Churning in Health Care Coverage - by Don McCanne, M.D.
One-liner: Despite its promises, the ACA has increased volatility of health insurance coverage even as it reduces the value of coverage.
Abstract: Although insurers can no longer deny coverage because of pre-existing conditions, the ACA has greatly decreased stability and value of coverage, with increasing churning of coverage in both private and public markets. This blog shows us many ways that we can lose or need to change coverage, ranging from changes in employer-sponsored coverage, insurers’ requirements, the exchanges, or Medicaid.
Doctors’ Allegiance and the Hippocratic Oath: Patients vs. Profits - by Philip Caper, M.D.
One liner: Two of three physicians in Maine favor single-payer Medicare for all over what we have today—a corporate culture run by private insurers seeking profits at patients’ expense.
Abstract: The ACA perpetuates and accelerates profiteering throughout a corporatized health care industry. Many physicians, now employed by big hospital systems or sometimes even by insurers, are angry with the transformation of their calling into a business controlled by others. Physicians are left in an ethical bind—to go along with the drive for profits of their employers and insurers, or try to resist and put their careers in jeopardy.
All HCD Blog One-Liners and Article Abstracts
Health Care Disconnects is an online journal and forum that we hope you will find interesting, timely and a useful source of information and perspective on the challenges facing health care in America today. Our focus is not only on problems but also directions toward solutions that are based on experience and evidence from health policy research in this country. We will also seek to comment on experience from other countries to the extent that it may apply here.
The scope of needed reforms is wide since there continues to be an enormous gap between a system of universal access that we would like to see and the realities of barriers to access, unaffordable costs, variable quality, disparities and inequities facing ordinary Americans across the country. We need a Copernican shift from the present multi-payer market-based system driven by corporate money and special interests to one based primarily on the needs of patients and their families. (Welcome Continued)
HCD Mission Statement
Health Care Disconnects is an independent, not-for-profit education/communication organization devoted to sharing updated, objective evidence-based information about problems and solutions to the dysfunctional health care system in the United States...