Numerical Data from Uwe E. Reinhardt’s Book, Priced Out

Potentially Useful in Solving the Healthcare Cost Challenge Healthcare costs may be diminished either by altering the business model or by increasing the efficiency and efficacy of the care delivery process. Reinhardt has collected data that would potentially be helpful in supporting the impact of altering the compensation model as described in a number of the contributions to the web site,


What Does The U.S. Constitution Say? Let’s begin with whether the provision of healthcare is a right. First, is it a right under the US Constitution? The vast majority of constitutional rights are rights protecting us from actions by the government rather than a right to a service provided by the government. Some of these rights we know best are our freedoms to do things such as freedom of religion, freedom of speech, freedom to peaceably assemble, and the freedom to bear arms.


Primary Care Physicians (PCPs) live low on the food chain of medical specialties, their incomes are the lowest among practicing physicians, which is in itself only 70% of the incomes of other specialists, and of course much less than specialties like surgery, renal disease, and dermatology. (Medscape 2019).

Creating Highest Achievable Healthcare

I. Affordable and Superior Healthcare for All American citizens are paying more than any other nation in the world for healthcare with results that do not exceed many economically advanced nations.


Our model for Healthcare reform outlines what must be done to provide universal coverage, much lower costs, and high quality. Implementation of the model requires legislation. Congress must get moving!

Medicare Is Not Ready For “Medicare-For-All”

The idea of Medicare-for-all is being touted by most Democrat and some Republican members of congress even without knowing what it might entail. Robert Pearl (Modern Healthcare 12/17/2018) notes that 72% of Americans support Medicare-for-all. This year will be a year of Congressional discussion to try to agree on the features of this idea.

An Electronic Health Record Problem

An Electronic Health Record Problem - Typing, Not Talking To Patients Are doctors happy with their Electronic Health Records (EHR)? Not yet. An important article in The New Yorker (11/12/2018) by Dr. Atul Gawande @atul_Gawande describes a serious problem in instituting Electronic Health Records (EHR) in the physician’s office. His writing dramatically showed that even the best efforts of interested physicians do not make EHR an unqualified success.

Comments on Robert Pearl’s Book

Comments on Robert Pearl’s book: Mistreated: Why We Think We’re Getting Good Health Care—And Why We’re Usually Wrong, Perseus Books, LLC, New York, NY, 2017 Robert Pearl is executive director and CEO of the Permanente Medical Group, the physicians of the Kaiser Permanente Health System. This book is one of several published by influential physicians delineating the failures of our health system to deliver safe and optimally efficacious care.