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Articles written by Tom Dean Md


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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...