Hanson’s point is that we often over-treat to show we care- not that 0 health care is optimal
I was interpreting “health care improves health” as “healthcare improves health on the margin.” Is this not what was meant?
Medicaid patients don’t really have to worry about overtreatment.
As someone who has a start-up in the healthcare industry, this runs counter to my personal experience. Also, currently “medicaid overtreatment” is showing about 676,000 results on Google (while “medicaid undertreatment” is showing about 1,240,000 results). Even if it isn’t typical, it surely isn’t an unheard-of phenomenon.
I was interpreting “health care improves health” as “healthcare improves health on the margin.” Is this not what was meant?
No, I meant going from 0 access to care to some access to care improves health, as we are discussing the medicaid study comparing people on medicaid to the uninsured.
As someone who has a start-up in the healthcare industry, this runs counter to my personal experience.
I currently work as a statistician for a large HMO, and I can tell you for us, medicaid patients generally get the ‘patch-you-up-and-out-the-door’ treatment because odds are high we won’t be getting reimbursed in any kind of timely fashion. I’ve worked in a few states, and it seems pretty common for medicaid to be fairly underfunded (hence the Oregon study we are discussing).
And generally, providing medicaid is moving someone from emergency-only to some-primary-care, which is where we should expect some impact- this isn’t increasing treatment on the margin, its providing minimal care to a largely untreated population.
Currently, “medicaid overtreatment” is showing about 676,000 results on Google
So I randomly sampled ~5 in the first two pages, and 3 of those were articles about overtreatment that had a sidebar to a different article discussing some aspect of medicaid, so I’m not sure if the count is meaningful here. (The other 2 were about some loophole dentists were using to overtreat children on medicaid and bill extra, I have no knowledge of dental claims).
No, I meant going from 0 access to care to some access to care improves health, as we are discussing the medicaid study comparing people on medicaid to the uninsured.
This does not appear to be the actual change in access to care when going from being uninsured to on medicaid. As you mention, uninsured patients receive emergency-only care.
I was interpreting “health care improves health” as “healthcare improves health on the margin.” Is this not what was meant?
As someone who has a start-up in the healthcare industry, this runs counter to my personal experience. Also, currently “medicaid overtreatment” is showing about 676,000 results on Google (while “medicaid undertreatment” is showing about 1,240,000 results). Even if it isn’t typical, it surely isn’t an unheard-of phenomenon.
No, I meant going from 0 access to care to some access to care improves health, as we are discussing the medicaid study comparing people on medicaid to the uninsured.
I currently work as a statistician for a large HMO, and I can tell you for us, medicaid patients generally get the ‘patch-you-up-and-out-the-door’ treatment because odds are high we won’t be getting reimbursed in any kind of timely fashion. I’ve worked in a few states, and it seems pretty common for medicaid to be fairly underfunded (hence the Oregon study we are discussing).
And generally, providing medicaid is moving someone from emergency-only to some-primary-care, which is where we should expect some impact- this isn’t increasing treatment on the margin, its providing minimal care to a largely untreated population.
So I randomly sampled ~5 in the first two pages, and 3 of those were articles about overtreatment that had a sidebar to a different article discussing some aspect of medicaid, so I’m not sure if the count is meaningful here. (The other 2 were about some loophole dentists were using to overtreat children on medicaid and bill extra, I have no knowledge of dental claims).
This does not appear to be the actual change in access to care when going from being uninsured to on medicaid. As you mention, uninsured patients receive emergency-only care.