“The Commitment to Mutuality is Fragile in the U.S.”, Says Berwick.

Mike Magee Earlier this month Donald Berwick published a thoughtful article in JAMA titled “Politics and Health.” It touched on a range of themes that I addressed in a speech in 2005 at the Library of Congress. In that speech, I said, “There is a growing political disconnect between those who make health policy and those […]

Health Reform – Is This a 1960s Moment?

Mike Magee Quietly rising out of the ashes of the Republican led campaign to “repeal and replace” the Affordable Care Act, are pragmatic efforts, not focused on “if”, but focused on “how” and “when” the U.S. will join all other developed nations and provide all of her citizens with affordable, high-quality care. Last week, a […]

Single Payer Health Reform – A Solution For U.S. Income Inequality?

Mike Magee Veteran Health Policy expert, James A. Morone, Ph.D., makes an interesting argument for single payer health care in this week’s NEJM. In proposing a sweeping change that would directly address “the American patchwork”, assert “the norms of communal decency”, promote planning and efficiency, and empower “a righteous band of reformers, deeply committed to […]

American Health Care’s “Original Sin”

Mike Magee As a young surgeon in rural New England, serving farmers and mountain people on the Massachusetts/Vermont border, my growing interest in health management was fueled by two luminaries – one 90 miles to the north and the other 90 miles to the east. One was fast at work mining Medicare databases to expose […]

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