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	<title>Comments on: Remember The HMO Revolution</title>
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	<link>http://www.overcomingbias.com/2009/06/remember-the-hmo-revolution.html</link>
	<description>Overcoming Bias is economist Robin Hanson’s blog, on honesty, signaling, disagreement, forecasting, and the far future.</description>
	<lastBuildDate>Sun, 12 Feb 2012 04:20:14 +0000</lastBuildDate>
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		<title>By: Overcoming Bias : Innovation: a Growth Industry?</title>
		<link>http://www.overcomingbias.com/2009/06/remember-the-hmo-revolution.html#comment-483965</link>
		<dc:creator>Overcoming Bias : Innovation: a Growth Industry?</dc:creator>
		<pubDate>Fri, 15 Jul 2011 16:30:16 +0000</pubDate>
		<guid isPermaLink="false">http://www.overcomingbias.com/?p=18688#comment-483965</guid>
		<description>[...] is many folks bet &#8211; we want few things more than health, and the med spending % of GDP has grown for many decades. But while I agree that medicine will continue to grow for decades, on longer [...]</description>
		<content:encoded><![CDATA[<p>[...] is many folks bet &#8211; we want few things more than health, and the med spending % of GDP has grown for many decades. But while I agree that medicine will continue to grow for decades, on longer [...]</p>
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		<title>By: Overcoming Bias : Med Trends Continue</title>
		<link>http://www.overcomingbias.com/2009/06/remember-the-hmo-revolution.html#comment-460741</link>
		<dc:creator>Overcoming Bias : Med Trends Continue</dc:creator>
		<pubDate>Sat, 27 Nov 2010 17:42:33 +0000</pubDate>
		<guid isPermaLink="false">http://www.overcomingbias.com/?p=18688#comment-460741</guid>
		<description>[...] 1: US medical spending, now &gt;16% of GDP, continues to double as a fraction of GDP every three decades. Politicians worry and agonize, but refuse to actually [...]</description>
		<content:encoded><![CDATA[<p>[...] 1: US medical spending, now &gt;16% of GDP, continues to double as a fraction of GDP every three decades. Politicians worry and agonize, but refuse to actually [...]</p>
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		<title>By: Overcoming Bias : Fertility: The Big Problem</title>
		<link>http://www.overcomingbias.com/2009/06/remember-the-hmo-revolution.html#comment-459842</link>
		<dc:creator>Overcoming Bias : Fertility: The Big Problem</dc:creator>
		<pubDate>Mon, 15 Nov 2010 17:07:31 +0000</pubDate>
		<guid isPermaLink="false">http://www.overcomingbias.com/?p=18688#comment-459842</guid>
		<description>[...] world with fertility &lt;1.5, lifespan &gt;100, tax funded leisure for all over 65, and perhaps also &gt;30% of GDP spent on &#8220;free&#8221; medicine for all. The resulting rapidly falling [...]</description>
		<content:encoded><![CDATA[<p>[...] world with fertility &lt;1.5, lifespan &gt;100, tax funded leisure for all over 65, and perhaps also &gt;30% of GDP spent on &#8220;free&#8221; medicine for all. The resulting rapidly falling [...]</p>
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		<title>By: Rationing vs. Economizing &#171; The American Catholic</title>
		<link>http://www.overcomingbias.com/2009/06/remember-the-hmo-revolution.html#comment-429056</link>
		<dc:creator>Rationing vs. Economizing &#171; The American Catholic</dc:creator>
		<pubDate>Thu, 18 Jun 2009 14:44:28 +0000</pubDate>
		<guid isPermaLink="false">http://www.overcomingbias.com/?p=18688#comment-429056</guid>
		<description>[...] in this country really do not like the idea of third parties restricting their access to care. You can see this quite clearly in the brief flirtation the American health care system had with HMOs... HMOs worked by sometimes refusing doctor-recommended treatment, and in terms of holding down costs [...]</description>
		<content:encoded><![CDATA[<p>[...] in this country really do not like the idea of third parties restricting their access to care. You can see this quite clearly in the brief flirtation the American health care system had with HMOs&#8230; HMOs worked by sometimes refusing doctor-recommended treatment, and in terms of holding down costs [...]</p>
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		<title>By: Southern Appeal &#187; Rationing vs. Economizing</title>
		<link>http://www.overcomingbias.com/2009/06/remember-the-hmo-revolution.html#comment-429055</link>
		<dc:creator>Southern Appeal &#187; Rationing vs. Economizing</dc:creator>
		<pubDate>Thu, 18 Jun 2009 14:43:56 +0000</pubDate>
		<guid isPermaLink="false">http://www.overcomingbias.com/?p=18688#comment-429055</guid>
		<description>[...] in this country really do not like the idea of third parties restricting their access to care. You can see this quite clearly in the brief flirtation the American health care system had with HMOs... HMOs worked by sometimes refusing doctor-recommended treatment, and in terms of holding down costs [...]</description>
		<content:encoded><![CDATA[<p>[...] in this country really do not like the idea of third parties restricting their access to care. You can see this quite clearly in the brief flirtation the American health care system had with HMOs&#8230; HMOs worked by sometimes refusing doctor-recommended treatment, and in terms of holding down costs [...]</p>
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		<title>By: Overcoming Bias : Tyler Dares Obama</title>
		<link>http://www.overcomingbias.com/2009/06/remember-the-hmo-revolution.html#comment-428892</link>
		<dc:creator>Overcoming Bias : Tyler Dares Obama</dc:creator>
		<pubDate>Sun, 14 Jun 2009 02:45:36 +0000</pubDate>
		<guid isPermaLink="false">http://www.overcomingbias.com/?p=18688#comment-428892</guid>
		<description>[...] the coming US fiscal &#8220;train wreck&#8221; of retiring baby boomers riding the medical spending escalator.  A few years after expanding Medicare drug benefits, we suddenly we have to pay fortunes to quell [...]</description>
		<content:encoded><![CDATA[<p>[...] the coming US fiscal &#8220;train wreck&#8221; of retiring baby boomers riding the medical spending escalator.  A few years after expanding Medicare drug benefits, we suddenly we have to pay fortunes to quell [...]</p>
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		<title>By: George</title>
		<link>http://www.overcomingbias.com/2009/06/remember-the-hmo-revolution.html#comment-428875</link>
		<dc:creator>George</dc:creator>
		<pubDate>Sat, 13 Jun 2009 16:32:18 +0000</pubDate>
		<guid isPermaLink="false">http://www.overcomingbias.com/?p=18688#comment-428875</guid>
		<description>In an interesting twist, it was Democrats such as Ted Kennedy who were &lt;em&gt;promoting&lt;/em&gt; HMOs back in the 1970s.

