Our accepted fragmented, dysfunctional, for-profit bloom affliction arrangement is broken. Internationally we rank ailing in both action and outcomes; yet, we are by far the best big-ticket bloom affliction arrangement in the world. Not alone we do we not get a blast for our bucks; but for abounding of us from a moral angle we are about bankrupt, acceptance far too abounding bodies to ache and die unnecessarily.
The band-aid is a non-profit single-payer healthcare system, Medicare for All, which has been proposed federally by Senator Bernie Sanders (2016), alien in The House of Representatives as H.R. 676 (Wikipedia. Civic Bloom Affliction Act), and, for instance, in California as Senate Bill 562 (California Legislative Information, 2017; California OneCare, 2017; jpmassar, 2017; Morone, 2017; Pollin, 2017). The obstacles are enormous, basically activity up adjoin bourgeois bazaar credo and legislatures bought and paid for by our for-profit bloom industry and their lobbyists. Whether federally or by state, the actuality that obstacles abide does NOT change the actuality that our accepted arrangement is broken, that we are ALL at blow (e.g., Barlett, 2004; Brill, 2013).
We Are All At Risk
I could address an complete cardboard aloof documenting abundant cases area bodies who anticipation they were well-insured, apparent all too backward they weren’t. The afterward are aloof a few examples:
1. Accommodating negotiates fees with surgeon, anesthesiologist, hospital, d abettor surgeon, as customary, will be paid by surgeon. Abettor surgeon bills $117,000 for 3-hour anaplasty and gets it (Rosenthal, 2014).
2. A woman angled over with affliction goes to emergency administering at hospital. Afterwards assorted tests apparent not appendicitis; but ovarian cyst. Allowance aggregation banned to pay as they bent wasn’t emergency. The actuality was declared to analyze herself, ultimately ashore with $12,596 hospital bill. I assumption she could accept waited, if addendum burst, well, that’s her bad luck. The action of not reimbursing emergency allowance visits if about-face out not be an emergency is growing (Kliff, 2018; see also: Abelson, 2018; Chou, 2018).
3. Amid 33 percent and 80 percent of blight survivors bankrupt their accumulation to accounts medical expenses. Up to 34 percent borrow money from accompany or ancestors to pay for care. For those who abatement into debt, the akin of debt is substantial. Bankruptcy ante amid blight survivors are 260 percent college than amid agnate households afterwards blight (Ramsay, 2016).
4. “It’s not aberrant for patients who appointment an in-network hospital to apprentice afterwards that they’ve been advised by out-of-network providers, consistent in bags of dollars in charges. And while the Affordable Affliction Act about caps what consumers allegation absorb out of abridged back application providers aural their plan’s network, it doesn’t assure consumers from ample bills from alfresco providers. Those providers may be chargeless to allegation the customer for the antithesis of the bill that the insurer did not pay, accepted as ‘balance billing’” (Bernard, 2013).
5. “A connected night spent disturbing with what angry out to be a whooping ahem infection larboard the Encinitas citizen so beat that he fell and hit his head. He was taken to a hospital emergency administering by ambulance. Doctors there recommended that he break brief for observation, a anticipation to accomplish abiding he did not accept a added austere injury. Afterwards abrogation on Feb. 5, aggregate seemed accomplished until he accustomed an $18,700 bill in the mail. He abstruse that, although he had spent the night in a bed at Scripps Memorial Hospital La Jolla, he was never technically accepted as an inpatient. Medicare pays beneath for ascertainment stays than it does for bodies who are admitted, and Scripps was announcement him for the of the costs he incurred (Sisson, 2016).”
6. And, as a final example, an abandoned one, the assay of 9/11 Aboriginal Responders. Best were badge or blaze administering employees, covered by insurance; yet, their insurances didn’t awning abundant of their care. Finally, Congress anesthetized legislation 10 years afterwards to awning them, admitting alone assertive conditions, too little too backward for abounding who had already died and those complete who had suffered. These were our heroes. If anyone adapted top affection care, it was them (Wikipedia. Bloom furnishings arising from the September 11 attacks).
Above is aloof the tip of the iceberg. Read on.
U.S. Bloom Affliction in All-embracing Comparisons
Given the adeptness of the bloom allowance industry we are basically inundated with lies about added nation’s bloom affliction systems. All-embracing studies rank the U.S. ailing on abundant measures. Not alone we rank ailing on baby bloodshed and life-expectancy; but on abiding conditions. For instance, diabetics do bigger in the United Kingdom (Mainous, 2006). The account goes on (Chen, 2016; Garrett, 2018; Harrison, 2018; Institute of Medicine, 2013; OECD, 2017; Sawyer, 2017; Schneider, 2017; Tikkanen, 2017). Statistics on blight baronial the U.S. at the top are deceptive. We do abundant added screening than added nations, communicable cancers at beforehand stages, sometimes this is beneficial; but generally aloof involves treatments that are cher and can alike lower our affection of activity (Wikipedia. Advance time bias; Wikipedia. Length time bias). Pap smears ascertain corpuscle dysplasias (abnormalities). Best won’t advance to cancer. Prostate cancers are generally so blah that men will die years afore they would accept had an effect. Early interventions may save some lives; but aftereffect in infection, pain, impotence, and incontinence. According to the Civic Breast Blight Coalition:
For every 2,000 women arrive for screening over a 10 year period, one will accept her activity abiding and 10 advantageous women, who would not accept been diagnosed if they had not been screened, will be advised unnecessarily. The affirmation of a bloodshed abridgement from screening is adverse and continues to be questioned by some advocates, scientists, action makers and associates of the public. In fact, the complete blow of a woman dying from blight is beneath than 1% afterwards any screening. Looking at this accession way, 995.6 out of 1,000 50-year-old women will not die of blight aural the aing ten years. This cardinal rises to 996 out of 1,000 with accustomed mammography screening (National Breast Blight Coalition, 2013; see also: Houssami, 2017).
The affirmation is ascent that for those insured in the U.S., both over-diagnosis and over-treatment are generally as aggressive to our bloom as under-treatment of those who are underinsured or uninsured (e.g., Brownlee, 2007; Welch, 2011).
However, if the monies ashen on our accepted arrangement were re-directed to complete treatment, area accepted interventions for blight are advantageous, they would be covered. And, as discussed below, the abstracts from a single-payer arrangement has the abeyant to be acclimated for convalescent bloom care.
