by James Hubbard, M.D., M.P.H.

Of course not, you say.  Ridiculous.  But could a report by ABCNews.com about 64-year-old Oregon woman Barbara Wagner suggests otherwise?  When she was dying of lung cancer, the state insurance refused to pay for her cancer treatment because the drug didn’t give her a “5 percent survival after five years.”

Sarah Palin recently stirred up some controversy when she wrote she thought the congressional universal-health overhaul would lead to a “death panel,” a central group of chosen ”experts” in charge of making life-or-death decisions for everyday people.  She thought those disabled or elderly would fare the worst.  While many claim her assertions are ridiculous, the conservative online publication American Thinker suggests Wagner’s story is an example of just such death panels.

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by James Hubbard, M.D., M.P.H.

“If you want an example of a successful single-payer system, just look at Medicare,” many say.

I say, not really.

A single-payer system is the form of universal health-care Canada and Great Britain use.  Several groups are advocating for it.  People on the right tend to view it as socialized medicine at its worst. Many on the left think it’s ideal. President Obama has tried to distance himself–and his plan–from it, frustrating some Democrats.

With Medicare, the government is the single payer.  And it’s worked so well, some say, why not just extend it to all?

The problem is, Medicare is not working well. The reason it’s been somewhat successful is it has been subsidized, in an indirect way, by private insurers.

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By far our most popular web article has been the pros and cons of universal health care originally printed in our January/February 2008 print edition.  Now that we know a little more about what the Obama administration is planning, we asked the debaters to follow up with their thoughts.

by James Hubbard, M.D., M.P.H.

Health-care rationing is coming, but what form will it take?  Limiting by age?  Predicted life expectancy?  And who will make these decisions?

Two recent medical review studies give us a glimpse into the future. (more…)

James Hubbard, M.D., M.P.H.

What is a community health clinic?

President Obama hinted at how he plans to deal with health-care access when he asked for significant funds to increase and update community health clinics—$155 million up front and $2 billion over two years.

I have some experience with the rural health clinic which, I think, is the country version of a community health center.  President Carter started these in the 1970s.  They are kind of a branch of Medicare/Medicaid.   The fees are figured differently and there are more hoops to go through for providers.

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by James Hubbard, M.D., M.P.H.

Today is the big day.  No more political ads.  I have a little different view than the mainstream on our duty to vote.  Certainly, I believe U.S. citizen has the right to vote, but our duty is to be informed before we cast the ballot.  This election will determine paths we will follow for years to come, with new laws and court decisions pending.  The economy is the news and worry now.  Maybe this is your one issue.  Or maybe it’s defense.

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