Weekend Reading List

AARP releases its Guide to Health Reform. How is the Health Reform paid for? The world’s first euthanasia clinic. Golden rule of organ donation. Will Obamacare end health insurance as we know it? Who is Jon Gruber? The $1200 basic blood test.

How to drop the individual mandate and avoid the collapse of the private health insurance market

Today, the Supreme Court is deciding  whether to let many of the provisions of the Affordable Care Act (a.k.a. ACA, a.k.a. Health Reform, a.k.a. Obamacare) stand.  One of the key provisions is the individual mandate.  The individual mandate requires all individuals to purchase health insurance.  If you don’t buy health insurance, you must pay a…

The Impacts of Managed Competition in Netherlands

Financial incentives matter.  If one had to give economists (and health economists as well) a slogan, this would be it. In 2006, the Netherlands instituted a form of managed competition. According to Van Dijk et al (2012) “Before 2006, inhabitants had either compulsory social (sickness fund, 62%) or voluntarily private (36%) health insurance depending, among others, on income (below a gross…

The Origins of Medicare and Medicaid

Medicare is a widely popular program.  Most American support increasing taxes rather than making cuts to Medicare spending.  Americans prioritize spending on only Social Security and education more than Medicare.  Then there is the famous “Keep Your Goddamn Government Hands Off My Medicare!” statement. Medicaid is Medicare’s ugly step-sister.  Whereas Medicare beneficiaries qualify primarily due…

The Start of Rationing in Medicare?

Prior authorization is a common tool that managed care organizations use to reduce patient utilization of medical services.  Some physicians believe that prior authorization creates barriers to effective care, but other commentators believe that prior authorizations can be implemented in a more efficient manner.  Either way, prior authorizations are a form of rationing care. Although…