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Category: Direct Primary Care

Why the Markup on a $50,000 Knee Surgery is 500%

Posted on May 5, 2022 by Devon Herrick

Few hospitals in the United States have any idea what their costs are to perform various surgeries. The second most common surgery in U.S. hospitals after those related to childbirth is knee replacement. The price is more than $50,000 at Gundersen Health System’s hospital in La Crosse, Wisconsin.  The facility has been systematically raising the price of knee surgery about 3% every year. None of administrators had any idea how much was profit and how much was the cost of nursing care, labor, overhead, supplies, etc. Gundersen, like most U.S. hospitals, didn’t know the cost because they do not face still competition and are not competing on price. Unlike most U.S. hospitals, however, Gundersen set out to find out its cost.

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Medicare Drug Prices Change Frequently, Seniors Should Learn about Options

Posted on May 3, 2022 by Devon Herrick

An article by Kaiser Health News explained that Medicare Part D drug plans can change individual drug prices and/or cost sharing soon after open enrollment closes. For instance, a recent analysis by AARP found that about a month after Medicare drug plans went into effect, prices had risen by 8% on 75 of the most frequently used drugs. Seniors who select a plan specifically for its price on a given drug are likely disappointed when prices rise, or copays increase. Yet, once in a plan seniors cannot switch to another plan until the next open enrollment period at the end of the year.

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Is Your Doctor and Health Plan Woke Enough?

Posted on April 25, 2022 by Devon Herrick

Health disparities have bewildered public health advocates for decades. It has long been known that health status and health outcomes often vary by education, ethnicity, race, gender and numerous other factors. Sidenote: when you control for education, the other variables lose much of their significance.

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Wokeness Invades the Doctor’s Office

Posted on April 19, 2022April 20, 2022 by John C. Goodman

This is Dr. Stanley Goldfarb in the Wall Street Journal:

The National Library of Medicine database shows more than 2,700 recent papers on “racism and medicine,” which generally purport to show physician bias leading to racial disparities in health outcomes. Yet the most commonly cited studies are shoddily designed, ignore such critical factors as pre-existing conditions, or reach predetermined and sensationalized conclusions that aren’t supported by reported results. These papers in turn are used to source even more shoddy research.

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For many years, our health care blog was the only free enterprise health policy blog on the internet. Then, when the NCPA closed its doors, the health blog stopped as well.

During this five-year hiatus no one else has come forward to claim the space. So, my colleagues and I have decided to restart the blog in connection with the Goodman Institute. We invite you and others to use this forum to share your views.

John C. Goodman,

Visit www.goodmaninstitute.org

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