Relevant and even prescient commentary on news, politics and the economy.

Fee For Service versus Fee For Value Healthcare

The following definitions I found in the article “What Kaiser’s Acquisition of Geisinger Means For Us All,” Forbes, Robert Pearl M.D. May 31, 2023 There are a couple of terms within the article which I would like to point out. Fee For Service and Fee For Value. For clarity, Traditional Medicare uses Fee For Service methodology […]

Another Student Loan Scam Involving Prestigious Universities this time

I took this article and broke it into different parts. If it does not make sense, blame me and not the Insider author. This is a different topic but along the lines of student loans which Alan Collinge of Student Loan Justice has been fighting. Republicans support these companies. Democrats are pushing back. Fomer students […]

Debt Ceiling Agreement better than House Bill, Harmful Provisions still Remain

There are many things which could be cut in the present Debt Ceiling bill which alleviate the unnecessary need to cut assistance to those who need it. Food assistance for very low-income older adults is not one of them. A million or so of older adults aged 50-54 will or are now at risk of […]

Value-based payment has produced little value. It needs a time-out

Kip Sullivan sent this article to me a while back and it was posted. I am starting to see more activity on Value-based-care as an alternative to Fee For Service. The question arises as to how does one measure value received from the care under this regime. It is difficult to measure the value and […]

May 30, 2023 – Letters from an American

What looked like it could be catastrophic for the nation, its people, and its economy, the results coming from a so-called too old eighty-year old man negotiating the US budget appears to be far better than expected. And far better than what Repubs are offering up. Now it is up to the House to put […]

The U.S. Needs to Reimagine Its Pharma Supply Chain

I agree with the author’s reasoning for domestic supply manufacturing. I have battled the issues with pharma, medical supply, and also food manufacturing. Batches are problematic as well as the USDA and FDA labeling requirements. You wait for approvals. As of August 2019, 28 percent of the manufacturing facilities producing active pharmaceutical ingredients (APIs – […]

The Relative Value Scale Update Committee is secretly setting physician prices

I should have plaque on the wall of some hospitals stating I was there and we (the hospital) made out like bandits. Some of the procedures and meds they do and give me are not in your average Tylenol category. Not much I can do about it. Merril at GoozNews posted this exposé on how […]

‘Tax the Ultra-Rich and Do It Now’

Two articles here, each on the same topic about extreme wealth going untaxed or taxed less than those in lower income brackets. The first story is about a letter sent to World Economic attendees sent by a bunch of millionaires. The second story is about historian and correspondent Rutger Bregman having a moment at Devos […]

Most Medicaid enrollees were unaware states can drop People “Now”

Fred Dobbs had a comment “a poll from KFF” on the Open Thread which led to this article. Read it, rewrote much of it, and posted it. More on the economics on healthcare. What is not being said here is what are the costs to the nation of no healthcare. Here we are just reporting […]