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Articles written by Tom Dean


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  • Medicare Advantage

    Tom Dean MD|Nov 30, 2023

    TV is flooded these days with commercials encouraging everyone to sign up for Medicare Advantage. What is MA and why are they doing this? First of all, a bit of history. For more than 30 years, Congress has debated whether the private insurance industry could deliver Medicare benefits more efficiently than the federal government. In 2003, these efforts evolved into what is now known as Medicare Part C or, more commonly, Medicare Advantage. MA plans, operated by private insurance companies, cover...

  • Challenges facing US helath care

    Tom Dean MD|Aug 24, 2023

    Assuring effective health care to a population is a challenge for every society. As care options become more complex – and expensive – the challenges increase. In the US, both the organization and financing of health care are perennial issues in public discussions, political campaigns and among social policy researchers. Basically there are two distinct, but intimately related, concerns: providing access to care and paying for that care. There is widespread agreement that when folks are sic...

  • Drug prices

    Tom Dean, M.D.|Aug 10, 2023

    High costs and shortages of pharmaceuticals are serious, ongoing issues. Drug prices in the US are among the highest in the world. A recent survey by the Rand Corporation looked at drug prices in 32 developed countries. US prices were the highest in the group and were more than twice the average of prices in other countries. What is especially troubling is that the products sold in many of these countries are the same drugs produced by the same manufacturers as those sold in the US at much higher prices. When it comes to drug prices, consumers...