`A New Year and, finally, the truth. Geographic variation is not “unexplained,” as we were led to believe throughout health care reform. It is due to differences in income, poverty, illness, and demographic characteristics. The New York Times has made it official. In its editorial today about the federal government’s decision to allow states to set the standards for health care benefits, it quotes Secretary Sebelius’ earlier statement that such a change is warranted because of “differences among the states in demographics, economics, patterns of illness and the way medicine is practiced” (see Hilly Terrain, below for more). This is a sea change. Acknowledging the fact that geographic variation is not simply about practice variation but, rather, that it also reflects demographic and economic factors may finally allow consideration of the core issues of poverty and income-inequality in the development of coherent health care policy.
- National Income Inequality and Local Poverty: Correlates of Health Care Spending
- Another Look at Jobs
- Squeezing Physicians is Not Good for Jobs Growth
- IOM says “Target Decision Making.” No. Target Poverty
- Geographic Variation Is Explained by Disease
- More War on Waste: Do Hospitals Profit from Complications?
- Not Your Usual Primary Care Provider
- Critical Access Hospitals: The Canary in the Mine for Specialist Shortages?
- Readmission Legislation is Harming Hospitals that Care for Poorer and Sicker Patinets
- Federal Reserve Paper: Geographic Variation Can’t Tell Much about Efficiency or Quality
- Action for Better Healthcare.com: Readmission legislation will harm hospitals that care for the poor
- BetterHealth.com: Geographic Variation & Healthcare Reform
- Diversity and Consistency–The Challenge Of Maintaining Quality in a Multidisciplinary Workforce
- Interview on the Medinnovation Blog
- It’s Time to Address the Problem of Physician Shortages – Graduate Medical Education is the Key
- More Is More And Less Is Less: The Case Of Mississippi
- Myth and Reality Underlying the Needed Expansion of Graduate Medical Education
- Senate HELP Committee Testimony
- States With More Health Care Spending Have Better-Quality Health Care: Lessons About Medicare
- States With More Physicians Have Better-Quality Health Care
- Weighing the Evidence for Expanding Physician Supply