Quote of the Day

PNHP's Senior Health Policy Fellow Don McCanne, M.D. writes a daily health policy update, taking an excerpt or quote from a health care news story or analysis on the Internet and commenting on its significance to the single-payer health care reform movement. PNHP posts Dr. McCanne's listserv here; to subscribe to the listserv, please visit the Quote of the Day the mailing list website.

  • Posted on Thursday, June 22, 2017
    No surprises. The discussion draft of the Senate repeal and replace legislation reveals that the legislators would reverse some of the beneficial features of the Affordable Care Act (ACA), which we knew, but the most important measure is the deep reduction in Medicaid funding, allowing them to repeal the tax increases that have paid for the expanded benefits of ACA.

  • Posted on Wednesday, June 21, 2017
    Tomorrow the Republicans in the Senate are expected to release their proposal to repeal and replace the Affordable Care Act. Although there will likely be some modest detrimental changes recommended for the individual market insurance exchanges, the largest impact will likely be in changes recommended for the Medicaid program. Today’s message explains why that would be a grievous mistake.

  • Posted on Tuesday, June 20, 2017
    Prior authorization requirements have always been a pain, and now, according to this poll, they’re getting worse. Not only do they add to our profound administrative waste in health care, they also may interfere with patient care by delaying or even preventing the delivery of appropriate services.

  • Posted on Monday, June 19, 2017
    You really don’t need a long article like this to understand that our current health care financing system falls far short of preventing financial hardship for many with health care needs, insured or not, and that our various charitable resources hardly make a dent in the need.

  • Posted on Friday, June 16, 2017
    This study of ten high-income countries with universal coverage demonstrated that those with single payer systems spent less on prescription drugs than did those with multi-payer systems.

  • Posted on Thursday, June 15, 2017
    Looking at policy options in isolation can be informative, but, as this article by Lanhee Chen and James Capretta demonstrates, it is crucial to understand how the particular policy meshes with the entire package of health care reform.

  • Posted on Wednesday, June 14, 2017
    Once again we have a report that shows that physicians and medical students believe that health care is a human right that should be made available to all and that a single payer, improved Medicare for All is clearly the preferred model of reform.

  • Posted on Tuesday, June 13, 2017
    In spite of the Affordable Care Act, medical debt remains a major problem in the United States. It is no surprise that crowdfunding - soliciting donations over the Internet - has become a means of trying to fill the void resulting from being uninsured or under-insured.

  • Posted on Monday, June 12, 2017
    Arnold “Bud” Relman long ago famously warned us about the medical-industrial complex. His warnings have not been heeded. Too many in the industry focus on enterprise, markets, competition and profit when they should be focusing on patient service, access, equity and efficiency.

  • Posted on Friday, June 9, 2017
    It seems ridiculous that we need a reminder that the whole health care reform movement began because health care costs were too high, but apparently we do.

  • Posted on Thursday, June 8, 2017
    Many single payer supporters who have become impatient waiting for enactment of a single payer Medicare for all program are supporting the introduction of a public option - a Medicare-like plan that individuals not otherwise eligible for other programs could purchase. The Nevada legislature has moved forward with this concept by passing A.B. 374 which would allow a buy-in - not for Medicare but for the state Medicaid program instead.

  • Posted on Wednesday, June 7, 2017
    Without getting bogged down in numbers (and there are many more in the full report), what can we glean from the facts here? A significant percentage of privately insured families have problems paying medical bills or do not get medical care due to cost.

  • Posted on Tuesday, June 6, 2017
    Ouch! Of 32 middle- and high-income countries studied, more Americans recognize that many people in the country do not have access to the health care they need, but Americans exhibit less moral concern about income-based differences in the quality of health care that people have access to, compared to respondents in the majority of the other countries studied.

  • Posted on Monday, June 5, 2017
    Right now Congress is stumbling along in its efforts to reform health care while getting ready to move on to legislating tax cuts - all in the name of increasing freedom of our markets by reducing the role of government.

  • Posted on Friday, June 2, 2017
    Americans fear the prospects of long-term care, especially how they would pay for it should it become necessary. This survey reveals that a majority of Democrats, independents and Republicans - 70 percent overall - support a program similar to Medicare as the payment source for long term care.

  • Posted on Thursday, June 1, 2017
    We have long recognized the injustices of emergency department patients being charged higher rates if they are uninsured or if the physicians providing the care are not in the networks of the patients’ insurance plans. This study adds to our understanding by quantifying the extra costs faced by the patients.

  • Posted on Wednesday, May 31, 2017
    This meticulous economic study of the the Healthy California single-payer health care proposal (SB-562) reveals that it would provide health care for all Californians while reducing net costs for almost all households and businesses.

  • Posted on Tuesday, May 30, 2017
    CMS Administrator Seema Verma is expanding the role of private insurance brokers, such as eHealth, in enrolling individuals in plans offered by the government ACA health insurance exchanges.

  • Posted on Friday, May 26, 2017
    With the backlash against the Republicans for their ongoing failure to deliver effective health care reform, and with the failure of ACA to provide affordable health care for everyone, the pathway to Medicare for All may now have been paved.

  • Posted on Thursday, May 25, 2017
    Even though we spend far more on health care than other nations, the market has not been effective in allocating our funds in a manner that would ensure adequate health care for all. This is a time and circumstance wherein we clearly need government leadership.