Myths About Canadian Bloom Care
A contempo commodity in The Atlantic declared if we were to accept the Canadian bloom affliction system: “5,400 beneath babies would die in infancy, and we’d save about $1.3 abundance dollars in bloom affliction spending. . . And, conceivably as a result, added than 50,000 preventable deaths would be avoided.” The commodity does point out hardly best delay times for non-emergency/urgent care; but this is based partly on their lower spending. If we were to advance our accepted akin of spending, this could be abhorred (Khazan, 2014; Cecere, 2009). As a specific example. boilerplate life-expectancy for cystic fibrosis is 10 years best in Canada than U.S. (Stephenson, 2017). On about every admeasurement of bloom affliction outcomes Canada does as able-bodied or bigger than the U.S. (Eisenberg, 2005; GAO, 1991; OECD, 2017; Robinson, 2008; Sawyer, 2017; Schneider, 2017; Tikkanen, 2017).
Canadians Gluttonous Bloom Affliction in U.S.: Of advance Canadians get bloom affliction in the U.S. Best are either alive here, accessory university, touristing, or retirees wintering in Florida to escape the acrid Canadian winters. The aforementioned can be said of Americans falling ill or adversity injuries while abroad. In fact, “The U.S. Centers for Ache Control and Prevention has estimated that about 750,000 U.S. patients biking away anniversary year for medical treatment. That’s a beyond admeasurement of the U.S. citizenry than alike the accomplished estimates of Canadians gluttonous assay abroad” (Martin, 2017).
However, the catechism is how abounding Canadians seek bloom affliction in the U.S. while residing in Canada and the acknowledgment is complete few and abounding of these are for awful specialized bloom care, which, is generally paid for by the Canadian single-payer bloom affliction arrangement (Katz, 2002; Lee, 2016; McCann, 2014). Alone a few years ago, the alone abode to accept a heart-lung displace was Pittsburgh. Is that affidavit that bloom affliction everywhere abroad in the U.S. was deficient? It is added cost-effective with bigger outcomes for awful specialized affliction to accept centers of arete in areas such as affection surgery, blight care, neonatal accelerated care, and others, so Canadians gluttonous awful specialized affliction can seek it in the US or abroad in Canada, sometimes the biking ambit is abundant beneath to the U.S. (Hillner, 2000; Luft, 1990; Jollis, 1997).
Exaggerated Delay Times: Abstract estimates of delay times appear from studies by the Fraser Institute, a bourgeois anticipate catchbasin with abundant allotment from the Koch brothers and US Biologic Companies (Wikipedia. Fraser Institute). The Fraser Institute studies use a awful awry alignment (McCann, 2014). Admitting delay times can be best in Canada than in the US, that is, for Americans who are awful insured, there is NO affirmation they accommodation bloom outcomes. Emergency and life-threatening altitude are cared for aural adapted time ambit and over the accomplished decade Canada has auspiciously implemented programs to abate delay times for constituent procedures, and the accomplishment continues (Canadian Institute for Bloom Information, 2017; Bloom Council of Canada, 2011; Longhurst, 2016).
Canadian Doctors Affective to U.S.: The cardinal of Canadian doctors affective to the U.S. is absolutely absolutely baby and abounding acknowledgment to Canada (Canadian Bloom Casework Assay Institute, 2008; Freeman, 2016). And abounding American doctors are affective to Canada. Reasons accommodate ambidextrous with allowance aggregation bureaucracies, “In the US, acknowledgment to allowance aggregation loopholes and technicalities, American ancestors physicians aren’t paid up to 30% of the time, admitting beneath a single-payer system, alone about 2% of billings aren’t covered . . . Alike referrals are a cephalalgia back allowance companies generally pay alone for specific hospitals and specialists” (Glausser, 2014). In Canada, doctors don’t accept to anguish about whether patients can acquiesce affliction and can focus on their medical needs instead of their affairs (CTVNews.ca Staff, 2015; Luthra, 2017; Palmer, 2017).
Though on best measures the Canadian Bloom Affliction Arrangement is aloft to ours, all-embracing rankings abode Canada aloft the U.S.; but beneath several added nations (Chen, 2016; Garrett. 2018; Institute of Medicine, 2013; OECD, 2017; Sawyer, 2017; Schneider, 2017; Tikkanen, 2017). According to 2015 data, $5,782 dollars per actuality (10.4% OF GDP) were spent by Canada, compared to the U.S. $11,916 (16.9% of GDP) (Canadian Institute for Bloom Information, 2018). According to Palmer (2017):
No arrangement is complete but that said, the Canadian arrangement has the framework and the alignment to be able to break what problems abide and to break the bloom affliction problems for Canadians. That anatomy doesn’t abide in the US. And that’s a big problem. ‘What we accept in abode in the United States is a anatomy that is chaos. There are assorted allowance companies, assorted payers all acting beneath altered rules that they set for themselves. Additionally acting beneath the apriorism that a about able chargeless bazaar can finer and calmly [deliver] bloom affliction – and that’s aloof not true. Bloom affliction is aloof not a acreage in which a chargeless bazaar works well.’ (Palmer, 2017)
For added about the Canadian bloom affliction arrangement and innovations that could advance it, innovations easier to backpack out in a single-payer system, see Rachlis, 2005.
Funding, Cost, and Authoritative Waste
According to a contempo 2018 Milliman Assay Report, the amount to a ancestors of four for an boilerplate employer-sponsored adopted provider alignment plan is $28,166. Back aggrandizement has been minimal, comparing the 2016 abstracts from the United States Census Bureau which begin the boilerplate assets for families with four bodies to be $90,746, the amount of bloom care, on boilerplate is greater than 30% of complete assets (Garrett, 2018; Girod, 2018; Institute of Medicine, 2013; OECD, 2017; Papanicolas, 2018; Schneider, 2017; Tikkanen, 2017; United States Census Bureau, 2017, Table F-8: Admeasurement of Families).
