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John Geyman

Can We Ever Achieve Affordable Health Care in the U.S.?

John Geyman | Posted 11.23.2015 | Politics
John Geyman

We have to recognize that the more unaffordable health care becomes, the less access to essential care Americans have and the worse their outcomes will be. In order to fix this huge and growing problem, we need to think much more broadly about needed approaches.

Big PhRMA: Blatant Greed and Disregard for the Public Interest

John Geyman | Posted 11.19.2015 | Politics
John Geyman

This is not an isolated example, just the latest of a longer-term problem -- pharmaceutical companies buying up rare drugs, then making huge price increases.

Decreasing Number of Uninsured: Metric For Success of the Affordable Care Act?

John Geyman | Posted 10.26.2015 | Politics
John Geyman

While it is tempting to look at just one metric--the decline in numbers of the uninsured, this is a trap if used to deceive ourselves as to the success of the ACA. As the above examples indicate, we still have a long way to go before we can say that we have reformed U. S. health care in the public interest.

Misinformation About the Cost of Single-Payer National Health Insurance

John Geyman | Posted 09.21.2015 | Politics
John Geyman

In a front-page Wall Street Journal article a few days ago, the projection was made that a single-payer national health insurance program (NHI), as part of the presidential campaign of Senator Bernie Sanders (I-VT), would cost $15 trillion over ten years.

Does the Affordable Care Act Guarantee Healthcare as a Right?

John Geyman | Posted 07.06.2015 | Politics
John Geyman

Healthcare as a right has been debated over many years, but is still not in place for all Americans as this country remains an outlier among advanced industrial countries around the world.

Who Is the Patient: The Insurance Industry or Real People?

John Geyman | Posted 06.29.2015 | Politics
John Geyman

Uncontrolled inflation of health care costs continues unimpeded as insurers, hospitals, drug companies, and others in the medical-industrial complex embrace expanded and subsidized new markets with minimal oversight.

Medicare at 50: Strengths to Build On

John Geyman | Posted 06.22.2015 | Politics
John Geyman

Traditional Medicare has proven its superiority over any private, market-based alternatives for the last 50 years. It is time to build on this social insurance model as the health care debate continues.

Privatized Medicaid Managed Care: Yet Another Health Policy Disaster

John Geyman | Posted 06.16.2015 | Politics
John Geyman

You might think that we learned the lesson of discredited managed care in the 1990s. The term "managed care" is confusing to many, but really amounts to managed reimbursement rather than managed care, whereby a set prospective annual payment is made by federal/state governments, as in the case of Medicaid managed care (MMC), to cover whatever services patients will receive over the coming year.

Why the Private Health Insurance Industry Has to Go

John Geyman | Posted 06.09.2015 | Politics
John Geyman

One can argue that the private insurance industry should be regarded as obsolete and not worth saving. However, the ACA has extended its life, including almost $2 trillion in federal subsidies over the next ten years.

Privatization of Medicare: Urgency of the Latest Threat

John Geyman | Posted 05.31.2015 | Politics
John Geyman

House Republicans want to convert Medicare into a voucher program, and would like to see the Senate concur. All this ties together as the biggest threat to health care for seniors and the disabled that we have yet seen. Democrats need to discover their spine!

The ACA at Age 5: What Lessons Can We Draw?

John Geyman | Posted 05.30.2015 | Politics
John Geyman

Having assessed in the last three posts the impacts of the Affordable Care Act (ACA) over the last five years, we have seen that the ACA will not bring universal access, contain health care costs for patients and taxpayers, or improve the quality of care.

The Affordable Care Act at Age Five: Quality of Care

John Geyman | Posted 05.17.2015 | Politics
John Geyman

The ACA was built on a flawed financing system, which will be unsustainable for patients, families and taxpayers.

Costs and Affordability of Care

John Geyman | Posted 05.09.2015 | Politics
John Geyman

In this second post assessing the track record of the Affordable Care Act (ACA) five years after its enactment, we now look at its impact on containment of health care costs and affordability of care, two of its principal goals.

Obamacare at Age Five: Access to Care

John Geyman | Posted 04.29.2015 | Politics
John Geyman

Based on the above, together with trends going forward, it is clear that the ACA has failed to remedy the nation's access to care problem.

Brill's Bitter Pill: Accurate Diagnosis, Inadequate Treatment

John Geyman | Posted 04.19.2015 | Politics
John Geyman

The ACA is unsustainable because of its inefficiency, increasing bureaucracy, and unaffordable costs to taxpayers as well as patients and families. As all this becomes more clear, we should all ask, what should follow the ACA?

Martin Luther King Jr. -- Health Care as a Moral Crisis

John Geyman | Posted 04.01.2015 | Politics
John Geyman

As Martin Luther King knew full well, health care is a moral issue. Virtually all advanced countries around the world recognized long ago that health care is a human right, not a privilege based on ability to pay.

Cancer Care in the US: The Achilles Heel of a Profit-Driven System

John Geyman | Posted 08.10.2014 | Politics
John Geyman

As other countries have found many years ago, the government must become more involved in pricing and financing of health care services, together with a more rigorous process of assessing services based on scientific evidence, efficacy and cost-effectiveness.

The VA Scandal -- What Lessons Can We Draw?

John Geyman | Posted 08.03.2014 | Politics
John Geyman

The V.A. scandal over access to care for our veterans is, of course, a betrayal of our government's debt to our veterans and a national disgrace that needs fixing on an urgent basis. Although we still don't know the full extent of the problems.

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

John Geyman | Posted 03.16.2014 | Politics
John Geyman

Though constantly attacked by the right as a government takeover, Obamacare is by no means a not-for-profit public program. Wall Street and investors recognize the potential for profits under the ACA.

Employer-Sponsored Health Insurance: Time to Pronounce it Dead

John Geyman | Posted 12.14.2011 | Business
John Geyman

We have had about a 75-year experiment with employer-sponsored health insurance, but its track record is one of continued decline over the last 30 years -- fewer people covered, less coverage for more costs, and less value of that coverage.

Live or Die: Do We Care Anymore?

John Geyman | Posted 12.12.2011 | Business
John Geyman

We have had about a 75-year experiment with employer-sponsored health insurance, but its track record is one of continued decline over the last 30 years.

'Moral Hazard' In Health Care: Duplicity On Steroids

John Geyman | Posted 11.22.2011 | Politics
John Geyman

When will logic, common sense, evidence and fairness take center stage for health policy makers and legislators? The way things are going could well be called legislative malpractice.

Myths and Misperceptions About Primary Care

John Geyman | Posted 10.22.2011 | Books
John Geyman

We are indebted to the late Dr. Barbara Starfield of the Johns Hopkins School of Public Health for this basic definition of the four pillars of primary care.

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

John Geyman | Posted 05.25.2011 | Politics
John Geyman

While the so-called "debate" over health care reform heats up, the only real option to reform health care -- single-payer national health insurance (NHI) -- is being largely overlooked.

Market-Driven Inflation of Health Care Costs and Spreading Hardships

John Geyman | Posted 05.25.2011 | Business
John Geyman

We are in the second Gilded Age, and conservative market policies fail the public interest.