Health Care Policy and Reform

“The Scourge of Managerialism” – Generic Management, the Manager’s Coup D’Etat, Mission-Hostile Management Rolled Up, as Described by Some Men from Down Under

I now believe that the most important cause of US health care dysfunction, and likely of global health care dysfunction, are the problems in leadership and governance we have often summarized (leadership that is ill-informed, ignorant or hostile to the health care mission and professional values, incompetent, self-interested, conflicted or outright criminal or corrupt, and […]

Towards a Program of Study for Posting on the Health Care Industry

One outcome of the very successful fundraising campaign just concluded — thank you, readers! — is that NC will be able to cover more topics more deeply, and even do original reporting on them. One such topic is health care, and I’m saying health care as such, not ObamaCare, because whether ObamaCare indeed enters an […]

The failed promise of the Affordable Care Act

In July 2009, as the Affordable Care Act moved through Congress, Steny Hoyer, the second-ranking Democrat in the House of Representatives, laughed at the idea that any legislator would actually read the bill before voting on it. If such full-body immersion were necessary to support the A.C.A., he said, “I think we would have very […]

Non-Group Health Insurance: Many Insured Americans with High Out-of-Pocket Costs Forgo Needed Health Care

Since its passage in 2010, the Affordable Care Act (ACA) has made tremendous progress in improving access to health insurance and health care for millions of Americans. Approximately 14.1 million previously uninsured Americans gained health insurance between the beginning of open enrollment in October 2013 and March 4, 2015. In fact, by that date, the […]