If one includes Medicare, Medicaid, VA, Military, Tricare for aggressive families, Indian Bloom Service, bloom allowance for advisers of all levels of government, and bloom allowance covered by arrangement with companies accomplishing business with assorted levels of government, about 65% of bloom affliction in the U.S. is adjourned through taxes (Harrison, 2008). As a percent of GDP this equals the aing best big-ticket bloom affliction systems which awning anybody with aerial affection care. Over 10% of doctor appointment and hospital costs absorb the balance administering all-important to accord with assorted payers (Casalino, 2016; Himmelstein, 2014; Ubel, 2016) and at atomic 20% of bloom affliction costs go to for-profit bloom allowance companies, including aggrandized salaries, banal dividends, and authoritative bureaucracies (Frakt, 2018). An boilerplate doctor devotes 15 hours per anniversary to the balance paperwork accepted by our fragmented, dysfunctional, for-profit system, hours that could be adherent to complete accommodating care. Abundant of the accessories in hospitals and abnormally rural hospitals is paid for by Medicare and Medicaid (Alexander, 2018; Ross, 2018). And Medicare pays for address training of specialists (Rampell, 2013). It is cool that the 30% or added of bloom affliction dollars that go to balance administering and accumulation could bear according or bigger affliction than if the monies were absolutely directed to bloom affliction (Harrison, 2008). In fact, the accepted arrangement banned our choices, delays affliction in abounding cases, armament bodies to accept amid seeing doctors and/or affairs medications or advantageous basal alarm bills. And Affliction and medical bills accord to a ample and accretion allotment of US bankruptcies (Dobkin, 2018; Himmelstein, 2005; Himmelstein, 2009; Sanger-Katz, 2018). So, basically, we pay for our healthcare through our taxes and afresh pay afresh both monetarily and health-wise. As for Medicaid, one cardboard begin that some allowance companies are accomplishment amazing profits off the taxpayer-funded affairs in California, alike back the accompaniment finds their accommodating affliction is subpar (Terhune, 2017).
Given the balance authoritative costs congenital into our healthcare arrangement (Frakt, 2018), by aloof removing these, the costs of hospital stays and added medical costs will be essentially reduced. Aloof one cool archetype should be enough, according to Professor Uwe Reinhardt: “We accept 900 announcement clerks at Duke. I’m not abiding we accept a assistant per (each) bed, but we accept a announcement agent per bed…it’s atrocious (Putsch, 2008).” However, a non-profit single-payer arrangement will absolutely accommodate a all-around account for hospitals based on a accurate assay of their operations, so, the blow of hospitals closing is authentic advertising from the for-profit industry, not a accurate claim.
In added nations ailing and afflicted bodies and their admired ones can focus on accepting better. In the US we are deluged with bills, paperwork, and angry with allowance companies, a never catastrophe daydream aloof back we are at our best accessible (Rice, 2018). A non-profit single-payer arrangement WILL NOT COST MORE THAN OUR CURRENT SYSTEM. IT WON’T INVOLVE NEW DOLLARS. Bodies don’t accept that “benefits” included with our jobs are absolutely allotment of our complete advantage (Heathfield, 2018; New Mexico Accompaniment Cadre Office, 2014). Whether an employer offers bloom allowance or not affects our salaries. In the accomplished few years allowance increases accept bedfast out and/or changes in bloom insurance, premiums and deductibles accept grown. So, aish the employer from the blueprint and accept a bashful allotment of income, abate than our allotment of premiums, accoutrement our complete families, with no deductibles and copays, NO PAPERWORK. By rolling Medicare, Medicaid, and a percent tax on incomes, agnate to the accepted taxes for Social Security (FICA) and Medicare, into one system, we could accomplish accepted advantage with admission and best bent by us and for the all-inclusive majority costing beneath than our accepted system. Added sources of acquirement accept been proposed, such as a bashful tax on banking affairs (Friedman, 2013; Friedman, 2017a; Friedman, 2017b; Sanders, 2016). Of course, accustomed the adeptness of the allowance lobby, Washington may refuse; but the money is there and we should action for it.
We are the alone bloom affliction arrangement in the apple advised aboriginal and foremost to accomplish a profit, not to affliction for people. In the accomplished few years, for instance in California, bloom affliction costs accept added by 240% compared with 40% for the Customer Amount Index (California Bloom Affliction Foundation, 2017; Huffman, 2017). In no way can the accession of newer technologies appear aing to answer this. In fact, one abstraction begin afterwards acclimation for amount inflation, 50% of the admission could not be explained by increases in citizenry size, crumbling of the population, changes in ache prevalence or incidence, or account appliance (Dieleman, 2017).
Extortionist Akin Biologic Pricing
The contempo aspersion of adopting Epipen prices to $800 is aloof one example. But alike the aboriginal $400 for a packet of two Epipens was abandoned accustomed they amount amid an estimated $8 – $30 for a two-pack and advertise in the UK for $69. In fact, the Epipen was developed for our aggressive (Bloomberg, 2016; Mangan, 2016; Nutting, 2016; Ramsey, 2016; Seipel, 2017; White, 2016). Abundant studies accept apparent that claims by biologic companies of the amount of developing new drugs are grossly abstract (Light, 2011; Medecins Sans Frontieres, 2014; Prasad, 2017; Accessible Citizen, 2001; Accessible Citizen, 2017; Relman, 2002). In fact, over 95% of the basal assay is adjourned by the government and alike 50% of new classes of drugs (Light, 2005). The biologic industry is amid the best assisting industries, alone equaled by banks; but outdistancing carmakers, oil and gas, and media (Anderson, 2014).
The FDA’s apparent of a biologic creates a monopoly.
A cartel exists back a specific actuality or action is the alone supplier of a accurate commodity. . . Monopolies are appropriately characterized by a abridgement of bread-and-er antagonism to aftermath the adequate or service, a abridgement of applicable acting goods, and the achievability of a aerial cartel amount able-bodied aloft the seller’s bordering amount that leads to a aerial cartel profit(Wikipedia. Monopoly).
The commodity of patents is to animate assay and accession in adjustment to account the public. The accessible is absolutely does NOT benefited from extortionist akin prices and profits. A single-payer bloom affliction arrangement will be able to accommodate biologic prices, acceptance reasonable, not extortion akin profits.
In 2003, Congress anesthetized the Medicare Decree Drug, Improvement, and Modernization Act. Billy Tauzin, as armchair of the U.S. House Committee on Activity and Commerce, which oversees the biologic industry, played a key role in shepherding the bill through Congress, including prohibiting the government from negotiating lower biologic prices and banning the admission of identical, cheaper, drugs from Canada and elsewhere. Alike with acceding the biologic industry would accept added profits from the accession of a ample cardinal of bodies able to acquirement drugs; but acquisitiveness has no bounds. Tauzin accommodated from Congress afterwards the bill was anesthetized and became arch of the Biologic Assay and Manufacturers of America at a bacon estimated at $2 actor per year. Does this accession any red flags (Ludwig, 2015; Wikipedia. Medicare Decree Drug, Improvement, and Modernization Act)? The VA, Kaiser Permanente, Blue Cross, anybody abroad pays beneath for drugs than Medicare because they can negotiate. In fact, some drugs are absolutely cheaper if purchased anon from a bounded pharmacists, bypassing the profits and added authoritative costs from the Pharmacy Allowances Managers created by the bill (Ornstein, 2017). Gag orders generally prohibit a pharmacist from discussing appraisement with barter (Pear, 2018). By negotiating prices the Medicare donut aperture could be alone (Congressional Account Office, 2007a; Customer Union, 2006; Families USA, 2007; Gaffney, 2018; Bloom Markets, 2018; Light, 2012; Light, 2013).
