Benefits of health insurance + Indiana Medicaid reform

A few quick thoughts as the N.C. General Assembly gets cranked up for the short session:

  • Austin Frakt has a nice round up discussing the cost-benefit calculus of universal coverage, engaging with my friend Michael Cannon‘s post on the evidence base for universal coverage. You can actually incorporate the ideas in my post over the weekend on reasons to be for universal coverage outside of health effects–and to counter- or in-favor arguments for it based on liberty–into cost-benefit analysis. It is just that monetizing such ideas is difficult. However, the most important thing about cost-benefit analysis is the attempt to have a comprehensive enumeration of the costs and the benefits, even if the precise measurement of them is difficult.
  • And I think looking carefully at the costs and benefits of how we spend money to expand coverage is more important than I did 19 years ago, but a technocratic solution may not exist (though check out this comment to this post in It is first and foremost a values/moral discussion. And of course someone could be opposed to the ACA for a variety of reasons and support some sort of universal coverage. That is just not what the tenor of most of the debate has been like, but I would welcome the shift.
  • Gov Mike Pence writes in today’s WSJ about his proposal to move ahead to expand insurance coverage in Indiana by using Medicaid expansion money in a non-traditional means. There are now emerging  a series of expansion approaches outside of simple Medicaid expansion that are being undertaken by states whose political leaders are opposed to Obamacare. My suggestion to jump start comprehensive, state-based reform is here. I wish North Carolina’s leaders would come up with something that they are for in relation to health reform. Our elected leaders seem to be doing nothing, and our state is getting passed by. update: here is a good explainer of Gov. Pence’s proposal.

About Don Taylor
Professor of Public Policy (with appointments in Business, Nursing, Community and Family Medicine, and the Duke Clinical Research Institute), and Chair of the Academic Council at Duke University . I am one of the founding faculty of the Margolis Center for Health Policy. My research focuses on improving care for persons who are dying, and I am co-PI of a CMMI award in Community Based Palliative Care. I teach both undergrads and grad students at Duke. On twitter @donaldhtaylorjr

One Response to Benefits of health insurance + Indiana Medicaid reform

  1. Collin says:

    We are currently living in Australia and is expecting to live in the US during our retirement years. We already have health insurance back at home which was expect to last until we die, however right now we are unsure if we need to cancel it and get a new one when we are in Michigan. I have been searching for some insurance brokers in the US (I was using — is this a reliable source) as well as looking for an Australian one to see what they have to say (We found all our brokers from and but right now we are only getting missed messages.

    I did some research and found this Wikipedia article that states that universal health insurance can be covered everywhere but I am still unsure. If you can perhaps write a post about this that would be great.

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