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United States Health Care Reform: Progress to Date and Next Steps
- vsr_pg 10y agoPretty funny to see his author byline and affiliation
- matznerd 10y agoThis is awesome. I love the listing under Author Affiliations: "1-President of the United States, Washington, DC "
- danso 10y agoUnbelievable that they publish a non-Doctor with so many potential conflicts of interest that he has to turn in a separate PDF http://jama.jamanetwork.com/article.aspx?articleid=2533698#ArticleInformation http://jama.jamanetwork.com/article.aspx?articleid=2533698#A...
- organsnyder 10y agoWhere are the conflicts of interest that would affect this article? The linked form is his standard form as a government official, and lists various holdings. Actually, looking through it, his seems much more mundane than I expected—a 403(b) from when he was a professor, 529 accounts for his kids... The most interesting thing I saw was book royalties.
- danso 10y agoI was just being facetious. Usually financial disclosures are a couple of lines. President Obama, being the president and having to fill those forms out every year, just sent them his most recent filing (past years are linked from this blog post https://www.whitehouse.gov/blog/2016/05/16/president-and-vice-presidents-2015-financial-disclosure-forms https://www.whitehouse.gov/blog/2016/05/16/president-and-vic...)
- SilasX 10y agoSorry if OT but ... Anyone get a snicker out of putting JD by his name? "Barack Obama ... don't know the cat. Oh, he has a law degree? Hm, okay, I guess his opinion might matter then." It would be like seeing "Guido van Rossum, Dropbox Employee".
- thucydides 10y agoThis appears to be JAMA's in-house style. See http://jama.jamanetwork.com/article.aspx?articleid=2533068 http://jama.jamanetwork.com/article.aspx?articleid=2533068, http://jama.jamanetwork.com/article.aspx?articleid=2533066 http://jama.jamanetwork.com/article.aspx?articleid=2533066, etc.
- igorgue 10y agoFunny how you adjusted your example to make it look ridiculous. "Barack Obama, President of the United States of America" == "Guido van Rossum, Python's BDFL" "Barack Obama, JD" == "Guido van Rossum, Software Engineer" Which, I'm cool with.
- etendue 10y agoIt's common practice in medical journals and conferences to list academic degrees.
- bmmayer1 10y agoWonder what Obama's Erdos number is now.
- jhugg 10y agoWould help to have a co-author, no?
- dexterdog 10y agoI would assume Obama was at most a co-co-author of this.
- greenokapi 10y agoThe same as it was before publication.
- aub3bhat 10y agoFigure 6. Medicare 30-Day, All-Condition Hospital Readmission Rate, is plotted with Y-Axis not starting from zero, which makes it look like there was a dramatic decrease. Having studied readmission rates, I was amazed, only to be disappointed as I looked at the Y-axis.
- Eldandan 10y agoGonna show this to my stats students and see if they can identify why it is misleading.
- jlmorton 10y agoIt will be nice to confirm this over the next several years, but as of now, and despite the misleading graph, it still looks to be a pretty amazing achievement.
- aub3bhat 10y agoNo doubt about that.
- boneheadmed 10y agoThe worst piece of legislation ever to be passed in the United States of America. I am a physician. My personal health insurance rate for a family of 5 increased immediately by 66% (since I have an individual policy). I have resorted to using the Medishare healthcare cost sharing plan as traditional insurance became unaffordable. I have seen many patients lose their doctors because the doctors were not contracted with Covered California. The reason the doctors do not contract with Covered California is because at face value the plan appears to be just like the usual say PPO plan. But in fact it pays about 33% less than medicare (in other words, no different than Medi-Cal. These are only some of the financial problems created by Obamacare. The problem with the government effectively taking over Health IT by way of forcing Electronic Health Records to abide by bureaucrats definitions for "meaningful use" is a completely different disaster that has resulted in marked decreases in productivity and worse care for patients. Giant Hospital systems are taking over individual and group practices and turning them into corporate mills with little to no autonomy for physicians and terrible care for patients. All the while greedily taking in government and private dollars. This is crony capitalism at its very worst.
- toomuchtodo 10y agoHey there! Long term Obama supporter (no longer) and healthcare consumer in the US. I agree with you mostly. Monthly premiums for my wife and I are ~$700/month (both healthy, early 30s, Blue Cross Blue Shield). When our daughter arrives shortly, that will increase to $1000/month. That's a high deductible plan where we're out of pocket for everything for the first $6000/year. I work remotely, so we're looking at moving to Central America (Panama or Belize, wherever its cheaper to dock a 40' catamaran); if you live outside the US more than 330 days/year, you're not obligated to carry insurance. I can obtain expat insurance, that covers my entire family in every country in the world except the US, for $3000/year. $9000/year after-tax savings is nothing to sneeze at. The ACA was a sham; it measures the insured rate, not the ability of citizens to receive the care they need. On that metric, its failing terribly. But health insurance companies are doing well at least. EDIT: I have no problem with universal healthcare. I believe greatly in it. I despise that the federal government didn't eliminate health insurance companies entirely and move to single payer through Medicare.
- loarake 10y agoHe published a single author paper even though he acknowledges in the end "I thank Matthew Fiedler, PhD, and Jeanne Lambrew, PhD, who assisted with planning, writing, and data analysis". In my field, those people probably would have deserved a place on the authors list ;)
- privong 10y ago> He published a single author paper even though he acknowledges in the end "I thank Matthew Fiedler, PhD, and Jeanne Lambrew, PhD, who assisted with planning, writing, and data analysis". In my field, those people probably would have deserved a place on the authors list ;) Yeah, in my field (astronomy) that would have also merited co-authorship. But, I think standards vary wildly. In astronomy, many co-authors' contributions consist solely of commenting on nearly-finished manuscripts. Some friends in ecology think that's way too generous and would instead just acknowledge people for their comments.
- rubidium 10y agoMy exact thought. They did all the work. He took all the credit. Then again, they're politicians and not academics so not as big a deal.
- steveplace 10y agoIn the findings, the author states: >These and related reforms have contributed to a sustained period of slow growth in per-enrollee health care spending Has the rate of change in insurance premiums or healthcare spending actually slowed? I don't see it in any of the data presented.
- chimpchange 10y agoThe hubris of this clowncar Presidency is just unbelievable.
- joshkpeterson 10y agoWhat about the congresspeople that blocked the single payer option?
- brooklyndavs 10y agoIt will be very interesting to see how the below does in November in Colorado. If this passes and is successful it could act as a catalyst for other states to try the same. Like many progressive issues before it (Same-sex marriage, weed legalization etc) single payer universal healthcare in the US might go through the states first. The insurance, pharmaceutical, and hospital industries know this and are working hard to see it defeated. http://www.coloradocare.org/ http://www.coloradocare.org/
- bsbechtel 10y agoFWIW, considering half the Democratic Party wanted to nominate a candidate who wanted to reform healthcare AGAIN (expansion of medicare for all), that should be an indicator of the quality of this piece of legislation.