Conventional wisdom holds that America faces a growing physician shortage and that one way of responding is by creating new medical schools. Starting a new school is an expensive proposition which may explain the modest number that has opened in the past decade. But now the private sector may be coming to the rescue by creating proprietary – or profit-making – schools to train physicians.Read More
Author Archives: Jim Jaffe
If the good news we’ve been hearing about American health costs in the past few months turns out to be the new norm – it’s too early to tell – then much of today’s political debate is wildly misguided. Consultants predict 2014 will see abnormally low inflation, again. Medicare spending per beneficiary is dropping more than previously anticipated. And new tools provided by Obamacare to constrain costs could accelerate these trends.Read More »
There was a fairly recent time when the word most associated with the chairmanship of a major committee in the House of Representatives was powerful. Retiring Representatives Dingell and Waxman enjoyed the aura that came with the gavel.
That was then. Confirmation of how things have changed came this week when the chairman of the Ways and Means Committee unveil a tax reform plan that everyone agrees is both credible and going nowhere.Read More »
There are two interesting additions to the annals of political influence which focus on quiet issue lobbying.
The quiet lobbying game works best when no one looks carefully at the sausage-making machinery. It offers a stark contrast to the money game where contributors present themselves as 800-lb gorillas who are willing to spend as much as it takes to make things happen their way.Read More »
Is it wise policy to encourage Americans who already spend more than $8 billion annually on these tests to get more? And why does Obamacare, which generally favors evidence-based medicine, mandate this service despite new research suggesting mammograms don’t save lives.
Despite our discomfort with a public debate, our healthcare system is constantly asked what treatments are worth paying for.Read More »
The relentless flow of good news about Obamacare may explain why a growing number of elected Republicans are walking away from the issue. Two new bits of insurance news suggest progress that backers of reform find quite encouraging…Read More »
The echo chamber created by Washington’s beltway wonders how seriously New Jersey Gov. Chris Christie’s presidential plans have been harmed by revelations that his henchmen took revenge on Democrats by causing traffic jams on the George Washington Bridge. It is far too early to tell, but based on current information it is fairly easy to shift perspective and see how this could accelerate rather than impede his political career.Read More »
Any serious effort to Obamacare must begin with a basic question: compared to what? Once the early administrative glitches are resolved, the basic goal is to provide Americans with an improved relationship with the nation’s healthcare system.
And there are many ways to do so.Read More »