Category Archives: Healthcare

The bottom-up capitalism of Elizabeth Warren

I have lived and worked in Europe in past years, and we still visit regularly. Contrary to the views of Americans who never have traveled there, “classic capitalism” is alive and well in small communities across supposedly “socialist” northern Europe, and they are often far healthier than many U.S. communities of similar size. Small-business entrepreneurship is commonly evident and the… Read more »

The “giant cash suck” of healthcare – part 2

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In a prior post I introduced my view that we are not paying enough attention in the healthcare discussion to the top-line “giant cash suck” that causes U.S. healthcare costs to be over twice the per-capita level of many countries that achieve true universal coverage while delivering equal or better outcomes. In this second part, I will explore where much… Read more »

The “giant cash suck” of healthcare – part 1

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Michigan

What do the great cathedrals of Europe, the Las Vegas “Strip” and an impressive new hospital in economically-challenged northern Michigan have in common? They all answer the question, “Who controls the big cashflow here?” I have been struck in awe visiting many Old Europe cathedrals, but I also have been troubled by the “real history” of the stark contrast between… Read more »

Acceptable carnage: the gun deaths that are easily preventable

Per-day gun violence

Whenever I review the updated numbers from the excellent Gun Violence Archive project, I am struck by the unrelenting “randomness with predictability,” in effect the cruelest of lotteries, that are the rates of gun violence casualties in the United States. You just don’t find any numbers like these anywhere else in the developed world. And note how little these per-day… Read more »

Stop calling them “healthcare insurance companies”

If we are really going to make improvements to healthcare system in the United States, let me suggest that we start by stopping something. We are obscuring a huge reality when we refer to Aetna, Cigna, United Healthcare and their ilk as “healthcare insurance companies,” and we need to change that terminology in order to really understand what is going… Read more »

Why you don’t want “across-state-lines” health insurance

One of the first recommendations Republicans typically make in their “Replace ObamaCare” proposals is to give the health insurance companies the ability to “sell across state lines,” which they are convinced will drive down premiums. Insurers are already free to do this, but they need to live by the local regulations in each state in which they sell. There’s the… Read more »

Why Republicans want to drive the ACA off the cliff

The Republican Party, from the White House to the Congress to the “red” state houses, remains bound and determined to crash President Obama’s signature Affordable Care Act. They could not accomplish this through repeated congressional repeal votes, so their last hope is a multi-state lawsuit which the Barr Department of Justice has determined not to fight, in an alarming abrogation… Read more »

Death, public policy and probability

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A recent study of brain scans in 125 people from multiple locations in the U.S. and Europe suggests a set of patterns of brain activity that are closely linked to differentiating human consciousness from unconsciousness, which has been an elusive Holy Grail for neuroscientists. [1] While the patterns are not yet “sufficient proof” of consciousness, this finding gives us one… Read more »

Parsing policy proposals – Healthcare

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This is a second part in a series where I am looking at the “parsing” process I go through in evaluating stated policy positions from the various candidates or interest groups. The direction of healthcare will be front and center in the 2020 election, and we are finally beginning to see some proposals with meat (and a lot of proposals… Read more »

A year of rolling the dice

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I started this blog in early 2018 as a place to post some pieces I had developed over several years looking at how probabilistic randomness and other mathematical realities affect everything from the way we vote to our scientific and religious understandings of the “human condition.” Some blog posts achieved more web penetration than others, and so this post is… Read more »