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Remaking Health Care

This column explores how health reform is changing the ways in which we pay for and deliver health care in the U.S. It also highlights the ways in which our current system is falling short on measures of coverage, access and affordability. On any given week, that could mean a look at how Republican plans to repeal Obamacare could reshape the individual insurance market, how the safety net system is adapting to new financial pressures, or how the trend of doctors and hospitals merging into ever-larger entities is driving up costs. We also explore health care costs and whether the Affordable Care Act or its successor plans can live up to the promise to rein them in. Throughout, we keep watch on how the goals of health reform intersect with the shaping power of markets and human behavior. Contributors include veteran health journalist Trudy Lieberman and independent health journalist Kellie Schmitt, with occasional contributions from independent journalists such as Susan Abram and Sara Stewart.

Picture of Louise McCarthy
Community clinics in Los Angeles know they have to find new ways to get at the social factors that ultimately shape health if they're going to make a real difference in their patients' lives.
Picture of David Lansky
From Singapore to England, every country that has more successfully managed health care costs than the U.S. has chosen a path of self-discipline and free-market restraints.
Picture of Kellie  Schmitt
The opioid epidemic has given rise to an illicit gold rush as patient brokers and treatment centers profit off desperate addicts, funneling them to shoddy treatment centers and fraudulent “sober” homes at a profit of thousands per head.
Picture of Trudy  Lieberman
While shoppers can often find health insurance with affordable premiums, many such plans carry deductibles and out-of-pocket costs that amount to severe punishment for anyone who falls ill.
Picture of Erika Franklin Fowler
The research suggests that less advertising tied to the Affordable Care Act will lead to less informed consumers, fewer online visitors to health exchanges and lower enrollments.
Picture of John Baackes
The CEO of the largest publicly operated health plan in the U.S. makes the case for why we should stop referring to the Affordable Care Act as Obamacare.
Picture of Kellie  Schmitt
In the wake of recent reports that the 2020 Census is facing a funding shortfall, advocates worry about the consequences of undercounting vulnerable populations.
Picture of David Lansky
The U.S. spends more than any other country for health care. And economic ideals that should push costs down aren't actually working in our country's system.
Picture of Trudy  Lieberman
The nursing home industry is a powerful force that pushes back against the great work reporters have done in exposing elder abuse. Plus, we as a country are not very interested in old people except as a part of a commercial transaction.
Picture of Louise McCarthy
Since the passage of the Affordable Care Act (ACA), community clinics have played an important role providing care for newly insured Americans. Funding for programs that enable community clinics to meet patient's needs will expire on September 30th, if Congress doesn’t act.

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