Steffie Woolhandler
Biographic Data
| ID | 1257547 |
|---|---|
| NAME | Steffie Woolhandler |
| GIVEN NAMES | Steffie |
| FAMILY NAME | Woolhandler |
| SIGNATURE | WOOLHANDLER S |
| AFFILIATIONS | Harvard University |
| ORCID | 0000-0002-8965-1058 |
| VERIFIED | Yes |
| TOTAL WORKS | 61 |
| TOTAL CITATIONS | 336 |
| AUTHOR COUNT | 61 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1981 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 9 |
Excess US Deaths Before, During, and After the Covid-19 Pandemic
This cohort study examines trends in excess deaths in the US before, during, and after the COVID-19 pandemic
Hospital Capital Assets, Community Health, and the Utilization and Cost of Inpatient Care
BACKGROUND: The provision of high-quality hospital care requires adequate space, buildings, and equipment, although redundant infrastructure could also drive service overprovision. OBJECTIVE: To explore the distribution of physical hospital resources-that is, capital assets-in the United States; its correlation with indicators of community health and nonhealth factors; and the association between hospital capital density and regional hospital uti…
Covid-19 Risk by Workers’ Occupation and Industry in the United States, 2020‒2021
Objectives. To assess the risk of COVID-19 by occupation and industry in the United States. Methods. Using the 2020–2021 National Health Interview Survey, we estimated the risk of having had a diagnosis of COVID-19 by workers’ industry and occupation, with and without adjustment for confounders. We also examined COVID-19 period prevalence by the number of workers in a household. Results. Relative to workers in other industries and occupations, th…
Chronic Illness in Children and Foregone Care Among Household Adults in the United States
BACKGROUND: Childhood chronic illness imposes financial burdens that may affect the entire family. OBJECTIVE: The aim was to assess whether adults living with children with 2 childhood chronic illnesses-asthma and diabetes-are more likely to forego their own medical care, and experience financial strain, relative to those living with children without these illnesses. RESEARCH DESIGN: 2009-2018 National Health Interview Survey. SUBJECTS: Adult-chi…
Health Care Disparities Across the Urban‐Rural Divide
PURPOSE: The burden of chronic obstructive pulmonary disease (COPD) is high in rural America. Few studies, however, have examined urban/rural differences in health care access, or racial/ethnic and income disparities stratified by urban/rural residence, among persons with COPD. METHODS: We studied individuals age ≥ 40 years with COPD from the 2018 Behavioral Risk Factor Surveillance System. The primary exposure was "urban" or "rural" county of re…
Covid-19’s Lessons
COVID-19's Lessons: Scientific and Social Steffie Woolhandler MD, MPH, and David U. Himmelstein MD Affiliation The authors are with the City University of New York at Hunter College, New York, NY, and the Department of Medicine, Cambridge Health Alliance/Harvard Medical School, Cambridge, MA. CopyRightCorrespondence should be sent to David U. Himmelstein, MD, 255 W 90th St, New York, NY 10024 (e-mail: [email protected]). Reprints can be or…
Hawks et al. Respond
Health Status and Health Care Utilization of US Adults Under Probation
Objectives. To compare the health and health care utilization of persons on and not on probation nationally. Methods. Using the National Survey of Drug Use and Health, a population-based sample of US adults, we compared physical, mental, and substance use disorders and the use of health services of persons (aged 18–49 years) on and not on probation using logistic regression models controlling for age, race/ethnicity, gender, poverty, and insuranc…
Single-Payer Reform
Medical Bankruptcy
Myriad anecdotes—of a Nobel laureate who sold his medal to pay medical bills, or the more than 250 000 GoFundMe medical campaigns last year—attest to the financial toll of illness on American families. National surveys confirm that medical bills frequently cause financial hardship, and the US Consumer Financial Protection Bureau reported that they were by far the most common cause of unpaid bills sent to collection agencies in 2014, accounting fo…
Coverage Expansions and Utilization of Physician Care
Objectives. To evaluate the effects of the 2 major coverage expansions in US history—Medicare/Medicaid in 1966 and the Affordable Care Act (ACA) in 2014—on the utilization of physician care. Methods. Using the National Health Interview Survey (1963–1969; 2011–2016), we analyzed trends in utilization of physician services society-wide and by targeted subgroups. Results. Following Medicare/Medicaid’s implementation, society-wide utilization remaine…
Woolhandler and Himmelstein Respond
The Effects of Household Medical Expenditures on Income Inequality in the United States
Objectives. To assess the effect of households’ outlays for medical expenditures on income inequality and changes since the implementation of the Affordable Care Act (ACA). Methods. We analyzed data from the US Current Population Surveys for calendar years 2010 through 2014. We calculated the Gini index of income inequality before and after subtracting households’ medical outlays (including insurance premiums and out-of-pocket costs) from income,…
