The newest edition of HealthWonk Review, a round-up of some of the very best recent healthcare posts, is now online.
Colorado Health Insurance Insider’s Louise Norris hosts this mid-summer edition of the review. She offers summaries of intriguing posts, along with evenhanded, insightful commentary. Both will help you decide which posts you want to read.
Many of her reviews whetted my interest. But here I want to call attention to just two entries covering topics that we don’t often read about on Healthcare blogs, as well a reassuring sane post summing up what Washington insiders say about the state of Obamacare. It will be a bumpy ride, but it’s heading into the station.
A History of China’s Health Care System
Norris reports that on :“The Healthcare Economist, Jason Shafrin, brings us a great summary of health insurance in China over the past half century. Until the end of the 1970s, there were three main health insurance systems in China that covered nearly everyone.
“But the wheels started to come off after that; by 1998 almost half of the urban population had no health insurance, and by 2003, 95% of the rural population in China was uninsured. “
Shafrin explains that a shift to “fee for service” health care seems to have exacerbated the problem: “Some have claimed that the stark increases in health-care are due to provider profit-seeking behavior in China’s fee-for-service system. . .
“This price structure that was originally intended to cross-subsidize the delivery of basic interventions creates perverse incentives for providers to supply sophisticated care wherever possible, by shifting demand from low-margin basic services to high-margin high-tech diagnostic services and drugs.”
Does this sound familiar?
The good news is that China, like the U.S., has set out to reform its enormous health care system.For details, see Shafrin’s post. .
As Norris observes: “While plenty of progress has been made there is still a long way to go.”
She could have been talking about either country.
Norris also spotlights Jared Rhoads’ review of The Autistic Brain by Temple Grandin. “If you’re interested in autism,” Norris writes, “Jared’s summary [suggests] that this book is a good place to start learning more. I’m adding it to my list of books to read, so thanks for the tip Jared!”
Here’s just a snippet from Rhoads’ review: “Gradin and coauthor Richard Panek trace some of the clinical history of the condition, explain what can and cannot be gained from techniques like neuroimaging, and share what they believe are some good child-rearing strategies for parents with autistic children. . . .