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Why 99 percent of health care should be angry

Roy Poses, MD
Policy
October 14, 2011

As Occupy Wall Street has gone from an obscure protest covered only on blogs and social media to a national phenomenon, the apparent parallels between the issues it is raising and the issues we have been raising in health care grows.

 A growing number of protesters are calling themselves the “99 Percenters,” referring to those who are not in the top 1% of earners.  The top 1% of income is clearly greater than $250,000 per year, and likely …

Read more…

Why 99 percent of health care should be angry

Executive compensation and the rising cost of health care

Roy Poses, MD
Policy
July 25, 2011

The revelations about the huge golden parachute given the outgoing CEO of ostensibly non-profit Massachusetts Blue Cross Blue Shield induced some public discussion about the disconnect between executive compensation and the mission of health care organizations.

First, new proxy statements revealed the compensation of executives of two large for-profit health care insurers/managed care companies.

Cigna

As reported by the AP, via ABC News, the CEO got a big raise:

Cigna Corp. CEO David …

Read more…

Executive compensation and the rising cost of health care

US medical education is in moral crisis

Roy Poses, MD
Education
February 18, 2011

We recently discussed the plight of young medical faculty.  It appears that their plight is even worse than we imagined.

Recently, an abstract was presented at the Annual  Conference on Research in Medical Education at the Annual Meeting of the Association of American Medical Colleges, in a session entitled, “Your Career is More than Your Specialty.”

The authors described a large survey, of over 5000 faculty at 26 US nationally representative …

Read more…

US medical education is in moral crisis

Deceptive marketing is widespread in health care

Roy Poses, MD
Policy
October 29, 2010

Recently, reports about deceptive marketing and other questionable practices used by the growing for-profit higher education industry in the US appeared in the news.  For example, per Bloomberg:

Recruiters at U.S. for-profit colleges lied to entice students and encouraged them to commit fraud to qualify for aid, a report by the Government Accountability Office found.

Recruiters at all 15 colleges studied by the GAO, Congress’s investigational arm, misled potential students about the …

Read more…

Deceptive marketing is widespread in health care

Can a health insurer provide affordable care when its CEO makes millions?

Roy Poses, MD
Policy
August 13, 2010

In 2005, we entitled a post, “How Can a $124.8 Million a Year CEO Make Health Care More Affordable?”

At that time, we contrasted the enormous compensation given to the then CEO of UnitedHealth, Dr. William McGuire, with the stated mission of his corporation.  Since then, we have traced the travails of UnitedHealth and its leadership.  Dr. McGuire was eventually accused of receiving backdated stock options (which at one time …

Read more…

Can a health insurer provide affordable care when its CEO makes millions?

Is health care experience mandatory for a pharmaceutical CEO?

Roy Poses, MD
Meds
July 11, 2010

A persistent theme for Health Care Renewal has been how concentration and abuse of power in health care trap patients and heath care professionals in a maze of bureaucracy, perverse incentives, deception, and conflicts of interest.

To anyone who has to make the transition from person to patient, some of these problems become immediately obvious.

Consider, for example, this account of “going into a hospital for a minor procedure”:

The very idea of …

Read more…

Is health care experience mandatory for a pharmaceutical CEO?

Do large hospital systems increase healthcare costs?

Roy Poses, MD
Policy
June 16, 2010

In Rhode Island, hospitals that are part of hospital systems were paid more for the same services than independent hospitals.

The price differences could not be explained by quality of care or severity of illness.  The results suggested that market power determines the price of hospital services, and that increasing concentration of power in hospital networks is likely to further increase costs, without improving quality of care.

Recently, a similar report out of the neighboring state …

Read more…

Do large hospital systems increase healthcare costs?

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  • Most Popular

  • Past Week

    • Politics and fear have replaced science in U.S. pain management [PODCAST]

      The Podcast by KevinMD | Podcast
    • Evidence-based medicine vs. clinical judgment: a medical student’s perspective

      Jay Pendyala | Education
    • The controversy over Maintenance of Certification for grandfathered physicians

      Bernard Leo Remakus, MD | Physician
    • How hindsight bias distorts clinical medicine

      Olumuyiwa Bamgbade, MD | Physician
    • When side effects are actually a cry for help with medication costs

      Shuchita Gupta, MD | Physician
    • The hidden math behind physician hiring costs and recruitment

      Timothy Lesaca, MD | Physician
  • Past 6 Months

    • The dangers of vertical integration in health care

      Stephanie Waggel, MD | Policy
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      Constantine Ioannou, MD | Physician
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      The Podcast by KevinMD | Podcast
    • From Singapore to Canada: a blueprint for primary care transformation

      Ivy Oandasan, MD | Policy
    • How board certification fuels the physician shortage crisis

      Brian Hudes, MD | Physician
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      The Podcast by KevinMD | Podcast
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    • Independent medical practice: Why private clinics are essential

      Marcelo Hochman, MD | Physician
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    • Do no harm: Why physician burnout requires bottom-up reform

      Desiree Francis, MD | Physician
    • Institutional distrust in health care: Why a doctor lost faith

      Joshua Mirrer, MD | Physician

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