John Goodman

John Goodman is president of NCPA 

John C. Goodman, Ph.D. founded the NCPA in 1983 and has served as President since the center's inception. The Wall Street Journal called Dr. Goodman "the father of Health Savings Accounts," and National Journal declared him "winner of the devolution derby" because his ideas on ways to transfer power from government to the people have had a significant impact on Capitol Hill.

Dr. Goodman is the author of nine books, including Lives at Risk: Single-Payer National Health Insurance Around the World; Leaving Women Behind: Modern Families, Outdated Laws; Economics of Public Policy, a widely used college textbook, and Patient Power: Solving America's Health Care Crisis, the condensed version of which sold 300,000 copies and is credited with playing a pivotal role in the defeat of the Clinton administration's plan to overhaul the U.S. health care system.

He has authored numerous editorials in The Wall Street Journal, USA Today, Investor's Business Daily, Los Angeles Times, The Dallas Morning News, Houston Chronicle, The San Diego Union-Tribune, and many others.

Dr. Goodman regularly appears on television, including PBS' The NewsHour with Jim Lehrer, CNN, CNBC and the Fox News Channel. He was a debater on several of William F. Buckley Jr.'s Firing Line shows, and has appeared on a number of two-hour prime time debates, including debates on the flat tax, welfare reform and Social Security privatization.

He regularly briefs members of Congress on economic policy issues and frequently testifies before congressional committees.

He is author/co-author of more than 50 published studies on such topics as health policy, tax reform and school choice.

Dr. Goodman has an active speaking schedule and has addressed more than 100 different organizations on public policy issues.

He received the prestigious Duncan Black award in 1988 for the best scholarly article on public choice economics.

Dr. Goodman received a Ph.D. in economics from Columbia University. He has taught and done research at several colleges and universities including Columbia University, Stanford University, Dartmouth University, Southern Methodist University and the University of Dallas.


Tuesday, November 18, 2008

Getting It All Wrong on Mental Health Parity 

By John Goodman

It was easy to overlook in the midst of a historic financial crisis, but buried in the middle of the bailout bill was a mental health parity law. It contains so many loopholes and exceptions, it may not have any more impact than the previous mental health parity bill - enacted in 1996.

Ostensibly, employers of more than 50 people must apply the same copayments, deductibles, etc., to mental health services as they have for medical services. But the employer doesn't have to cover mental health at all. And if there is coverage, employers can pick and choose which disorders they will cover. [link]

So why does this interest us? Because it is an example of very bad law. It does the opposite of what good public policy should be all about.

Cotinue Reading at the John Goodman Health Blog.

Tuesday, November 4, 2008

Health Alert: The Same Quality at One-Tenth the Cost 

By John Goodman

Sundays at the Goodman household tend to include the New York Times crossword puzzle, the Dallas Cowboys football game….and (not to be missed)….an e-mail press release from Health Affairs, describing their latest, most interesting and most newsworthy offerings.

Yet by far the most interesting, informative and valuable article [gated, but with abstract] I've ever read in Health Affairs didn't make it into any press release. Nor did it get covered in any of the mainstream health policy media outlets. It was an article about a country with institutions that produce health care quality as good or better than what we have, at a fraction of the cost! It describes how and why this happens and what institutions keep similar innovations from occurring in the United States.

So why the news blackout? Hard to say. As in art, food and sex, perhaps in health policy there's no way to explain the diversity of human interests.

Continue Reading at the John Goodman Health Blog

Friday, October 31, 2008

Forget the Doctor. You Can Have Your Own EMR 

By John Goodman

This is from an article by Anne Eisenberg in the New York Times:

New tools are being developed that may help harried patients, including those with chronic health conditions, monitor their medications, home tests and other details. The information can then be posted to a Web page that the patient can choose to share with a doctor, pharmacist, friend or caregiver.

Continue reading at the John Goodman Health Blog

 

Tuesday, October 28, 2008

Health Alert | What the Candidates Aren’t Telling You About Their Health Care Plans 

By John Goodman

If you have employer-provided health insurance, McCain will tax you; but most people will get it all back and then some through a new tax credit. If you're working and uninsured, Obama will tax you and he won't give it back. Although McCain attacks Obama's tax cuts for people who don't owe any taxes as "welfare," he is promising even more of this type of welfare than Obama is. Although Obama claims he only wants to raise taxes on the rich, his pay-or-play tax on people who lack health insurance will be three times the levy he threatens to impose on the investor class. Neither plan is paid for. Neither will create universal coverage. And you won't find any of this at either candidate's Web site.