Complete Coverage, Dental, Home Bloom Care, Nursing Homes
A non-profit single-payer arrangement will additionally accommodate dental care, home bloom care, nursing homes and accomplished nursing facilities. Poor aching teeth advance to poor diet which affects our diet which affects all-embracing health. It affects our self-image, our adeptness to concentrate, our productivity, whether as acceptance or workers, and, of advance increases the charge for bloom affliction (CDC, 2018). Affection home bloom care, acceptance bodies to break in their homes, is both cheaper than nursing homes and maintains a bigger affection of activity (Ball, 2018; Gerace, 2011; NPR, 2018). With all-around budgets, nursing homes will accept the requisite cardinal of accomplished bloom affliction providers rather than advisers in announcement offices. Currently new hospitals are actuality congenital area anniversary accommodating will get his/her own room. We could do the aforementioned for nursing homes. Aloof because one is ailing shouldn’t beggarly the blow of aloofness and dignity. We could accept such a arrangement accustomed that the monies now activity to profits and aggrandized salaries for administrators, alike for non-profit nursing homes, would go to complete affliction (Zimmerman, 2011).
Good For Business
A non-profit single-payer arrangement will abate job lock. Currently, abounding accomplished individuals are ashore in jobs that are not a adequate bout because they charge to advance bloom insurance. Imagine some accomplished individuals absent to alpha their own firm, one has a abiding bloom action or ill child, the amount of bloom allowance for individuals or baby firms would either be prohibitive or appear with aerial deductibles and copays, not abrogation monies for advance in the company, so they break with their accepted aggregation (Baker, 2015). Bloom allowance reduces the competitiveness of American companies in all-embracing competition, both advancement the all-embracing assembly costs and devoting time and activity in negotiating annual allowance affairs for employees. Abnormally baby businesses, the courage of our abridgement and bigger employer overall, are abnormally afflicted by our accepted system. If one chooses to ensure its employees, the added costs put it at a disadvantage adjoin those who accept not to (Johnson, 2012; Leenson, 2017; Reinhardt, 1989).
Why Should Immigrants, including Undocumented, Be Covered?
For those adjoin to undocumented aliens accepting bloom care, abundant studies accept begin that they accord decidedly to our abridgement and pay taxes. In fact, an Institute of Anesthetic abstraction estimated the abundance blow to our abridgement due to abridgement of allowance at up to $130 billion in 2000 and if insured the amount of affliction at up to $69 billion, both would be abundant college today (Institute of Medicine, 2003). The Institute of Anesthetic alternation of studies on the furnishings of uninsurance included immigrants, both accurate and undocumented (Institute of Medicine, 2009). So, it costs our abridgement added to not assure everyone. If afflicted on the job, a job accidental to our economy, shouldn’t they accept care? Added importantly, admitting President Trump’s advance to body a wall, it would be about cool to annihilate them, so, we blow acknowledgment to communicable diseases, e.g., in restaurants, day affliction centers, in elevators, etc. If not a moral obligation, afresh aware arrogance should accept they be advised rather than abide catching (Congressional Account Office, 2007; Edsall, 2016; Federal Reserve Bank of Dallas, 2003). Not alone immigrants use disproportionately beneath medical affliction than their representation in the U.S. citizenry would announce (Goldman, 2006); but they absolutely accord to Medicare’s solvency (California Healthline, 2015; Flavin, 2018; Zallman, 2013).
Surveys accept apparent that the majority of Americans abutment a non-profit single-payer bloom affliction system; but alone if it doesn’t accommodate actionable immigrants (Rasmussen, 2009). U.S. law requires accouterment emergency affliction to anyone (Wikipedia. Emergency Medical Assay & Labor Act). Unfortunately, the uninsured “receive beneath bare services, worse affection care, and accept a greater blow of dying in the hospital or anon afterwards discharge,” alike from agony affliction (Institute of Medicine, 2002). And as the cardinal of uninsured increases, the affection of bloom casework in a association abatement (Institute of Medicine, 2009).
Besides the actuality that they accept contributed to the system, besides the risks of communicable diseases, besides the immorality, besides the furnishings of uninsured on availability of affection affliction in a community, abstinent affliction to anyone defective affidavit of allowance could put us all at blow in an emergency. Imagine you ache a affection advance or an abrasion and accept no affidavit of insurance. The uninsured get beneath aftereffect care, so their blow of accession emergency is high. So, besides the immorality, it isn’t rational to be adjoin a affairs that will account us and our admired ones aloof to ensure that others don’t account as well, aware self-interest.
Healthcare Doesn’t Meet the Assumptions of a Bazaar Model
Healthcare DOESN’T fit into a market-based system, behindhand of how adamantine those who accumulation from it at our amount try to fit a aboveboard peg into a annular aperture (Arrow, 1963). Bazaar economics crave “free” admission to advice and, of course, the adeptness to appraise it; but how abounding of us with blight accept the basics of medicine, can appraise peer-reviewed account articles, apperceive how to chase the literature, alike accept the time or adeptness to focus back ill? And if in a car blow or adversity a affection attack, how abounding will be able to alarm about to assorted emergency departments to amount shop? And how would one alike amount shop, not alive already there what will be all-important (e.g., Mehrota, 2017)? And, as explained above, we already pay through our taxes what covers anybody in several added nations with a aerial akin of affection care. It would booty a abstracted commodity aloof to explain why bloom affliction doesn’t fit in bazaar economics. And how does 65% of bloom affliction costs from tax dollars fit into a chargeless bazaar model? One accomplished book explains the basal assumptions of a bazaar archetypal and why bloom affliction aloof doesn’t fit into it:
Thomas Rice (2015). “The Economics of Bloom Reconsidered,” Fourth Edition. Bloom Administering Press. Acclimated copies of beforehand editions are accessible on Amazon exchange at reasonable prices. The basics don’t change amid editions, aloof added a examples, and criticisms of beforehand editions are dealt with.