And as always, I think three things should be noted:

(1) those expenses are for medical care, not health;

(2) medical care is not the same product year-to-year, and it&#039;s effectively illegal to offer the 1980 version of medical care today, in spite of the fact that it would be vastly cheaper;

(3) the service the medical community offers is Not Dying; demand for this is pretty close to completely inelastic (i.e. Would you rather give up all your worldly possessions, or die?)</description>
		<content:encoded><![CDATA[<p>In an interesting twist, it was Democrats such as Ted Kennedy who were <em>promoting</em> HMOs back in the 1970s.</p>
<p>And as always, I think three things should be noted:</p>
<p>(1) those expenses are for medical care, not health;</p>
<p>(2) medical care is not the same product year-to-year, and it&#8217;s effectively illegal to offer the 1980 version of medical care today, in spite of the fact that it would be vastly cheaper;</p>
<p>(3) the service the medical community offers is Not Dying; demand for this is pretty close to completely inelastic (i.e. Would you rather give up all your worldly possessions, or die?)</p>
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		<title>By: Paul Hewitt</title>
		<link>http://www.overcomingbias.com/2009/06/remember-the-hmo-revolution.html#comment-428812</link>
		<dc:creator>Paul Hewitt</dc:creator>
		<pubDate>Thu, 11 Jun 2009 14:57:44 +0000</pubDate>
		<guid isPermaLink="false">http://www.overcomingbias.com/?p=18688#comment-428812</guid>
		<description>CannibalSmith asked:
&lt;/blockquote&gt;

Why are medicine costs growing exponentially exponentially in the first place?

