Healthcare Reform Archives - Joe Flower Healthcare Futurist https://imaginewhatif.com/healthcare-reform/ Healthcare Speaker, Consultant Tue, 11 Apr 2017 15:55:02 +0000 en-US hourly 1 Healthcare Economics: Why this stuff doesn’t work the way you think it does — and how to fix it https://imaginewhatif.com/healthcare-economics-why-stuff-doesnt-work-way-you-think-how-to-fix/ https://imaginewhatif.com/healthcare-economics-why-stuff-doesnt-work-way-you-think-how-to-fix/#comments Sat, 18 Mar 2017 00:12:33 +0000 https://imaginewhatif.com/?p=3816 Healthcare economics are weird, opaque, and convoluted. The business of healthcare is unlike any other business. The politicians and pundits arguing about how to fix healthcare in the United States don’t understand what they are trying to fix. Neither do you, probably, because almost no one does. So let me help with this explainer, your best eight minutes on healthcare economics, why healthcare economics are different, and what would work.

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Not Normal Chaos https://imaginewhatif.com/not-normal-chaos/ Sun, 22 Jan 2017 03:33:15 +0000 https://imaginewhatif.com/?p=3598 The short version of Vox’s Sarah Skiff on “Why Republican Disarray on Health Care Doesn’t Doom Repeal Efforts” would read something like: “It always looks this way in the throes of preparing major legislation. Remember how wild and confusing it was when the Democrats were trying to put together healthcare reform in 2009? Joe Lieberman was insisting on a public option, ‘pro-life’ Democrats […]

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Republican State Struggles To Keep Obamacare Alive https://imaginewhatif.com/republican-state-struggles-to-keep-obamacare-alive/ Wed, 22 Jun 2016 13:00:40 +0000 https://imaginewhatif.com/?p=3005 What it is: Alaska’s GOP-dominated legislature has passed and Sarah Palin endorsed Governor Bill Walker has signed a bill to bail out the state’s one remaining Obamacare insurer, using $55 million in tax money. Take a look: http://www.politico.com/story/2016/06/alaska-obamacare-collapse-224149 What it is not: A sign that Republican states are just caving in to the inevitability of […]

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When Does “Personal Responsibility” Come into Healthcare? https://imaginewhatif.com/when-does-personal-responsibility-come-into-healthcare/ https://imaginewhatif.com/when-does-personal-responsibility-come-into-healthcare/#comments Thu, 09 Jun 2016 14:42:11 +0000 https://imaginewhatif.com/?p=2949 The answer: Never. Here’s why. The question came over steak and a seafood tower. The steak was $51, if memory serves. A really good steak. The wine was an excellent Napa Valley red blend. We ate in a private room in a restaurant overlooking the Chicago River. Tourist boats passed by outside the picture windows, […]

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“Obamacare is Failing,” According to Industry Expert C. Little https://imaginewhatif.com/obamacare-is-failing-according-to-industry-expert-c-little/ https://imaginewhatif.com/obamacare-is-failing-according-to-industry-expert-c-little/#comments Wed, 25 Nov 2015 19:12:39 +0000 https://imaginewhatif.com/?p=2521 “See? Obamacare is failing!” according to industry expert C. Little, citing Wolf Report 712A just filed by Boy W. Cried. But before we perform the Last Rites over Obamacare, perhaps we should think for a moment about the hit ratio of the first 711 Wolf Reports from the young Mr. Cried and ask a few questions.

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Does prevention save money? __ Yes __ No https://imaginewhatif.com/does-prevention-save-money-__-yes-__-no/ https://imaginewhatif.com/does-prevention-save-money-__-yes-__-no/#comments Thu, 06 Aug 2015 18:23:11 +0000 https://imaginewhatif.com/?p=2470 Or…it’s complicated. The New York Times today published a story titled, “No, Giving More People Health Insurance Doesn’t Save Money.” A piece of the argument is, as the author Margo Sanger-Katz puts it, “Almost all preventive health care costs more than it saves.” What do you think? What’s the evidence? Leave aside, for the moment, the “big […]

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Obamacare Rates Set To Spike? Um… https://imaginewhatif.com/obamacare-rates-set-to-spike-um/ https://imaginewhatif.com/obamacare-rates-set-to-spike-um/#comments Fri, 12 Jun 2015 00:40:10 +0000 https://imaginewhatif.com/?p=2300 So it’s all over the news space and the shrieking blogosphere, with headlines like, “Obamacare Rates To Spike Up To 51%,” “Obamacare Hell…” and “Obamacare Inflationary Deluge…” And online friends are commenting about “Obamacare premiums set to rise next year as much as 51% in some states…” Hey, hey, hey. No need to panic. “Set […]

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Productivity? In Healthcare? https://imaginewhatif.com/productivity-in-healthcare/ https://imaginewhatif.com/productivity-in-healthcare/#comments Thu, 04 Jun 2015 02:03:42 +0000 https://imaginewhatif.com/?p=2232 Obamacare is built on the assumption that healthcare can be more productive, that we can squeeze more health per dollar out to the system that is built to give it to us. Practically everything I write is based on the same idea — big time. I believe we could do healthcare better for half the […]

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GOP has The Fear: King v. Burwell https://imaginewhatif.com/gop-has-the-fear-king-v-burwell/ https://imaginewhatif.com/gop-has-the-fear-king-v-burwell/#comments Tue, 26 May 2015 17:10:58 +0000 https://imaginewhatif.com/?p=2155 Republicans have raged against Obamacare for six years now. But do they really want to see it crash? We are rapidly approaching the day when the Supreme Court announces its decision in King v. Burwell. The case found a four-word phrase in the 900-page law that says that the tax subsidies are available to people […]

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The Smoking Gun: How U.S. Health Care Came to Cost Insanely More https://imaginewhatif.com/the-smoking-gun-how-u-s-health-care-came-to-cost-insanely-more/ https://imaginewhatif.com/the-smoking-gun-how-u-s-health-care-came-to-cost-insanely-more/#comments Tue, 19 May 2015 17:34:19 +0000 https://imaginewhatif.com/?p=2105 A historic chart of health care spending exposes the culprit in rising costs: code-based fee-for-service medicine. To Be Notified When the Book Is Available for Purchase Go Here Cost is the big factor. Cost is why we can’t have nice things. The overwhelmingly vast pile of money we siphon into health care in the United […]

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