John C Goodman
John C. Goodman is president and CEO of the National Center for Policy Analysis, research fellow at the Independent Institute and author of the new Independent Institute book, Priceless: Curing the Healthcare Crisis. He is widely known as the "Father of Health Savings Accounts," and Modern Healthcare named him as one of four people who have most influenced the modern health care system.
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John C. Goodman is president and CEO of the National Center for Policy Analysis, research fellow at the Independent Institute and author of the new Independent Institute book, Priceless: Curing the Healthcare Crisis. He is widely known as the "Father of Health Savings Accounts," and Modern Healthcare named him as one of four people who have most influenced the modern health care system. He is also the Kellye Wright Fellow in health care. The mission of the Wright Fellowship is to promote a more patient-centered, consumer-driven health care system.
He frequently testifies before Congress on health care reform and retirement topics and is the author of more than 50 published studies and 10 books, including Lives at Risk: Single Payer National Health Insurance Around the World; Leaving Women Behind: Modern Families, Outdated Laws; and the trailblazing Patient Power: Solving America's Health Care Crisis, the condensed version of which sold more than 30,000 copies.
Dr. Goodman regularly appears on the FOX News Channel, CNN, FOX Business Network and CNBC. He was a debater on many of William F. Buckley's Firing Line programs. He is also a frequent editorial writer for The Wall Street Journal, the Health Affairs blog, and Townhall.com.
Dr. Goodman's health policy blog is one of the most popular health policy blogs and it is the place where pro-free-enterprise, private sector solutions to health care problems are routinely vetted by experts from across the political spectrum.
Dr. Goodman was the lead expert in the NCPA's grassroots public policy campaign, "Free Our Health Care Now," an unsurpassed national education effort to communicate patient-centered alternatives to a government-run health care system. The initiative resulted in the largest online petition ever delivered to Capitol Hill.
Dr. Goodman became interested in economics and classical liberal ideas while an undergraduate at the University of Texas at Austin, where he became vice president of the student body. He is a crossword puzzle aficionado, and most days he is able to conquer the puzzles in The New York Times in ink.
He received his Ph.D. in economics from Columbia University, and has taught and done research at Columbia University, Stanford University, Dartmouth College, Southern Methodist University and the University of Dallas.
How Employers Can Cut Health Care Costs In Half
There is only one reliable way to reduce costs, increase quality and improve access to care: rely on the power of competitive markets. That means giving patients control over health care dollars and allowing providers to compete on price, quality and the convenience of care. Where ever third-party payers are not dominant, we see the power of this approach: cosmetic surgery, Lasik surgery, walk-in clinics, mail order drug houses, telephone and email consulting services, concierge doctors, international medical tourism and in the emerging market for domestic medical tourism.
Why Everything We Are Doing in Health Policy is Wrong
Health care is a complex system. The key components of complex systems cannot be copied, duplicated or replicated. Most important of all, they cannot be managed from the top, down. Almost everything we are doing to control costs, boost quality and improve access treats health care as an engineering problemÃ¯Â¿Â½one that can be fixed following a book of rules.
In fact, complex systems rarely ever work unless people are liberated. That means eliminating perverse incentives and freeing the doctor, the patient, the employer, the employee and everyone else in the system - giving them the maximum opportunity to solve each others problems.
Are We Going Broke?
In 2012, the federal government will require one out of every 10 dollars of general income tax revenues to keep its promises to seniors under Social Security and Medicare. That means to balance the budget, the federal government will have to stop doing one in every 10 other things it has been doing. By 2020, the federal government will have to stop doing one in every four things it has been doing, if seniors are to get all their promised benefits. By 2030, about the midpoint of the baby boomer retirement years, the federal government will have to stop doing almost one in every two things it does today.
There is only one way out of this crisis: move to a funded retirement system in which each generation saves and invests and pays its own way.
What Obama Care Means for Doctors and Patients
In 2014, this country will face a huge increase in demand for care, especially primary care, and no increase in supply. The waiting lines will grow at the doctor's office, at the emergency room and everywhere else. Those who can afford it will turn to concierge doctors, to avoid rationing by waiting. But this will make the problem worse for everyone else. Anyone in a plan that pays below market will be pushed to the rear of the waiting lines.
At the same time, the need to control costs will bring about another form of rationing. There will be enormous pressure to deny patients treatments until they have been proved to be effective. Since most of what doctors do today is not "evidence based," patients will be denied access to therapies that they currently take for granted.
Can Obama Care Survive?
What cannot survive: (1) a mandate to buy something whose cost will grow at twice the rate of growth of our incomes, (2) a bizarre subsidy system that will force a complete restructuring of American industry, (3) a health insurance exchange in which insurers will have perverse incentives to over-provide to the healthy and under-provide to the sick, (4) an exchange in which individuals will have an incentive to wait until they are sick to purchase coverage, get their medical bills paid, and then drop coverage again, (5) a tattered social safety net, with greater demands for subsidized care and less money to meet those demands, and (6) impossible spending cuts for the elderly.
Reform that can survive: a workable system of subsides for private insurance and a health insurance marketplace in which insurers are encourage to compete to take care of the sick, as well as the healthy.
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