Non-Profit Single-Payer is NOT Socialized Medicine
A non-profit single-payer arrangement is NOT socialized medicine. It is Medicare for All. Delivery of bloom affliction will be by non-profit hospitals and clinics and clandestine practicing physicians. Rather than allotment an allowance plan, if possible, or demography that offered by ones employer, one will be able to absolutely accept the hospital, clinic, and bloom affliction practitioner, afterwards actuality bound into any arrangement bent by the accumulation motive of bloom insurers. Unfortunately, all too generally words like “socialism” are acclimated to agitate affections that stop bodies from added investigating a policy. Socialism DOES NOT administer to a non-profit single-payer healthcare system, though, as the adage goes: “A lie told generally abundant becomes the truth.” I accept lived in both Sweden and Canada. Swedish healthcare is socialized medicine. Facilities, hospitals and clinics, are endemic and run by the government and medical cadre are salaried, except for dentist who accomplish clandestine practices. In Canada, hospitals and clinics are a endemic and physicians assignment in clandestine practices. Dental and connected appellation affliction are not universally covered; but some Provinces do awning them for specific groups, e.g., dental affliction for accouchement and seniors and home bloom affliction and nursing homes for seniors. All-embracing studies appearance both systems aloft to ours; but, accustomed American culture, a non-profit single-payer arrangement would be added acceptable.
Non-Profit Single-Payer is NOT a Ponzi Scheme
A non-profit single-payer arrangement is NOT a Ponzi, pyramid, arrangement appointment money from the adolescent to the old and sick. A pyramid arrangement is one-way, those at the top account and those at the basal lose (Wikipedia. Ponzi scheme). A single-payer arrangement is added like a revolving door, aboriginal one is outside, afresh inside. All of us will eventually abound old and at some time in our lives ache abrasion or affliction and none of us can be captivated amenable for our genetics, a cycle of the dice. Adolescent bodies do ache injuries, cancer, and added illnesses. If they are uninsured, they still accept at atomic emergency affliction and, thus, we pay for it. As discussed above, the akin of affliction will be less. By removing the balance authoritative costs and profits, our parents, grandparents, and others are covered as we will be in turn. Back I was in elementary school, my father’s taxes paid into the arrangement as did others. Alike back he was unemployed I connected with my education. Back I became an adult, my taxes paid into the arrangement so that the aing bearing of accouchement would be accomplished and I acquiescently did this admitting accepting no accouchement of my own (Reuss, 2012).
Potential Bloom Casework Research, Improved Care
Despite actually billions of dollars spent on medical and biologic research, problems still exist, including grandfathered interventions. Questions apropos which interventions for which altitude assignment still exist. Alike with the complete best analytic trials, the blow of attenuate but austere side-effects will not be found. Our biologic laws acquiesce any drug, already accustomed by the FDA for one condition, be acclimated “off-label” by physicians for any condition. Sometimes the off-label use of a biologic absolutely does work; but generally it doesn’t. We don’t apperceive how abounding physicians appoint an off-label biologic for a specific condition, how abounding discontinued its use due to abridgement of ability or side-effects, nor alike if improvements followed, if one could aspect them to the off-label biologic or added factors. Circa 20% of all biologic sales absorb off-label use which adds to our all-embracing amount of bloom affliction (Carr, 2017; GAO, 2008; Orac, 2012; Wikipedia. Off-label use). With a non-profit single-payer system, either one connected database for admission of all accommodating demographics, conditions, and treatments or a bond arrangement for several already absolute databases, has the abeyant to advance healthcare by allotment teams to investigate aggregate from surgeries to drugs, FDA accustomed acceptance as able-bodied as off-label, and vaccines. Abundant ample studies accept begin that the blow from vaccines is atomic compared to allowances (CDC, 2017); but accepting abstracts for actually all accouchement could acquiesce one to attending at any attenuate added blow from “pre-existing conditions” and allay the fears of parents afraid to hook their children. Of course, able laws and administration will charge to be developed to assure accommodating confidentiality; commodity not well-protected with employer-based bloom insurance.
Sooner or afterwards all of us will face abrasion or illness. No arrangement is complete and there will consistently be anecdotes of one or a few cases area failures occurred. Unfortunately, as with the red banderole of labeling commodity as “socialist,” anecdotes comedy on our affections and we abort to ask the question: “Compared to what?” For every nut about a case archetype of poor affliction in a Western technologically avant-garde nation alms accepted bloom care, whether single-payer or socialist, one can acquisition a far greater cardinal in the U.S. A non-profit single-payer bloom affliction arrangement ensures that we will be able to accept our doctors and hospitals, get the accomplished affection of care, afterwards angry with allowance companies, afterwards actuality inundated with paperwork, and afterwards annoying about finances. In addition, behindhand of our employment, our families will be covered.
The best is simple: Do we abide to armamentarium through our taxes a arrangement to adorn a few or accept a non-profit single-payer arrangement that abundant all-embracing studies accept apparent to awning anybody at a aerial akin of care?
Joel A. Harrison, Ph.D., M.P.H., a built-in San Diegan, is a retired epidemiologist. Dr. Harrison has lived and advised in both Canada and Sweden. Dr. Harrison has been a adept adherent of a non-profit single-payer bloom affliction system/Medicare for All and a able adherent of vaccinations wherein he has, as a volunteer, been autograph accessories for Every Adolescent by Two, a nonprofit founded in 1991 to advance vaccinations. You can acquisition his accessories actuality and here.
Note that I use Wikipedia in the references. I alone do this if the Wikipedia commodity includes references that I accept arrested out. Thus, rather than advertisement alike added references, this food a acceptable shorthand.Abelson R, Sanger-Katz, Cresell (2018 May 19). As an Insurer Resists Advantageous for ‘Avoidable’ E.R. Visits, Patients and Doctors Advance Back: Guessing amiss on back a action is a life-threatening medical emergency could beggarly a ample bill. Or worse. The New York Times.
Alexander B (2018 Jan 9). America’s Rural Hospitals Are Dangerously Fragile. The Atlantic.
Allen M (2018 May 25). Why Your Bloom Insurer Doesn’t Affliction About Your Big Bills. Propublica.
Anderson R (2014 Nov 6). Biologic industry gets aerial on fat profits. BBC News.
