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The U.S. Health Care System Is Terminally Broken

The U.S. Health Care System Is Terminally Broken
The BriefGet Up To Speed

The United States spends more on health care than any other nation, but the system remains woefully inefficient. Consumers are fed up with soaring costs and poor outcomes, insurers take issue with market instability, and providers lament rising barriers to quality care. And while government is forced to contend with enormous financial strain, employers fear that rising health care costs will impact wages and sap their competitive advantage. Have the structural shortcomings of America’s fragmented system put us on the road to total system failure? Do we need to design tomorrow’s health care on a clean slate, or can innovations to the existing health care framework jolt the system back to life?

  • Paul Butler

    3 Items
    • Former Federal Prosecutor & Professor, Georgetown Law
    Read Bio

    Paul Butler, author of ‘Let’s Get Free: A Hip-Hop Theory of Justice,’ talks about jury nullification, and current issues in the war on drugs and criminal justice with Post-Exchange reporter Jamie Loo.

    Thursday, April 8, 2010

    If you are ever on a jury in a marijuana case, I recommend that you vote “not guilty” — even if you think the defendant actually smoked pot, or sold it to another consenting adult. As a juror, you have this power under the Bill of Rights; if you exercise it, you become part of a proud tradition of American jurors who helped make our laws fairer.

    Tuesday, December 20, 2011

    I have jury duty on July 2, and I can't wait. If I get put on a jury in a non-violent drug case, I'll vote "not guilty," based on my principles -- even if I think the defendant actually did it.

    Wednesday, July 1, 2009
  • Nick Gillespie

    4 Items
    • Editor-at-Large, Reason
    Read Bio

    Gillespie and Welch answer the question: ‘What does a libertarian think about the war on drugs and how do we change it?’

    Wednesday, June 15, 2011

    Gillespie speaking at an SSDP conference on the topic of ‘What Would a Sensible Drug Policy Look Like,’ and discussing how drug prohibition functions as a ‘structuring event’ in American life, forcing all sorts of activity to pay hypocritical and misdirected lip service to a Just Say No mentality.

    Saturday, October 25, 2008

    Legalize drugs and then tax sales of them. And while we're at it, welcome all forms of gambling (rather than just the few currently and arbitrarily allowed) and let prostitution go legit too.

    Wednesday, May 20, 2009

    Why is it that ostensibly pro-drug movies can never quite deliver the goods, can never quite depict drug use as something other than depraved?

    Thursday, March 1, 2001
Background

No matter what your stance on the Affordable Care Act and its implications for your business, it is valuable to understand how health care in the U.S. compares to the rest of the world.

Friday, March 24, 2017
Robbie Gramer

As Republicans decide what to do with the current healthcare policy, nearly 26 million Americans remain without insurance – and that number could soon rise. 

Tuesday, July 25, 2017

In 2016, 8.8 percent of Americans were uninsured, according to new data from the Census Bureau. That's a new low, down from 9.1 percent in 2015. In people terms, that means 28.1 million Americans don't have health insurance — still a lot, but fewer than ever before.

Tuesday, September 12, 2017
Dylan Scott

Currently, Americans pay $3.4 trillion a year for medical care (and, unfortunately, don't get impressive results).

Tuesday, June 13, 2017
Ester Bloom
For
Reforms that nibble around the edges of the system just won’t do; it’s time for a bolder reimagining of American health care.
Tuesday, March 28, 2017
Robert Zubrin

If we could just start treating health care like broccoli, the market would solve the problem.

Tuesday, April 4, 2017
Jacob S. Hacker

We can lower costs and improve care, but it will take some reimagining.

Wednesday, June 7, 2017
Michael Upchurch

It could be that our health care problems don't get solved because of partisanship, incompetence, corruption or dishonesty among our elected officials. Or it could be because those problems are not soluble.

Friday, March 24, 2017
Steve Chapman
Against

From the way the FDA approves drugs to the way hospitals are rated and the way bills are paid, WSJ Health Experts have proposed many solutions to the problems endemic to the U.S. health-care system. Their ideas, recently published and rounded up here, can bring costs down, prevent physician burnout and improve patient outcomes.

Wednesday, September 20, 2017
Susan DeVore

We're going down to the wire again in the Senate on healthcare reform. The American Health Care Act finally passed the House, but CBO hasn't scored the latest version.

Friday, May 19, 2017
Paul Howard

It is not the Trump administration but companies themselves that are disrupting the healthcare status quo. 

Sunday, March 19, 2017
Rana Foroohar

President Trump has never shied away from thinking big, and now he has the potential to turn the politics of health care upside down with a populist solution that might go a long way toward solving one of the nation’s biggest problems.

Tuesday, March 21, 2017
Benjamin Domenech
Payment Methods

Much remains to be done to put bundled payments into widespread practice, but the barriers are rapidly being overcome. Bundled payments are the only true value-based payment model for health care. The time is now.

Friday, July 1, 2016
Michael E. Porter and Robert S. Kaplan

This antiquated model is the culprit behind exponential health-care cost growth.

Monday, May 7, 2012
Julie Barnes

If direct primary care continues to gain traction, it could lead to new kinds of insurance plans — ones that don't necessarily factor in primary care. 

Sunday, March 19, 2017
Lydia Ramsey

Despite being lumped together under the single payer moniker, healthcare systems in other developed countries differ, but have some commonalities: They provide universal coverage, and provide a baseline of care.

Wednesday, September 20, 2017
Alicia Adamczyk

With Republicans controlling every branch of government, single-payer health care has no chance of becoming law anytime soon. But the attention to it still matters. The odds are rising that Democrats will make a push toward single-payer when they next are in charge.

Wednesday, September 20, 2017
David Leonhardt