&lt;blockquote&gt;
The original blog post showed a graph of health care costs as a percentage of GDP over time.  Is there any causal relationship between the two?  I doubt it, but If there is, which way does it go?  

More likely, still, there are other, more important, factors that influence health care costs.  Let&#039;s examine the effects of the aging demographic profile.  Let&#039;s look at medical malpractice settlements and the effect on insurance premiums.  Let&#039;s look at the lack of preventive medical practices (that would reduce more costly procedures in the future).  Let&#039;s look at the growth in (what I call &quot;frivolous&quot;) drugs for every minor ailment known to mankind, the expensive ads that promote their use, and the cost of prescribing &quot;labor&quot;.  Undoubtedly, there are many more.  

Make no mistake, it is &lt;strong&gt;not &lt;/strong&gt;GDP that causes health care costs to rise.  Given the size of the health care &quot;industry&quot;, it is possible that it has a significant impact on GDP growth, however.</description>
		<content:encoded><![CDATA[<p>CannibalSmith asked:</p>
<p>Why are medicine costs growing exponentially exponentially in the first place?</p>
<blockquote><p>
The original blog post showed a graph of health care costs as a percentage of GDP over time.  Is there any causal relationship between the two?  I doubt it, but If there is, which way does it go?  </p>
<p>More likely, still, there are other, more important, factors that influence health care costs.  Let&#8217;s examine the effects of the aging demographic profile.  Let&#8217;s look at medical malpractice settlements and the effect on insurance premiums.  Let&#8217;s look at the lack of preventive medical practices (that would reduce more costly procedures in the future).  Let&#8217;s look at the growth in (what I call &#8220;frivolous&#8221;) drugs for every minor ailment known to mankind, the expensive ads that promote their use, and the cost of prescribing &#8220;labor&#8221;.  Undoubtedly, there are many more.  </p>
<p>Make no mistake, it is <strong>not </strong>GDP that causes health care costs to rise.  Given the size of the health care &#8220;industry&#8221;, it is possible that it has a significant impact on GDP growth, however.</p></blockquote>
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	<item>
		<title>By: Lord</title>
		<link>http://www.overcomingbias.com/2009/06/remember-the-hmo-revolution.html#comment-425347</link>
		<dc:creator>Lord</dc:creator>
		<pubDate>Wed, 10 Jun 2009 23:55:51 +0000</pubDate>
		<guid isPermaLink="false">http://www.overcomingbias.com/?p=18688#comment-425347</guid>
		<description>Looking at that chart, I would say recessions cause increasing healthcare costs and growth tempers them.  Fits with reduced numbers of insured carrying heavier costs.  HMOs may have done a better job of this, but seem unlikely to ever permanently change anything.</description>
		<content:encoded><![CDATA[<p>Looking at that chart, I would say recessions cause increasing healthcare costs and growth tempers them.  Fits with reduced numbers of insured carrying heavier costs.  HMOs may have done a better job of this, but seem unlikely to ever permanently change anything.</p>
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	<item>
		<title>By: Robin Hanson</title>
		<link>http://www.overcomingbias.com/2009/06/remember-the-hmo-revolution.html#comment-425346</link>
		<dc:creator>Robin Hanson</dc:creator>
		<pubDate>Wed, 10 Jun 2009 23:32:36 +0000</pubDate>
		<guid isPermaLink="false">http://www.overcomingbias.com/?p=18688#comment-425346</guid>
		<description>This is interesting; someone who knows this history should write up this comparison.</description>
		<content:encoded><![CDATA[<p>This is interesting; someone who knows this history should write up this comparison.</p>
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