Arrow KJ (1963 Dec). Uncertainty and the Welfare Economics of Medical Care. The American Bread-and-er Review; 53(5): 941-973. [Reproduced in Bulletin of the Apple Bloom Alignment | February 2004, 82 (2)]
Baker D (2015 Mar). Baker (2015 Mar). Job Lock and Employer-Provided Bloom Insurance: Affirmation from the Literature. AARP Accessible Action Institute.
Ball MS (accessed 2018 May 20). Crumbling in Abode – A Toolkit for Bounded Governments. Association Housing Resource Center.
Barlett DL, Steele JB (2004). Critical Condition: How Bloom Affliction in America Became Big Business & Bad Medicine. Doubleday.
Bernard TS (2013 Oct 18). Out of Network, Not by Choice, and Facing Huge Bloom Bills. New York Times.
Bloomberg (2016 Sep 29). Why the $600 EpiPen costs $69 in Britain. Crain’s Chicago Business.
Brill S (2013 Feb 20). Bitter Pill: Why Medical Bills Are Killing Us. Time.
Brownlee S (2007). Overtreated: Why Too Abundant Anesthetic Is Making Us Sicker and Poorer. Bloomsbury.
California Bloom Affliction Foundation (2017 Mar). California Employer Bloom Benefits: Prices Up, Advantage Down.
California Healthline (2015 Jun 29). Undocumented Immigrants Help Keep Medicare Solvent, According to New Study.
California Legislative Advice (2017 May 26). SB-562 The Advantageous California Act.
California OneCare (2017). How Could Medicare for All Assignment in California?
Canadian Institute for Bloom Advice (2017 Mar). Assay in Brief: Delay Times for Priority Procedures in Canada, 2017.
Canadian Institute for Bloom Advice (accessed 2018 May 28). How does Canada’s bloom spending analyze internationally?
Canadian Bloom Casework Assay Institute (2008 Mar). MYTH: Canadian doctors are abrogation for the United States in droves.
Carr T (2017 Jan 4). Off-Label Use: Should Drugs Do Double Duty? Customer Reports.
Casalino LP, Gans D, Weber R et al. (2016 Mar). US Physician Practices Absorb Added Than $15.4 Billion Annually To Report Affection Measures. Bloom Affairs; 35(3): 401-6.
CDC (2018 May 2). Oral Health.
CDC (2017 Jun 7). Vaccine Safety Publications.
Cecere (2009 Sep 17). New abstraction finds 45,000 deaths annually affiliated to abridgement of bloom coverage. The Harvard Gazette.
Chen A, Oster E, Williams H (2016 May). Why Is Baby Bloodshed College in the United States Than in Europe? American Bread-and-er Journal. Bread-and-er policy; 8(2): 89-124.
Chou SC, Schuur JD (2018 Mar 9). Beware this insurer’s advance on emergency affliction coverage. STAT.
Congressional Account Appointment (2007a Jan). Decree Biologic Appraisement in the Clandestine Sector.
Congressional Account Appointment (2007b Dec). The Impact of Unauthorized Immigrants on the Budgets of Accompaniment and Bounded Governments.
Consumer Union (2006 Oct). Not Low Abundant – Medicare Allotment D ‘Donut Hole’ Prices Compared with Retail and VA Prices.
CTVNews.org Staff (2015 Dec 27). U.S. doctor who confused to Ont. shares observations on Canadian bloom care.
Dieleman JL, Squires E, Bui AL et al. (2017 Nov 7). Factors Associated With Increases in US Bloom Affliction Spending, 1996-2013. JAMA; 318(17): 1668-1678.
Dobkin C, Finkelstein A, Kluender R, Notowidigdo MJ (2018). Bread-and-er Consequences of Hospital Admissions. American Bread-and-er Review; 108(2): 308-352.
Edsall TB (2016 Sep 29). What Does Immigration Absolutely Amount Us? The New York Times.
Eisenberg (2005 Jul 11). Outcomes and Amount of Coronary Artery Bypass Graft Anaplasty in the United States and Canada. Archives of Internal Medicine; 165: 1506-1513.
Families USA (2007 Jan). No Bargain: Medicare Biologic Plans Bear Aerial Prices.
Federal Reserve Bank of Dallas (2003 Nov). U.S. Immigration and Bread-and-er Growth: Putting Action on Hold. Issue 6.
Flavin L, Zallman L, McCormick D, Boyd JW (2018 Aug). Medical Expenditures on and by Immigrant Populations in the United States: A Systematic Review. All-embracing Account of Bloom Services.
Frakt A (2018 Jul 16). Hidden From View: The Astonishingly Aerial Authoritative Costs of U.S. Bloom Care: The complication of the arrangement comes with costs that aren’t accessible but that we all pay. The New York Times.
Freeman TR, Petterson S, Finnegan S, Bazemore A (2016). Shifting tides in the abandonment patterns of Canadian physicians to the United States: a cross-sectional accessory abstracts analysis. BMC Bloom Casework Research; 16: 678.
Friedman G (2013 Jul 31). Allotment HR 676: The Expanded and Improved Medicare for All Act. How we can acquiesce a civic single-payer bloom plan. Physicians For A Civic Bloom Program.
Friedman G (2017 Sep 14). Allotment Medicare for All. Dollars and Sense.
Friedman G (2017 Sep 28). ‘Medicare for all’ could be cheaper than you think. UMassAmherst.
GAO (1991 Jun). Canadian Bloom Insurance: Lessons for the United States.
GAO (2008 Jul). Decree Drugs: FDA’s Oversight of the Promotion of Drugs for Off-Label Uses.
Gaffney A, Lexchin J (2018 May 17). Healing an ailing biologic system: decree for ameliorate for United States and Canada. British Medical Journal.
Garrett L (2018 Apr 24). The Royal Baby Is Lucky He Wasn’t Born in America: Anybody in the West, ability or not, gets bigger affectionate bloom affliction than parents in the United States. Foreign Policy.
Glauser W (2014 Aug 5). US doctors brief north. Canadian Medical Association Journal; 186(11): E407-E408.
Gerace A (2011 Aug 21). Home Bloom Affliction 75% Cheaper than Nursing Home Care. Senior Housing News.
Girod C, Hart S, Weltz S (2018). 2018 Milliman Medical Index. Milliman Assay Report.
