The Pursuit of Health: a podcast on health policy for a free and modern society. | Podcast in RSS.com

The Pursuit of Health: a podcast on health policy for a free and modern society.

The Pursuit of Health: a podcast on health policy for a free and modern society.

di Center for Modern Health

Medicina Filosofia

Stagione 2

Medicare undercuts physician independence, with Anish Koka

Adjusted for inflation, Medicare has been paying physicians less every year since the implementation of the Physician Fee Schedule in 1992. As a result, independent physicians have either joined the better paid hospital systems or left medicine altogether. In this interview, Dr. Anish Koka offers a simple solution that does not require paying physicians more with taxpayer dollars, namely, to repeal the prohibition on private contracting under Medicare. Listen to learn more about how Medicare undercuts physician independence and how to restore it. Read Dr. Anish Koka's article on Medicare payment reform on his substack here. Enjoyed this episode? Then don't forget to like, share, and subscribe to our show. To support our show, and the Center for Modern Health, you can make a tax deductible donation here.

Healthcare Builders, with Nick Vailas

In our new series on Healthcare Builders, Reinier Schuur interviews Nick Vailas about his wide-ranging career in healthcare from the private to the public sector and back again. Nick Vailas is a serial healthcare entrepreneur, setting up the first ambulatory surgical center in New Hampshire, and serving at the state's commissioner of Health and Human Services, after which he spent 8 years as the chair of the Certificate of Need board to dismantle it from the inside. Nick Vailas gives his insights on healthcare reform and lessons for the builders of healthcare. Enjoyed this episode? Then don't forget to like, share, and subscribe to our show. To support our show, and the Center for Modern Health, you can make a tax deductible donation here.

Bursting the Hospital Protectionist Bubble

Hospital lobbies defend protectionist policies—like Certificate of Need laws and ACA Section 6001—by arguing they need to cross-subsidize unprofitable services to survive. But does keeping competitors out actually justify a broken system? In this episode, Jared Rhoads and Reinier Schuur unpack the economics of cross-subsidization, why traditional hospitals view competition as a threat, and what it would take to build a genuinely open hospital market. Check out Jared Rhoads' article on cross-subsidization here. Enjoyed this episode? Then don't forget to like, share, and subscribe to our show. To support our show, and the Center for Modern Health, you can make a tax deductible donation here.

The 50-State Health Freedom Index

Much of healthcare in American is regulated at the state level. Because of this, there can be big differences between states in how free they are in healthcare. How free is healthcare in your state? The Center of Modern Health, in collaboration with the Knee Regulatory Center at the University of West Virginia, is proud to present a resource to answer just that question: The 50-State Health Freedom Index. In this episode, we explain how this index will empower state-level health policy analysts and legislators to move their state towards more freedom in healthcare. Enjoyed this episode? Then don't forget to like, share, and subscribe to our show. To support our show, and the Center for Modern Health, you can make a tax deductible donation here.

New York's plan to abolish private medicine

The New York Health Act (NYHA) is being sold as a 'public option' health policy to New Yorkers. But make no mistake, there is nothing optional about the NYHA. In this episode, Reinier Schuur and Colleen Smith explain how the NYHA would effectively prohibit the private practice of medicine in New York, stripping providers and patients of their freedom of choice in healthcare. Besides the NYHA's monetary cost, New Yorkers cannot afford to loose their freedom of choice. Enjoyed this episode? Then don't forget to like, share, and subscribe to our show. To support our show, and the Center for Modern Health, you can make a tax deductible donation here.

Social Determinants of Health Point to Self-Determination, by Jared Rhoads

Our environments do shape our health, yet most attempts to capture such data is mixed in with the assumption that government programs should get more involve in our own pursuit of health. In this article, Jared Rhoads challenges this assumption by arguing how the study of so-called social-determinants of health should instead be used to empower individual choice. You can read the article 'Social Determinants of Health Point to Self-Determination' here. Enjoyed this episode? Then don't forget to like, share, and subscribe to our show. To support our show, and the Center for Modern Health, you can make a tax deductible donation here.

The Right to Try 2.0, with Kendra Riley

The first federal Right to Try legislation was passed in 2018, giving patients with terminal illnesses the right to try investigational drugs without having to wait for lengthy FDA approval over the drug's efficacy. The second Right to Try legislation being proposed fills an important gap, the right to individualized treatment that can't be tested on large groups of people. In this episode, I interview Kendra Riley on her own fight for her family and this important legislation. Check out Kendra's story at Right to Try. Check out the Goldwater Institute's work on Right to Try. Enjoyed this episode? Then don't forget to like, share, and subscribe to our show. To support our show, and the Center for Modern Health, you can make a tax deductible donation here.

Disentangling drug prices, with Tina Marsh Dalton

Americans are fed up with how they pay for prescription drugs. It's overly complex and opaque. In this episode, Tina Marsh Dalton explains how the complexity of prescription drug pricing is primarily driven by having them covered with health insurance, and challenges us to consider a radical solution: de-insuring most prescription drugs so that consumers can shop for them. Check out Tina Marsh Dalton's substack series on disentangling drug prices here. Enjoyed this episode? Then don't forget to like, share, and subscribe to our show. To support our show, and the Center for Modern Health, you can make a tax deductible donation here.

Cross-Subsidies: Hospitals shield against reform

Hospitals often use profitable services, like orthopedics, to prop-up unprofitable services, like emergency care. In this episode, Jared Rhoads explains how such cross-subsidization not only distorts healthcare prices, but also why we should challenge hospitals' use of cross-subsidization as a justification to prevent much needed market reforms in healthcare. Check out Jared Rhoads' article on hospital cross-subsidization here. Enjoyed this episode? Then don't forget to like, share, and subscribe to our show. To support our show, and the Center for Modern Health, you can make a tax deductible donation here.

Physician independence: from whom, and for what?

The independence of physicians to practice medicine as they see fit has been eroded over the decades, with the collapse of independent practices and the growth of medical bureaucracy. What will it take to reclaim physician independence? In this episode, we argue that what it will take is to reclaim the very meaning of physician independence, not as an independence from market forces and business, but as an independence gained and earned through them. Enjoyed this episode? Then don't forget to like, share, and subscribe to our show. To support our show, and the Center for Modern Health, you can make a tax deductible donation here.

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