An improved patient delivery system is a necessary pre-condition for affordable and quality health care.
What do I mean by a “patient delivery system”?
Understanding patient delivery system means recognizing that people without health insurance do not receive treatment until they are in an immediate life-threatening situation.
I cannot back this up with a scientific study, only my daily experience. But that experience contradicts an oft cited myth that no one who needs health care is turned away. One of the most common reason that people call our office is because something happened to their health insurance that lead to a denial of treatment. Continue reading
I’ve had a number of positive things to say about the Max Baucus health care draft along with some criticisms. But it’s worth emphasizing that not all bullet points are created equal. To say that the subsidy levels Baucus is envisioning are not adequate is just one sentence. But it’s a really big problem. Baucus’ plan would be a boon to currently uninsured people earning less than 133 percent of the federal poverty line. And it’s fine for those of us who already have good employer-based health insurance. But for the 25 million or so uninsured people earning between 133 and 300 percent of FPL, the math just doesn’t really add up. In this chart Nick Beaudrot compared premium levels under Baucuscare to what they do currently in Massachusetts (which seems to work okay) with what federal health reform could do under some alternative scenarios:
Matthew Yglesias » Can’t Make Insurance Affordable for All Without Making it Affordable
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July 31, 2009 Friday 3:30 PM EST
PHILADELPHIA, July 31 /PRNewswire-USNewswire/ — In a post-recession America, even though as a nation income levels may rise, middle class families still won’t be shielded from the crushing burden of health care costs and will watch their standards of living continue to erode, according to a study published this week in the New England Journal of Medicine (NEJM) by Daniel Polsky, Ph.D., and David Grande, M.D., M.P.A, of the University of Pennsylvania’s Leonard Davis Institute of Health Economics.