Goldman DP, Smith JP, Sood N (2006 Nov). Immigrants And The Amount Of Medical Care. Bloom Affairs; 25(6); 1700-1711
Harrison JA (2008). Advantageous More, Accepting Less. How abundant is the ailing U.S. bloom affliction arrangement costing you? Dollars and Sense Magazine.
Harrison JA (accessed 2018 May 20). All-embracing Resources. Physicians For A Civic Bloom Program.
Health Council of Canada (2011 May). Advance Report 2011: Bloom Affliction Renewal in Canada.
Health Markets (2018 Mar 28). What is the Medicare Donut Hole?Heathfield SM (2018 Apr 9). What’s in a Comprehensive Employee Allowances Package? The Antithesis Careers.
Hillner BE, Smith TJ, Desch CE (2000 Jun). Hospital and physician aggregate or specialization and outcomes in blight treatment: accent in affection of blight care. Account of Analytic Oncology; 18(11): 2327-40. ABSTRACT
Himmelstein DU, Warren E, Thorne D, Woolhandler (2005 Feb 2). Affliction And Abrasion As Contributors to Bankruptcy. Bloom Affairs; Web Exclusives: W5-63-W5-73.
Himmelstein DU, Thorne D, Warren E, Woolhandler S (2009 Aug). Medical Bankruptcy in the United States, 2007: Results of a Civic Study. American Account of Medicine; 122(8): 741-6.
Himmelstein DU, Jun M, Busse R er al. (2014). A Comparison of Hospital Authoritative Costs in Eight Nations: US Costs Exceed All Others By Far. Bloom Affairs; 33(9): 1586-1594.
Houssami N (2017). Overdiagnosis of blight in citizenry screening: does it accomplish screening worthless? Blight Biology & Medicine; 14(1): 1-8.
Huffman M (2017 Apr 27). Report: consumers’ abroad medical costs rising. ConsumerAffairs.
Institute of Anesthetic (2002 May). Affliction Afterwards Coverage: Too Little, Too Backward (Report Brief). Civic Academies Press.
Institute of Anesthetic (2003 Jun). Hidden Costs, Value Lost: Uninsurance in America(Report Brief). Civic Academies Press.
Institute of Anesthetic (2009 Feb). America’s Uninsured Crisis: Consequences for Bloom and Bloom Care. Civic Academies Press.
Institute of Anesthetic (2013 Jan). U.S. Bloom in All-embracing Prospective: Beneath Lives, Poorer Health. The Civic Academies Press.
jpmassar (2017 Jun 7). A FAQ About California’s Single Payer Bloom Affliction Legislation, SB 562. Daily Kos.
Johnson T (2012 Mar 26). Healthcare Costs and U.S. Competitiveness. Council on Foreign Relations.
Jollis JG, Peterson ED, Nelson CL et al. (1997 Jun 3). Relationship Amid Physician and Hospital Coronary Angioplasty Aggregate and Outcome in Elderly Patients. Circulation; 95(11): 2485-91.
Katz SJ, Cardiff K, Pascali M et al. (2002 May). Phantoms In The Snow: Canadians’ Use Of Bloom CareServices In The United States. Bloom Affairs; 21(3): 19-31.
Khazan O (2014 Oct 1). What If America Had Canada’s Healthcare System? It would not be a left-wing paradise. At least, not entirely. The Atlantic.
Kliff (2018 Jan 29). An ER visit, a $12,000 bill — and a bloom insurer that wouldn’t pay.
Lee MYH (2016 Oct 11). Actuality Checker: Trump’s affirmation about Canadians traveling to the United States for medical care. The Washington Post.
Leenson E, Geiger D (2017 Oct 17). Why business should appeal single-payer bloom care. San Diego Union-Tribune.
Light DW, Lexchin J (2005 Oct 22). Foreign chargeless riders and the aerial amount of medicines. BMJ; 331: 958-960.
Light DW, Warburton R (2011 Mar). Demythologizing the aerial costs of biologic research. BioSocieties; 6(1): 34-50.
Light DW, Lexchin JR (2012 Aug 11). PHARMACEUTICAL R&D: What do we get for all that money? BMJ; 345 (7869): 22-25.
Light DW, Kantarjian H (2013 Nov 15). Bazaar Spiral Appraisement of Blight Drugs. Cancer; 119(22): 3900-2.
Longhurst A, Cohen M, McGregor M (2016 Apr). Reducing Surgical Delay Times: The Case for Accessible Accession and Provincial Leadership. Canadian Centre for Action Alternatives.
Ludwig M (2015 Sep 30). How Abundant of Big Pharma’s Massive Profits Are Acclimated to Influence Politicians? Truthout.
Luft HS, Garnick Dw, Mark DH, McPhee SJ (1990). Hospital Volume, Physician Volume, and Accommodating Outcomes: Assessing the Evidence. Bloom Administering Press.
Luthra S (2017 Dec 14). Heading North: American Doctors Report Back From Canada. NPR.
Mainous AG, Diaz VA, Saxena S et al. (2006 Sep). Diabetes administration in the USA and England: allusive assay of civic surveys. Account of the Royal Society of Medicine; 99: 463-469.
Mangan D (2016 Aug 25). EpiPens amount aloof several dollars to make. Barter pay added than $600 for them. CNBC.
Martin D (2017 Sep 18). Canadian doctor to U.S.: Try single-payer bloom affliction instead of trashing it. USA Today.
McCann D (2014 Mar 17). “42,000 Canadians appear to the United States for care” – Really?Physicians for a Civic Bloom Program.
Medecins Sans Frontieres (2014 Nov 18). R&D Amount Estimates: MSF Response to Tufts CSDD Abstraction on Amount to Develop a New Drug.
Mehrota A (2017 Sep 14). I’m the complete actuality to amount boutique for an operation. But the action went terribly. STAT.
Morone JA (2017 Dec 7). How to Anticipate about “Medicare for All”. New England Account of Medicine; 377: 2209-2211.
National Breast Blight Coalition (2013). Overdiagnosis and Overtreatment.
New Mexico Accompaniment Cadre Appointment (2014). Complete Compensation.
NPR (2018). Home or Nursing Home; Special Series.
Nutting R (2016 Sep 2). Opinion: What’s amiss with amount gouging for EpiPens? Nothing, and everything. MarketWatch.
OECD (The Organisation for Bread-and-er Co-operation and Development) (2017). Bloom at a Glance 2017: OECD Indicators.
Orac (2012 Dec 6). Big pharma wins a action on off-label prescribing. Respectful Insolence.
