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John Geyman

Does More Technology Bring Us Better Health Care?

John Geyman | Posted 07.25.2016 | Politics
John Geyman

It is a common misperception that the U. S. has the best health care in the world, another example of "American exceptionalism." By constant repetition over many years, this myth has become a meme, a part of our language without regard to its merit.

Can Overuse of Health Care Be Managed By Giving Consumers More Choice And Responsibility?

John Geyman | Posted 07.18.2016 | Politics
John Geyman

This has been the mantra of market advocates for many years under the theory of consumer-directed health care (CDHC), which posits that patients will ...

The Weak And Defeatist Democratic Platform On Health Care

John Geyman | Posted 07.12.2016 | Politics
John Geyman

At its Orlando, Florida meeting two days ago, the DNC platform committee voted down a proposed amendment to include single-payer health care in the Party Platform by a vote of 92 to 62, even though public support for single-payer includes 81 percent of Democrats and 58 percent of U.S. residents.

Does The Private Health Care Marketplace Provide Efficiency And Value?

John Geyman | Posted 07.07.2016 | Politics
John Geyman

Conservatives have long held that U. S. health care should be based on the "free market," that the role of government should be minimal, and that a deregulated marketplace can resolve issues of access, costs, affordability and quality of care.

Why Single-Payer Must Be Part of the Democratic Platform

John Geyman | Posted 06.21.2016 | Politics
John Geyman

Single-payer national health insurance (NHI) is one of the important differences in the current discussion between Bernie Sanders and Hillary Clinton, the presumptive Democratic presidential candidate.

Cost Effectiveness Analysis (CEA) in U. S. Health Care--Long Overdue

John Geyman | Posted 06.17.2016 | Politics
John Geyman

Cost effectiveness analysis (CEA), as applied to health care, attempts to estimate the value of expenditures on procedures or treatments that is retur...

Corporate Social Responsibility in Health Care: No Such Thing

John Geyman | Posted 06.10.2016 | Politics
John Geyman

We have some long unanswered questions in U. S. health care--Is health care in the public interest based on medical need, not ability to pay? Is it a ...

Poor Coverage of Health Care by the Corporate Media: How Can the Electorate be Informed?

John Geyman | Posted 05.27.2016 | Politics
John Geyman

During this election season, with health care one of the serious issues, the mainstream media are missing in action. As they posture coverage of contentious issues, they deliver disinformation and non-information at such a superficial level as to be useless.

Single-Payer NHI: The Only Way the US Can Ever Get Affordable Health Care

John Geyman | Posted 02.17.2016 | Politics
John Geyman

Now that Bernie Sanders has brought forward his progressive agenda, including real health care reform through a single-payer universal Medicare for all program, the knives are out from the Republicans as well as Hillary Clinton to distort and discredit this option with false information and voodoo numbers.

What Role Should the Government Have in U. S. Health Care?

John Geyman | Posted 12.29.2015 | Politics
John Geyman

For all the good that the Affordable Care Act may have done in extending the number of Americans with some form of medical insurance, it did very little to address the underlying fiscal crisis of health care, which is that our current fragmented form of delivering health insurance is unaffordable.

High Deductibles and Narrow Networks: The Achilles Heel of the ACA'S Health Insurance 

John Geyman | Posted 12.22.2015 | Politics
John Geyman

Most people who have explored options or purchased health insurance on the Affordable Care Act's exchanges learned quickly that premiums and deductibl...

Rationing of Health Care: Private Gain vs. The Common Good

John Geyman | Posted 12.15.2015 | Politics
John Geyman

Rationing, the hated R-word, evokes widespread resentment and debate whenever mentioned in connection with health care in the U. S. There are many who hold that we don't ration care now, never want to, and that the free market will work its magic and be fair to all without rationing if we just keep the government out of health care.

Growing Bureaucracy and Fraud in US Health Care

John Geyman | Posted 12.08.2015 | Politics
John Geyman

There is a pervasive myth generated by conservatives that the private sector is more efficient and less bureaucratic than government. This is perpetuated by those seeking to continue the "free market" in U. S. health care, which simultaneously exploits public programs through privatization of Medicare and Medicaid.

The Continued Degradation of Health Insurance Under the ACA

John Geyman | Posted 12.03.2015 | Politics
John Geyman

Even if insured how much can we depend on private health insurance any more? The bottom line--less and less as it continues to degrade after almost six years under the Affordable Care Act (ACA). Its coverage continues to degrade even as its costs become increasingly unaffordable.

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 07.06.2016 | 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 06.29.2016 | 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 06.22.2016 | 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 06.15.2016 | 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.