What follows is material I have gleaned from statements the candidates' representatives have made to the media and from private communications they have apparently made to the economists who have modeled their plans.

 

Continue Reading at the John Goodman Health Blog

Monday, October 13, 2008

Employers as Doctors 

By John Goodman

On the grounds of Cerner Corporation in Kansas City, Mo., there is an on-site medical facility for Cerner employees and their families. There is no waiting room, however. Patients make appointments online and upon arrival are led into a treatment room, complete with a flat screen monitor they can use to update their personal health records electronically. While away from the facility, employees can obtain consultations and prescriptions by telephone or e-mail.

Is this a good thing or a bad thing?

Continue Reading at the John Goodman Blog...

Monday, October 6, 2008

Health Alert: McCain vs. the Critics, Part II 

By John Goodman

Here are two radically different approaches to health reform:

  • The McCain health plan subsidizes, dollar-for-dollar, the core insurance everyone should have, forcing people to buy additional coverage (all the bells and whistles and items of questionable value) with their own funds.
  • By contrast, a Commonwealth-Fund-Center-for-American-Progress-and-maybe-also-Barack-Obama approach forces people to buy core insurance with their own funds, leaving them free to purchase the bells and whistles and items of questionable value with taxpayer money.

You might think this second idea was produced late at night after too many glasses of wine. But no. I found it at their Web sites here and here in the sober light of day. It has even been in Health Affairs here [gated but has abstract]. (Whatever happened to peer review?)

 

Continue Reading at John Goodman's Health Blog

Monday, September 29, 2008

Health Alert: McCain vs. the Critics, Part I 

By John Goodman

In my opinion, the McCain health plan would do two remarkable things. First, it would virtually eliminate long-term uninsurance. Almost no one would remain uninsured for more than a year, other than illegal aliens and people with unstable lifestyles. Second, it would completely transform the type of insurance people are able to buy -- as much as doubling the value of the typical insurance contract by encouraging smarter, more efficient ways of purchasing medical care. And it would do all of this without any new taxes or any new spending programs.

However, these remarkable possibilities are nowhere on the radar screen of some traditional health economists -- especially those who back Barack Obama. Surprisingly, McCain supporters have not been much better.

Continue reading at the John Goodman Health Blog

Tuesday, September 23, 2008

Health Alert: Insuring the Uninsured 

By John Goodman

At any one time as many as 46 million Americans lack health insurance. What should we do about that? For more than 25 years, my colleagues and I at the National Center for Policy Analysis have been studying this problem, and we have created proposals which have been championed by both Republicans and Democrats, liberals and conservatives. Type in the words "insuring the uninsured" at the NCPA's Web site and you will find 174 entries. Below is a brief summary.

Continue reading at the John Goodman Health Blog

Monday, September 15, 2008

Health Alert: Medicare Problem Solved 

By John Goodman

The most important domestic policy problem this country faces is health care. The most important component of that problem is Medicare. Forecasts by every federal agency that produces such simulations ― the Congressional Budget Office (CBO), the Social Security/Medicare Trustees, the General Accounting Office (GAO) ― show that we are on a dangerous and unsustainable path. Indeed, the question is not: Will reform take place? The question is: How painful will reform have to be?

Fortunately, a solution exists that is reasonably painless if we start today. By the time we reach mid-century, the tax burden of Medicare (as a percent of national income) would be no greater than it is today.

Continue reading at the John Goodman Health Blog

Tuesday, September 2, 2008

Health Alert: Doctors Vindicated 

By John Goodman

There are two schools of thought about what's wrong with modern medicine:

  1. The doctors are at fault.
  2. The payment system is at fault.

Strangely, the first camp includes almost all researchers (read: other doctors) who write for medical journals as well as almost everyone in the health policy community. On this view, doctors (unlike lawyers, accountants, engineers, architects, etc.) are creatures of habit, stuck in their own (imperfect) ways of doing things. The public policy problem: how to get doctors to adopt the best practices, learn to use computers, work in teams, adopt safety protocols, etc. in the face of psychological resistance.

The opposing camp consists of yours truly and a handful of others. Our view is that doctors are just like other professionals. They respond to economic incentives. The policy problem: how to change the incentives in the perverse way doctors are paid.

So who is right?

Continue Reading at the John Goodman Health Blog

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MEDICAID POLICY EXCHANGE

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