Have Reimbursement Rules Taken the Joy Out of Being A Physician?

She came to the urgent care center with a sprained ankle. The primary care provider gave her excellent care, expertly applying evidence-based evaluation guidelines to her situation, and, thereby, avoiding unnecessary x-rays. By all measures, the provider’s care was excellent, but the interaction still ended up reducing his salary. You see, that patient’s only medical…

The Biggest Government Health Care Spender Since LBJ Was…Ronald Reagan?

Many readers will recognize Ronald Reagan’s famous maxim that: “Government is not the solution to our problem; government is the problem.”  Some will even recognize his vehement opposition to Lyndon Johnson’s Medicare proposal, before the program was passed into law: “We are faced with the most evil enemy mankind has known in his long climb…

A Surprising Early Supporter of Obamacare: Eisenhower?

On October 10, 1952, President Dwight Eisenhower gave a speech in Salt Lake City in which he reiterated his opposition to socialized medicine. In fact, he had long asserted that he would “use every single attribute and influence of the Presidential office to defeat any move toward socialized medicine.” But Ike also recognized that all…

How Truman's Medicare Efforts Were Foiled by Red Baiting

In The Heart of Power, David Blumenthal and James Morone relate the 75 year history of presidential efforts (typically unsuccessful) to reform the U.S. healthcare system.  I used to think major reform efforts did not happen for many years after FDR’s New Deal.  After all, social security had taken a huge dent out of poverty among…

What's Fair About Price Discrimination in Pharmaceutical Markets

A while back, DVD companies hoping to sell their products in countries like Poland faced a dilemma.  They could sell their products at a nice profit in the booming U.S. market, but to sell products in those other countries, they had to lower their prices.  Such variable pricing is a common business practice.  All kinds of services…