Presentation on Fox Valley Health Care

The Fox Valley HC Presentation 2.1 highlighted three key observations: Observation 1: Medical costs in the Fox Valley are unsustainable and unaffordable for many residents. Observation 2: Local healthcare systems lack transparency and are unaccountable. In our opinion, unelected “elites” serve their institutions rather the community at large. Observation 3: Local health care system and delivery … More Presentation on Fox Valley Health Care

Appleton…We Have a Health Care Problem

On October 16th, at 7 PM in the Wriston Auditorium at Lawrence University, I will present the Fox Valley Health Care Transformation Initiative which seeks to transform the organization, delivery, and financing of the medical systems in the Fox Valley to achieve the Triple Aim of lower cost, better health, and improved patient experience for the … More Appleton…We Have a Health Care Problem

Physician Workforce Composition Matters in Explaining Health Care Spending Differences From Those of Other High Income Countries

In a March 13, 2018 article in JAMA (2018;319(10):1024-1039), Papanicolas, Woskie, and Jha (PWJ) provide an in-depth description of “Health Care Spending in the United States and Other High-Income Countries.”  Through detailed comparisons of demographics, insurance system characteristics, workforce composition, service and pharmaceutical use, and specific indicators of access and health outcomes, the authors conclude … More Physician Workforce Composition Matters in Explaining Health Care Spending Differences From Those of Other High Income Countries

Tax Reform Based on Shared Principles “trumps” One Based on Competing Interests

As T. R. Reid points out in his marvelous new book, A Fine Mess, fundamental tax reform in 2018 is due if we are to follow the major reform every 32 years established in the 20th Century (with such reforms in 1986, 1954, and 1922.)  The 1986 reform was exemplary in many ways; let me … More Tax Reform Based on Shared Principles “trumps” One Based on Competing Interests

How Should Wisconsin Respond To The New Opportunities To Expand Medicaid With Federal Funding?

Recently, I sent a letter to State Representative Amanda Stuck, a supporter of “BadgerCare for All”, indicating some ideas about how the state of Wisconsin, given its current political alignment, might reform its Medicaid program.  “Badger Care for All” proposes that any individual (independent of his or her income) could purchase a BadgerCare insurance option (Wisconsin’s Medicaid program) , and that … More How Should Wisconsin Respond To The New Opportunities To Expand Medicaid With Federal Funding?

A Second Globalization Features The Great Convergence

In previous blog postings (here and here), I have addressed some of the key myths regarding international trade as well as the difficulties in determining whether U.S. exchange rates are over, under, or fairly valued.  This posting addresses how the forces that drive globalization have changed and so has the distribution of income (in both … More A Second Globalization Features The Great Convergence