A policy lab for America's future. Bold solutions for a post-boomer world. Current focus: "What is missing from the healthcare debate?" Follow/subscribe/donate

United States of America
Joined February 2023
New — A friend who works in healthcare compliance shares an anonymous confession: The Sunshine Act needs reform, even if it means putting themselves out of a job. boydinstitute.org/p/sunshine…
1
81
The Boyd Institute retweeted
America spends universal-healthcare money without getting universal healthcare. Crazy. from my essay, "healthcare is eating America" jeffgiesea.substack.com/p/he…
8
3
15
1,864
Replying to @KlingBlog
@KlingBlog opened our healthcare sprint's look at tradeoffs with a blunt reading. From 2010 to 2019 US deaths from treatable causes fell 6 percent, while the median of eleven rich peers fell 20 percent, with America beint "worse in spite of higher spending."
1
1
145
Physicians' and other suppliers' self-interest creates incentives toward overtreatment, high prices, and restriction of supply and competition. Nurse practitioners earn about half what physicians do, and their care costs less.
2
153
"Insurance as cost insulation instead of risk smoothing adds two new layers of social cost. First, patients lose any reason to shop or bargain for cheaper healthcare. Second, providers gain a perfect alibi for telling them nothing about cost."
1
5
6
225
Arnold Kling in his recent article for the Boyd Institute: "Another way to try to assess whether higher spending on health care reduces mortality is to look at sub-populations in the United States with similar characteristics and different levels of spending. Many studies show little or no effect of higher spending in lowering mortality. This suggests that there is a problem with cost-effectiveness in our health care system."
1
1
2
144
It’s driven by MORE, not MORE EXPENSIVE…
3
101
America simultaneously has the lowest and highest death rates for several different racial groups, relative to the range of 36 OECD peer countries.
2
110
The cheap stuff is REALLY cheap
Marginal diminishing returns are everywhere for people with eyes to see
4
221