American medicine did not accidentally drift into its current imbalance between cognitive and procedural care. It was built that way, step by step, over the past 75 years. The American Medical Association played a central role, not as the sole actor, but as the architect of key structures that continue to shape how physicians areContinueContinue reading “How We Built a Payment System That Undervalues Thinking in Medicine”
Tag Archives: Insurance
Solution to Delaware Health Care Costs?
Delaware has some of the highest healthcare costs in the country, and Senate Bill 1 is exactly the kind of reform our state needs. SB1 strengthens primary care while finally addressing one of the biggest drivers of high insurance premiums: hospital pricing that has been allowed to rise far above national benchmarks. A key provision would cap certain hospitalContinueContinue reading “Solution to Delaware Health Care Costs?”
The “Perfect Storm” in Healthcare
A “Perfect Storm” in the American healthcare system is developing, driven by mounting structural failures and stupid political decisions. The core issues include severe physician shortages, government cutbacks on Medicare and preventative services, looming loss of ACA marketplace subsidies, and major reductions in public health and child nutrition programs, all combining to reduce access, qualityContinueContinue reading “The “Perfect Storm” in Healthcare”
Understanding Liability Insurance
The system of liability and malpractice insurance is deeply flawed because incentives drive up litigation costs instead of resolving issues efficiently. While insurance companies give lip service to the legal profession, in actuality they enjoy the cycle of rising expenses (and increased revenue and profit.) To truly grasp the problem, it’s necessary to examine theContinueContinue reading “Understanding Liability Insurance”
Another Spike in Health Care Costs
Delaware Faces Another Health Care Cost Surge Delaware’ residents are bracing for another spike in health care costs next year, with projections showing an 8.5% increase in spending on hospitals, pharmaceuticals, and medical care for 2026. That’s bad news for Delawareans already shelling out over $10,500 a year—far beyond the pace of inflation. Why Should Anyone Care? WhenContinueContinue reading “Another Spike in Health Care Costs”
Analysis of Draft Legislation on Health Care Charges for Uninsured & Self-Pay Patients
Audio Version (34 minutes, listen to in your car or on your smartphone.) Summary The proposed Delaware legislation limits charges for uninsured and self-pay patients at Medicare reimbursement rates, aiming to protect patients from excessive medical bills and reduce medical debt. It applies to hospitals, clinics, surgical centers, and physician offices. 1. Legal Implications &ContinueContinue reading “Analysis of Draft Legislation on Health Care Charges for Uninsured & Self-Pay Patients”
Dr Bob, Brain Mechanic 