Inequality and the health-care system in the USA
Accountable Care Organizations’ Payments to Physicians
Accountable Care Organizations’ Payments to Physicians: Patients Should Have the Right to Know Affiliation Mayce Mansour MD, Nathan Favini MD, MS, Michael A. Carome MD, Sidney Wolfe MD, Steffie Woolhandler MD, MPH, and David U. Himmelstein MDMayce Mansour is with the Division of General Internal Medicine, Icahn School of Medicine at Mount Sinai, New York, NY. Nathan Favini is with the Robert Wood Johnson Foundation Clinical Scholars Program, Depa…
Trumpcare or Transformation
The article discusses America's health insurance laws in relation to U.S. President Donald Trump's effort to repeal the nation's Patient Protection and Affordable Care Act (ACA) and replace it with a Republican-branded form of health insurance. Several potential health insurance legal reform plans by Republican politicians such as Paul Ryan and Tom Price are examined, along with a pro-corporate political agenda and progressive politics in the U.S
The Obama Years
The authors reflect on various changes involving America's public health during U.S. President Barack Obama's tenure as the nation's leader, and it mentions the passage of the country's Patient Protection and Affordable Care Act, as well as the claim that the gap between America's wealthy and poor people has widened during Obama's presidential administration. Environmental regulations and the threat of climate change are addressed, along with hea…
Moving Forward From the Affordable Care Act to a Single-Payer System
The authors discuss developments in the effort to achieve universal health care in the U.S. in 2016, particularly the implementation of the Affordable Care Act (ACA). Also cited are the ruling by the Supreme Court upholding the legality of the ACA subsidies, the claim by the Congressional Budget Office that will still be 27 million Americans who will be uninsured under the ACA, and some recommendations to resolve the shortcomings of the ACA in te…
Access to Care and Chronic Disease Outcomes Among Medicaid-Insured Persons Versus the Uninsured
Objectives. We sought to determine the association between Medicaid coverage and the receipt of appropriate clinical care. Methods. Using the 1999 to 2012 National Health and Nutritional Examination Surveys, we identified adults aged 18 to 64 years with incomes below the federal poverty level, and compared outpatient visit frequency, awareness, and control of chronic diseases between the uninsured (n = 2975) and those who had Medicaid (n = 1485).…
The Current and Projected Taxpayer Shares of US Health Costs
Objectives. We estimated taxpayers’ current and projected share of US health expenditures, including government payments for public employees’ health benefits as well as tax subsidies to private health spending. Methods. We tabulated official Centers for Medicare and Medicaid Services figures on direct government spending for health programs and public employees’ health benefits for 2013, and projected figures through 2024. We calculated the valu…
Woolhandler and Himmelstein Respond
AffiliationsBoth authors are with the City University of New York School of Public Health at Hunter College, New York, NY, and Harvard Medical School, Boston, MA
Public Health’s Falling Share of US Health Spending
We examined trends in US public health expenditures by analyzing historical and projected National Health Expenditure Accounts data. Per-capita public health spending (inflation-adjusted) rose from $39 in 1960 to $281 in 2008, and has fallen by 9.3% since then. Public health’s share of total health expenditures rose from 1.36% in 1960 to 3.18% in 2002, then fell to 2.65% in 2014; it is projected to fall to 2.40% in 2023. Public health spending ha…
Minority Physicians’ Role in the Care of Underserved Patients
Undiagnosed and Uncontrolled Hypertension and Hyperlipidemia among Immigrants in the US
Medicine and Empire
Howard Waitzkin, Medicine and Public Health at the End of Empire (Boulder, CO: Paradigm Publishers, 2011), 256 pages, $25, paperback.For the past three decades Howard Waitzkin has been (along with Vicente Navarro) the leading social medicine theorist in the United States. Medicine and Public Health at the End of Empire provides a superb sampling of Waitzkin's wide-ranging work, and a readily accessible introduction to the searching insights offer…
The Health and Health Care of US Prisoners
Objectives. We analyzed the prevalence of chronic illnesses, including mental illness, and access to health care among US inmates. Methods. We used the 2002 Survey of Inmates in Local Jails and the 2004 Survey of Inmates in State and Federal Correctional Facilities to analyze disease prevalence and clinical measures of access to health care for inmates. Results. Among inmates in federal prisons, state prisons, and local jails, 38.5% (SE = 2.2%), …
