Comments on: The 30% Solution – A Treacherous Prescription for Health Care Reform

By: The Road Back from Dartmouth Deception Will Be Difficult, but We Must Now BeginDartmouth is Dead « PHYSICIANS and HEALTH CARE REFORM Commentaries and Controversies

Sun, 20 Jun 2010 01:54:27 +0000

[...] here and here, in the Washington Post, in letters to Congress here and here and in blog postings here and here and here and here and here and here and here and here and here and here and more. [...]

By: The Death of Dartmouth, but Who’s To Blame? « PHYSICIANS and HEALTH CARE REFORM Commentaries and Controversies

Fri, 19 Feb 2010 03:24:07 +0000

[...] problem is that it didn’t make sense. Voters knew it, even if they didn’t know the methodological details. And the CBO figured out. [...]

By: The Paradox of Outcomes in Hospitals and Regions « PHYSICIAN SHORTAGES IN THE US Commentaries and Controversies

Fri, 03 Jul 2009 19:47:26 +0000

[...] April 10, 2009 · 2 Comments A very good reporter asked a very good question. I had told him that one of the major problems with the Dartmouth group’s studies of regional variation was that their metric of health care utilization was the average level of Medicare spending in each region. The problem is that quality within regions doesn’t depend on Medicare spending alone – it depends on total revenues from all sources, and total spending doesn’t correlate with Medicare spending. This hangs as a cloud over their studies of outcomes among regions (see “30% Solution – A Treacherous Prescription”). [...]

By: Let’s End the Primary Care-Specialty Schism and Solve the Physician Shortage – A Short Essay « PHYSICIAN SHORTAGES IN THE US Commentaries and Controversies

Fri, 03 Jul 2009 19:45:38 +0000

[...] the “region” with the least encompasses the vast northern tier, from Alaska to Maine (see “The 30% Solution”). Yet these two vastly dissimilar areas have equivalent [...]

By: Straight Talk for a Straight-Talking President « PHYSICIAN SHORTAGES IN THE US Commentaries and Controversies

Fri, 03 Jul 2009 19:44:26 +0000

[...] that conversation will ultimately yield some significant savings.” And that’s straight from the Dartmouth playbook, which is never straight. So let’s take a look at what’s really going [...]

By: About McAllen « PHYSICIAN SHORTAGES IN THE US Commentaries and Controversies

Wed, 17 Jun 2009 15:08:16 +0000

[...] President. Health care reform is on a failure course because ideologues are twisting anecdotes into policy. I want you to succeed. I want the nation to succeed. Making McAllen required reading is not the [...]

By: Gotcha on McAllen « PHYSICIAN SHORTAGES IN THE US Commentaries and Controversies

Wed, 10 Jun 2009 00:42:13 +0000

[...] Medicare spending have poorer quality (because many with the most have low total spending); and (3) why nothing was necessarily better among the Medicare quintiles (because they were distributed [...]

By: To the Senate Finance Committee from Cooper and Pauly (exerpt) « PHYSICIAN SHORTAGES IN THE US Commentaries and Controversies

Wed, 27 May 2009 04:36:02 +0000

[...] notion of “30% waste” has its roots in an invalid thread of logic that begins by finding “unexplained” differences among regions or hospitals and, because they [...]

By: Dartmouth Doubletalk Flunks Again « PHYSICIAN SHORTAGES IN THE US Commentaries and Controversies

Thu, 21 May 2009 23:08:17 +0000

[...] This, you will recall, was the central conclusion of the famous “quintiles” study (see “30% Solution”). There were just a few fatal errors and omissions that make both that one and this one [...]

By: This Time Orszag Put His Knee in His Mouth « PHYSICIAN SHORTAGES IN THE US Commentaries and Controversies

Fri, 15 May 2009 14:31:47 +0000

[...] fiscal balance.” And the inefficiencies that the President is talking about are Orszag’s 30% solution, a treacherous path. We all want to see our nations fiscal and health care crises solved, but it [...]