<?xml version="1.0" encoding="UTF-8"?><rss version="2.0"
	xmlns:content="http://purl.org/rss/1.0/modules/content/"
	xmlns:dc="http://purl.org/dc/elements/1.1/"
	xmlns:atom="http://www.w3.org/2005/Atom"
	xmlns:sy="http://purl.org/rss/1.0/modules/syndication/"
		>
<channel>
	<title>Comments on: Has the Cost Curve Already Bent?</title>
	<atom:link href="http://healthblog.ncpa.org/has-the-cost-curve-already-bent/feed/" rel="self" type="application/rss+xml" />
	<link>http://healthblog.ncpa.org/has-the-cost-curve-already-bent/</link>
	<description>Health Care Policy and Reform Insights &#124; NCPA</description>
	<lastBuildDate>Wed, 23 May 2012 15:17:01 +0000</lastBuildDate>
	<sy:updatePeriod>hourly</sy:updatePeriod>
	<sy:updateFrequency>1</sy:updateFrequency>
	<generator>http://wordpress.org/?v=3.3.2</generator>
	<item>
		<title>By: artk</title>
		<link>http://healthblog.ncpa.org/has-the-cost-curve-already-bent/comment-page-1/#comment-52632</link>
		<dc:creator>artk</dc:creator>
		<pubDate>Tue, 26 Jan 2010 23:36:50 +0000</pubDate>
		<guid isPermaLink="false">http://www.john-goodman-blog.com/?p=8528#comment-52632</guid>
		<description>I hate to disturb this mutual admiration society, but the reason for the “bending” of the cost curve is simply that people can’t afford needed care.  

First, the blog article discusses how the cost of medical care increased by only 4.4% during 2008.  That still widely outpaces inflation, which was negative in 2008.  So, in a year where all other expenses went down, the cost of medical care went up.

Second, the idea that 1,000 walk in clinics could have any effect on medical costs is pure fantasy.  First, the American public rightly wants to see “their” doctor.  Without having a doctor who knows you and your medical issues, you can’t have the most important element of quality of care, continuity of care.  Walk in clinics can’t provide continuity of care.  There are some 800,000 physicians in the US.  Even if walk in clinics charged zero, their effect on medical care costs would be immeasurably small.

Third, there have been good studies showing the number of prescriptions filled has gone down during the recent and continuing recession.  That’s not because the population has gone down or that we have become healthier, it’s because people can no longer afford needed medication.</description>
		<content:encoded><![CDATA[<p>I hate to disturb this mutual admiration society, but the reason for the “bending” of the cost curve is simply that people can’t afford needed care.  </p>
<p>First, the blog article discusses how the cost of medical care increased by only 4.4% during 2008.  That still widely outpaces inflation, which was negative in 2008.  So, in a year where all other expenses went down, the cost of medical care went up.</p>
<p>Second, the idea that 1,000 walk in clinics could have any effect on medical costs is pure fantasy.  First, the American public rightly wants to see “their” doctor.  Without having a doctor who knows you and your medical issues, you can’t have the most important element of quality of care, continuity of care.  Walk in clinics can’t provide continuity of care.  There are some 800,000 physicians in the US.  Even if walk in clinics charged zero, their effect on medical care costs would be immeasurably small.</p>
<p>Third, there have been good studies showing the number of prescriptions filled has gone down during the recent and continuing recession.  That’s not because the population has gone down or that we have become healthier, it’s because people can no longer afford needed medication.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Bart</title>
		<link>http://healthblog.ncpa.org/has-the-cost-curve-already-bent/comment-page-1/#comment-52621</link>
		<dc:creator>Bart</dc:creator>
		<pubDate>Tue, 26 Jan 2010 22:06:54 +0000</pubDate>
		<guid isPermaLink="false">http://www.john-goodman-blog.com/?p=8528#comment-52621</guid>
		<description>&lt;blockquote&gt;The cost curve has been bent by the absolute burden which health costs represent for American families and businesses. &lt;/blockquote&gt;

So both acceleration and deceleration in rate of growth are cause for alarm?  I wish they&#039;d make up their minds.</description>
		<content:encoded><![CDATA[<blockquote><p>The cost curve has been bent by the absolute burden which health costs represent for American families and businesses. </p></blockquote>
<p>So both acceleration and deceleration in rate of growth are cause for alarm?  I wish they&#8217;d make up their minds.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Stephen C.</title>
		<link>http://healthblog.ncpa.org/has-the-cost-curve-already-bent/comment-page-1/#comment-52606</link>
		<dc:creator>Stephen C.</dc:creator>
		<pubDate>Tue, 26 Jan 2010 16:58:37 +0000</pubDate>
		<guid isPermaLink="false">http://www.john-goodman-blog.com/?p=8528#comment-52606</guid>
		<description>I think Neil is right. Goldsmith doesn&#039;t believe in consumer directed health care.</description>
		<content:encoded><![CDATA[<p>I think Neil is right. Goldsmith doesn&#8217;t believe in consumer directed health care.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Tom H.</title>
		<link>http://healthblog.ncpa.org/has-the-cost-curve-already-bent/comment-page-1/#comment-52598</link>
		<dc:creator>Tom H.</dc:creator>
		<pubDate>Tue, 26 Jan 2010 15:02:52 +0000</pubDate>
		<guid isPermaLink="false">http://www.john-goodman-blog.com/?p=8528#comment-52598</guid>
		<description>I not only like John&#039;s explanation better, it is more likely to be true.</description>
		<content:encoded><![CDATA[<p>I not only like John&#8217;s explanation better, it is more likely to be true.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Ken</title>
		<link>http://healthblog.ncpa.org/has-the-cost-curve-already-bent/comment-page-1/#comment-52597</link>
		<dc:creator>Ken</dc:creator>
		<pubDate>Tue, 26 Jan 2010 14:53:18 +0000</pubDate>
		<guid isPermaLink="false">http://www.john-goodman-blog.com/?p=8528#comment-52597</guid>
		<description>John, I like your explanation better thn Goldsmith&#039;s explanation.</description>
		<content:encoded><![CDATA[<p>John, I like your explanation better thn Goldsmith&#8217;s explanation.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Neil H.</title>
		<link>http://healthblog.ncpa.org/has-the-cost-curve-already-bent/comment-page-1/#comment-52594</link>
		<dc:creator>Neil H.</dc:creator>
		<pubDate>Tue, 26 Jan 2010 14:24:25 +0000</pubDate>
		<guid isPermaLink="false">http://www.john-goodman-blog.com/?p=8528#comment-52594</guid>
		<description>Goldsmith is a third party payer guy. He believes in bureaucracy.</description>
		<content:encoded><![CDATA[<p>Goldsmith is a third party payer guy. He believes in bureaucracy.</p>
]]></content:encoded>
	</item>
</channel>
</rss>

