Latest Commentary

Why do we still attach poor people's estates to recoup Medicaid costs?

Our country has always had problems helping the poor without some sort of gimmick or catch. Listen to the sermon and find God, mop the soup kitchen floor after dinner is served, etc. It all plays...

What the Chinese healthcare system could learn from ours

It seems China is beating us on every front. They've got some 7,000 miles of high-speed rail tracks, while we have managed to manufacture at least that many arguments against building a...

How hospitals deal with RACs is a symptom of our era

As I was growing up in the 1970s, there was still a lot of the "can-do" attitude in America for which a large part of its populace is now nostalgic, if not wistful. There were moon shots,...

The South's big ol' Medicaid problem

Although the United States has a checkered record when it comes to dealing with its poorest and most disadvantaged populations, the South is the unabashed leader in that category. I won't get...

Why regional bundled payment projects fizzle

What if you were prepared to hand out bundles of money, but there were no takers? That is apparently what happened in California as part of a pilot project to explore the use of bundled payments for...

How sharing ministries steer members away from actual health insurance

"I hope they don't take anything away from us." Those were the words of a Baptist minister from Georgia named Daniel, uttered in my living room about five years ago as the Affordable...

Failure to expand Medicaid is a genuine job killer

Job killer. Job killer. Job killer! That's been one of the chants of the Great Recession era--a metaphorical sticker to slap on any initiative the least bit politically sensitive and scare the...

A tale of two levels of uncompensated care

It's the best of times and the worst of times for uncompensated care in the United States. Hospitals in states that expanded Medicaid eligibility under the Affordable Care Act (ACA) reap huge...

Talk past one another and watch healthcare costs inevitably rise

The United States has long been described as a melting pot. A group of volatile chemicals striving to reach the top of a beaker would be more accurate. That is among the reasons that healthcare in...