Ornstein C, Thomas K (2017 Dec 9). Decree Drugs May Amount Added With Allowance Than Afterwards It. The New York Times.
Palmer K, Petch J, Bournes D (2017 Oct 19). What it’s absolutely like to convenance anesthetic in the U.S. Advantageous Debate.
Papanicolas I, Woskie LR, Jha A. (2018 Mar 13). Bloom Affliction Spending in the United States and Added High-Income Countries. JAMA; 319(10): 1024-1039. ABSTRACT
Pear R (2018 Feb 25). Pharmacists agitated they can’t allocution biologic prices with patrons. The New York Times.
Physicians For A Civic Bloom Program. Homepage.
Physicians For A Civic Bloom Program. All-embracing Bloom Systems.
Pollin R (2017 May). Bread-and-er Assay of the Advantageous California Single-Payer Bloom Affliction Proposal (SB-562). Political Abridgement Assay Institute.
Prasad V, Mailankody S (2017 Nov 1). Assay and Development Spending to Bring a Single Blight Biologic to Bazaar and Revenues Afterwards Approval. JAMA Internal Medicine; 177(11): 1569-1575. ABSTRACT.
Public Citizen (2001 Jul). Rx R&D Myths: The Case Adjoin The Biologic Industry’s R&D “Scare Card”.
Public Citizen (2017). Would Lower Decree Biologic Prices Curb Biologic Aggregation Assay & Development?
Rachlis M (2005). Decree for Excellence: How Accession Is Saving Canada’s Bloom Affliction System. Harper Perennial Canada.
Rampell C (2013 Dec 17). How Medicare Subsidizes Doctor Training. The New York Times.
Ramsey L (2016 Aug 27). The aberrant history of the EpiPen, the accessory developed by the aggressive that angry into a billion-dollar business. Business Insider.
Ramsey SD, Shankaran (2016 Nov 20). Banking toxicity: a potentially adverse ancillary aftereffect of alleviative cancer. STAT.
Rasmussen Report (2009 Jun 12). Americans Abutment Accepted Bloom Coverage, But Not If It Covers Actionable Immigrants.
Relman AS, Angell M (2002 Dec 6). America’s Added Biologic Problem: How the biologic industry distorts anesthetic and politics. The New Republic; 227(25): 27-41.
Reinhardt UE (1989 Winter). Bloom Affliction and American Competitiveness. Bloom Affairs; 8(4): 5-21.
Reuss A (2012 Nov). The Big Lie About the “Entitlement State”. Dollars and Sense Magazine.
Rice T (2016). The Economics of Bloom Reconsidered. Fourth Edition. Bloom Administering Press.
Rice T, Quentin W, Anell A et al. (2018). Revisiting abroad requirement: trends in spending, banking admission barriers, and action in ten advantageous countries. BMC Bloom Casework Research; 18: 371.
Robinson S (2008 Feb 5). 10 Myths About Canadian Bloom Care, Busted. Physicians for a Civic Bloom Program.
Rosenthal E (2014 Sep 20). Afterwards Surgery, Surprise $117,000 Medical Bill From Doctor He Didn’t Know. New York Times.
Ross C (2018 Jan 8). In states that didn’t aggrandize Medicaid, hospital closures accept spiked. STAT.
Sanders B (accessed 2018 May 18). Medicare for All: Abrogation No One Behind.
Sanger-Katz (2018 Mar 21). Accepting Ailing Can Be Absolutely Expensive, Alike for the Insured. The New York Times.
Sawyer B, Gonazles S (2017 May 22). How does the affection of the U.S. healthcare arrangement analyze to added countries? Peterson-Kaiser Bloom Arrangement Tracker.
Schneider EC, Sarnak DO, Squires D et al. (2017 Jul). Mirror, Mirror 2017: All-embracing Comparison Reflects Flaws and Opportunities for Bigger U.S. Bloom Care. The Commonwealth Fund.
Seipel T (2017 Mar 17). EpiPen outrage: Silicon Valley engineers amount absolute amount to accomplish lifesaving auto-injector two-pack — about $8. Mercury News.
Sisson P (2016 Sep 16). Ambidextrous with difficult Medicare bill. San Diego Union-Tribune.
Stephenson A, Sykes J, Stanojevic S et al. (2017 Apr 18). Survival Comparison of Patients With Cystic Fibrosis in Canada and the United States: A Population-Based Cohort Study. Annals of Internal Medicine; 166 (8): 537-546.
Terhune C, Gorman A (2017 Nov 5). Medi-Cal insurers acquire big profits, alike back accommodating affliction is subpar. Kaiser Bloom News.
Tikkanen R (2017). Multinational Comparisons of Bloom Systems Data, 2017. The Commonwealth Fund.
Ubel P (2016 Aug). Your Physician Can’t See You Yet — She’s Busy Filling Out Paperwork. Forbes.
United States Census Bureau (2017 Aug 10). Table F-8. Admeasurement of Family, All Races by Boilerplate and Beggarly Assets – 1947 to 2016.
Welch HG (2011). Overdiagnosed: Making Bodies SIck In The Pursuit Of Health. Beacon.
White MC (2016 Sep 7). It’s Jaw-Dropping How Little It Costs to Accomplish an EpiPen. Money.
Wikipedia (accessed 2018 May 21). Emergency Medical Assay and Labor Act.
Wikipedia (accessed 2018 May 23). Fraser Institute.
Wikipedia (accessed 2018 Jun 13). Bloom furnishings arising from the September 11 attacks.
Wikipedia (accessed 2018 May 23). Advance time bias.
Wikipedia (accessed 2018 May 23). Length time bias.
Wikipedia (accessed 2018 May 14). Medicare Decree Drug, Improvement, and Modernization Act.
Wikipedia (accessed 2018 Jun 13). Monopoly.
Wikipedia (accessed 2018 May 22). Off-label use.
Wikipedia (accessed 2018 Jun 13). Ponzi scheme.
Wikipedia (accessed 2018 May 21). United States Civic Bloom Affliction Act.
Zallman L, Woolhandler S, Himmelstein D et al. (2013 Jun). Immigrants Contributed An Estimated $115.2 Billion Added To The Medicare Trust Armamentarium Than They Took Out In 2002 -09. Bloom Affairs; 32(6): 1-8
Zimmerman R (2011 Sep 16). Why Shared Hospital Rooms Are Becoming Obsolete. WBUR, Boston’s NPR News Station.
This article originally appeared on the Physicians for a Civic Bloom Plan website.
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