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Health Care’s Road to Ruin

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Elizabeth Rosenthal looks at Obamacare's contribution to cost containment in 2013-2014. Rosenthal says its is a kind of delicate maneuvring at the edges, because serious work needs to be done. The fee-for-service and many of the drivers for increases in medical costs, the old system of pricing, are still in place. In 20 years at the current rate and after Obamacare health care will still take 25% of the U.S. budget if nothing is done. Healthcare costs are about half that of the U.S. in some of the advanced European countries. She calls Obamacare a trickle down theory of cost containment becaue it leaves most of the drivers for cost increase in place and works at the margins. Princeton economist Uwe Reinhardt calls it an ugly patch on a somewhat ugly system. Rosenthal cites the armies of consultants anticipating every move to reduce prices, and working on "strategic billing'' to increase revenues for hospitals and doctors. For those who say the prices are now up more slowly than in the past, Michael Chernew of the Harvard Medical School, has this to say- its like a diet, reminding us that that we haven't even lost weight, just gaining weight slower than before.

An assessment of prices and cost in the U.S. healthcare system after Obamacare in 2014-2015- Rosenthal, Reinhardt and Chernew

08/16/2010

Author Rosenthal, Priceton economist Reinhardt, and Chernew of the Harvard Medical School provide an assessment of what Obamacare does for prices and cost in the U.S. healthcare system.

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Only $10 million annual increase to control fraud has been allocated in the bill. Its not likely to do much to control the overbilling and may be one more reason the health care reform bill will be a failure in controlling costs. Pricing of pharmaceutical products and healthcare services as the major unsolved problem in the U.S.

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Developing new solutions to the problem of escalating health care costs in the U.S.

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New solutions are being developed and new ideas being tried to bring down health care costs. In many case quality can improve at lower cost or the similiar results delivered for lower cost with some other advantages inpatient focussed healthcare that improve outcomes. Pricing of pharmaceutical products and healthcare services as the major unsolved problem in the U.S.

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Will drug innovation be affected adversely by price reductions in the USA? No say experts as it is a globalized industry and innovation takes place in labs around the world. And the pricing reforms, as in Britian and Germany, can actually encourage R&D for effective drugs with good cost relationships; when comparitive effectiveness of drugs and cost benefit analyses is used in pricing reforms. Pricing of pharmaceutical products and healthcare services is the major unsolved problem in the U.S.

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The Soaring Cost of a Simple Breath

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Cochrane on the Obama Health Care Law (Affordable Care Act) and why it does little to resolve the problem of pricing in U.S. healthcare

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Grouped Articles

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Rising Rates Pose Challenge to Health Law

Wall Street Journal 11/19/2015

What to Do on the Day After ObamaCare

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AMA Supports Training More M.D.s

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The sweeping restructuring of U.S. health care that is needed and the way patients, doctors, and hospitals would rather live with the status quo.

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The risks of "cosmetic" reform in the Obama administration's efforts, and the unsustainability of the current system in the costs and results it provides.

Grouped Articles

Bayonne Medical Center Has Highest U.S. Billing Rates

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Health Care’s Road to Ruin

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Something’s Got to Give in Medicare Spending

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Robert J. Samuelson - Wrong Way on Health 'Reform'

Washington Post 06/15/2009

Obama's Health Plan Needs Spending Controls, CBO Says

Washington Post 06/17/2009


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