the health care "reform" charade that the insurance industry, the drug industry and other parts of the corporate medical industrial complex were working to assure that any legislation that passed would add to their financial bottom lines. They largely succeeded in this. The...

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Impact of Disparities on Access and Quality of Cancer Care

(9) Comments | Posted August 5, 2010 | 12:28 PM

Disparities within the U. S. health care system result in serious impacts on access to care for patients with cancer at all stages from screening and prevention to treatment and survival. Access barriers further lead to disparities in the quality of care received. These concerns led the American Cancer Society...

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Hijacked: Stolen Health Care Reform V

(3) Comments | Posted July 27, 2010 | 3:10 PM

Our last four posts have examined the PPACA from the perspectives of the four main goals of health care reform -- cost containment, affordability, improved access and quality of care. Here we draw these goals together in asking whether this legislation delivers enough to be worth the $1 trillion investment...

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Hijacked: Stolen Health Care Reform IV: Will the Quality of Care Improve?

(0) Comments | Posted July 23, 2010 | 5:50 PM

In our last three posts, we examined how the Patient Protection and Affordable Care Act of 2010 (PPACA) stacks up against the goals of reform for cost containment, affordability and access to care. Here we consider what its likely impact will be on the quality of care, the fourth major...

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Hijacked: Stolen Health Reform III: How Much Will Access to Care Be Expanded?

(5) Comments | Posted July 15, 2010 | 12:53 PM

The Patient Protection and Affordable Care Act of 2010 (PPACA) is being touted by its proponents as moving the country to near-universal coverage and a great step ahead in U.S. health care. But what does this really mean? Are the many barriers to care almost a thing of the past?

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Hijacked, Stolen Health Care Reform: Why Health Care Costs Will Not Be Contained

(5) Comments | Posted July 8, 2010 | 4:21 PM

The passage of the Patient Protection and Affordable Care Act of 2010 (PPACA), our new health care legislation, in March was hailed by its supporters as an historic event of the magnitude of Social Security and Medicare. But four months later, it remains controversial, with repeated polls showing three large...

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No Health Care Bill is Better Than a Bad Bill

(22) Comments | Posted November 5, 2009 | 4:45 PM

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 | 5:01 PM

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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