The “Saskatchewan Experiment” – Informing California Health.

Mike Magee One of the driving misperceptions about the Canadian health care system is that it is a centrally run and directed delivery system, nationalized from start to finish, top down and authoritarian. That bias, reinforced actively in the U.S., is and has been inaccurate from the start. Understanding this bias could be useful as […]

Price-Less: Make America Red Again.

Mike Magee In the weeks ahead, we will see how far backwards our health will slide under Republican leadership. In the President’s budget proposal this week, we see that he doesn’t care much for the EPA. Juxtapose that with this week’s BMJ study revealing a link between global warming and rising rates of diabetes. “Fake […]

Canada vs. U.S. Health Care: State Governance and Next Steps if Ryan Fails.

Mike Magee One of the most enduring myths that we Americans support when it comes to Canadian health care is that it is a nationally run, monolithic offering with little variability. That is patently false. In fact, Canada’s official beginnings in health governance began in the province of Saskatchewan in 1946. For several decades they […]

Ralph Snyderman Challenges the Status-Quo 100 Years After Flexner.

Credit: NEJM Catalyst Mike Magee In Hcom’s most read post of 2016, we challenged the notion of “personalized medicine” as often an empty “branding exercise”, and subsequently noted a seeming disconnect between NIH supported scientific medical progress and human progress. At around the same time, Ralph Snyderman and his team at Duke published an important […]

Predicting the Future of Obamacare Post-Election: Wilensky and Oberlander

Gail Wilensky and Jonathan Oberlander Mike Magee Negative leaders can deny change, resist it, ignore it – for a period of time. But they can’t escape it. And inevitably, they are eventually overtaken by it. Witness the current Trump dilemma. The leadership of the Republican party, following the defeat in the 2012 election, correctly acknowledged […]

Uninsured Rates Vary Geographically. The Election Could Change That.

The national uninsured rate is at its lowest – 8.6% of the population. But pockets of hold-outs exist nationwide. WalletHub’s analysts compared the 2016 rates for 548 U.S. cities as well as the 50 states then broke down the figures by age, race/ethnicity and income level. J. Oberlander, in this week’s NEJM, has projected that […]

The Three Pillars of the Medical-Industrial Complex – and the Physician. Part 5. Decoupling Research.

VIEW ENTIRE SERIES Mike Magee Historically, for a century since the Flexner report, some 40 premier academic health systems have been the masters and the model for American health delivery, constantly reinforcing the three-prong definition of the ideal senior level “thought leader” and successful academic physician – researcher, teacher, clinician. But in 2009, AHA president, […]

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