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Why California’s Proposition 61 Was a Bad Idea

New approaches to control state pharmaceutical costs are needed.1 This issue is particularly critical in California, the state with the largest pharmaceutical expenditures in the country.1 A controversial California ballot initiative aimed at reining in prescription drug expenditures was defeated on November 8, 2016 by a 54% to 46% margin.2The California Drug Price Relief Act, also known […]

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money inside a pill capsule

Under #ACA, Medical Bankruptcy Continues

As recently as 1981, only 8 percent of families filing for bankruptcy cited medical reasons. By 2010, when the Affordable Care Act was passed, medical bankruptcy was all-to-common. A 2009 study by Himmelstein et al, published in The American Journal of Medicine, revealed that 62.1% of all bankruptcies had a medical cause. Telephone interviews identified 639 […]

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48% of US Population Will Have Chronic Disease by 2020

  Chronic disease accounts for 7 of every 10 deaths in the United States and more than 75% of total health care costs. Among people 65 years old and older, over 92% suffer from one or more chronic diseases. By 2020, it is estimated that 48% of the total population will have chronic disease. In […]

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Health Literacy: The Affordable Care Act Ups the Ante

This fall, the enrollment period for state-based health insurance began. By the end of 2014, more than 30,000,000+ new patients may be enrolled in health plans in the United States, under provisions of the Affordable Care Act (ACA). We are concerned about the lack of patient preparedness with regard to health literacy and medical science, […]

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American Journal of Medicine Editor Joseph Alpert

US Health Care in 2050

The Anatomy and Physiology of the US Health Care System in 2050? An Exercise in Prognostication, Fantasy, and Hope The debate concerning the appropriate structure for the American medical system goes on. Almost every day, one reads a newspaper or magazine article focusing on the strengths and flaws of our health care network. Should we […]

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