In his Redux article regarding the 'Cost Conundrum' a few months later, there were huge health policy reforms as a result of the McAllen expose' . After federal investigations, the medical community changed the practices that led to reduced costs 3/3
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There were alot of inefficiencies about the health care system in McAllen, Texas while in contrast -a similar adjacent town by size , demographics and other metrics, El Paso Texas ;health care led to better patient outcomes 2/3
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Are you passionate about Health Policy? If yes,and you haven't come across the article by Dr @agawande.bsky.social
dubbed 'The Cost Conundrum ' published by The New Yorker on 1st June 2009, please grab some coffee and have a read ! 1/3
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'The biggest threat to our nation's balance sheet is the skyrocketing cost of health care. It's not even close.' President Obama, March 2009 #FellowsViewPoint #PolicyWatch2025 #CostCoverage 2/2
'The greatest threat to America's fiscal health is not Social Security, it's not the investments that we've made to rescue our economy during this crisis. ' President Obama, March 2009 . 1/2
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Goodman questions why this policy decision was made in Washington rather that it being left for individuals & the market place? My counter argument is 'almost everyone' isn't everyone and so,how can the strategically under-valued be taken care of? #PolicyWatch2025 #FellowsViewPoint #CostCoverage 3/3
E.g Contraceptives . It was prescribed in the Obama Administration as part of their Health Reforms that contraceptives must be covered by the Health Insurance, but Goodman thinks this wasn't a good policy decision #PolicyWatch2025 #FellowsViewPoint #CostCoverage 2/3
I reflect on the insights provided by the 'Father of Health Savings Accounts', Mr John Goodman -who controversially argues that Health Insurance shouldn't cover for something that almost everyone can easily pay for out of pocket. #PolicyWatch2025 #FellowsViewPoint #CostCoverage 1/3
Have you ever asked yourself why people disagree about Health Policy ?? Its about 'Perspectives' .
'How Public Policy Affects the Cost and Coverage of Contraceptives in Private Insurance Plans ' www.commonwealthfund.org/publications...
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Canada's healthcare system is decentralized. This means that healthcare is managed by provinces & territories, this results in variations regarding coverage & services. Federal sets policies,standards & guidelines while the provinces implement 3/3
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Provinces and territories administer their own health insurance plans but must meet the federal standards to receive federal funding via the Canada Health Transfer 2/3
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The Canada Health Act that was passed in 1985, and later amended in 2014 led to the establishment of a universal, publicly funded healthcare system, known as Medicare. This system is funded through taxes . 1/3 #PolicyWatch2025 #FellowsViewPoint #CostCoverage
Despite this major challenge , the plan has two advantages ;
1. It saves administrative costs that come with multiple insurers
2. The government has full control of prices paid for hospital and physician services and for purchase of drugs
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The Canadian Health care system adopted the 'Single-Payer Plan' model - this ideally means that the government provides health insurance cover for all its Citizens. This approach doesn't come easy because it requires introduction of new taxes. #CostCoverage #PolicyWatch2025 #FellowsViewpoint 1/2