Access to Care, Health Status, and Health Disparities in the United States and Canada
Objectives. We compared health status, access to care, and utilization of medical services in the United States and Canada and compared disparities according to race, income, and immigrant status. Methods. We analyzed population-based data on 3505 Canadian and 5183 US adults from the Joint Canada/US Survey of Health. Controlling for gender, age, income, race, and immigrant status, we used logistic regression to analyze country as a predictor of a…
Health Insurance and Mortality in US Adults
Objectives. A 1993 study found a 25% higher risk of death among uninsured compared with privately insured adults. We analyzed the relationship between uninsurance and death with more recent data. Methods. We conducted a survival analysis with data from the Third National Health and Nutrition Examination Survey. We analyzed participants aged 17 to 64 years to determine whether uninsurance at the time of interview predicted death. Results. Among al…
Does Investor Ownership of Nursing Homes Compromise the Quality of Care
Objectives. Two thirds of nursing homes are investor owned. This study examined whether investor ownership affects quality. Methods. We analyzed 1998 data from state inspections of 13 693 nursing facilities. We used a multivariate model and controlled for case mix, facility characteristics, and location. Results. Investor-owned facilities averaged 5.89 deficiencies per home, 46.5% higher than nonprofit facilities and 43.0% higher than public faci…
Health Care Expenditures of Immigrants in the United States
Objectives. We compared the health care expenditures of immigrants residing in the United States with health care expenditures of US-born persons. Methods. We used the 1998 Medical Expenditure Panel Survey linked to the 1996–1997 National Health Interview Survey to analyze data on 18398 US-born persons and 2843 immigrants. Using a 2-part regression model, we estimated total health care expenditures, as well as expenditures for emergency departmen…
Care denied
OBJECTIVES. This study analyzed data on US residents reporting that they were unable to obtain needed care. Inadequately immunized children and women inadequately screened for breast or cervical cancer were also examined. METHODS. Data from the 1987 National Medical Expenditure Survey was analyzed. RESULTS. A total of 6,375,000 (90% confidence interval [CI] = 6,039,000, 6,711,000) people could not get hospitalization, prescription medications, me…
Public Health’s Falling Share of US Health Spending
We examined trends in US public health expenditures by analyzing historical and projected National Health Expenditure Accounts data. Per-capita public health spending (inflation-adjusted) rose from $39 in 1960 to $281 in 2008, and has fallen by 9.3% since then. Public health’s share of total health expenditures rose from 1.36% in 1960 to 3.18% in 2002, then fell to 2.65% in 2014; it is projected to fall to 2.40% in 2023. Public health spending ha…
Medical Bankruptcy
Myriad anecdotes—of a Nobel laureate who sold his medal to pay medical bills, or the more than 250 000 GoFundMe medical campaigns last year—attest to the financial toll of illness on American families. National surveys confirm that medical bills frequently cause financial hardship, and the US Consumer Financial Protection Bureau reported that they were by far the most common cause of unpaid bills sent to collection agencies in 2014, accounting fo…
Going bare
OBJECTIVES: This study analyzed trends in health insurance coverage in the United States from 1989 through 1996. METHODS: Data from annual cross-sectional surveys by the US Census Bureau were analyzed. RESULTS: Between 1989 and 1996, the number of uninsured persons increased by 8.3 million (90% confidence interval [CI] = 7.7, 8.9 million). In 1996, 41.7 million (90% CI = 40.9, 42.5 million) lacked insurance. From 1989 to 1993, the proportion with…
Ideology in medical science
Can Medicaid managed care provide continuity of care to new Medicaid enrollees? An analysis of tenure on Medicaid
OBJECTIVES: The purpose of this study was to analyze duration of coverage among new Medicaid enrollees. METHODS: The 1991 Survey of Income and Program Participation was used to examined the duration of coverage for individuals who did not have Medicaid in January 1991 and obtained coverage by May 1993. RESULTS: Of new Medicaid enrollees, 38% (90% confidence interval [CI] = 34%, 42%) remained covered 1 year later; 26% (90% CI = 21%, 31%) remained …
US emergency department costs
BACKGROUND: Many perceive emergency department (ED) overuse as an important cause of high medical care costs in the United States. Managed care plans and politicians have seen constraints on ED use as an important element of cost control. METHODS: We measured ED-associated and other medical care costs, using the recently released 1987 National Medical Expenditure Survey of approximately 35,000 persons in 14,000 households representative of the US…
Lack of Health Coverage Among US Veterans From 1987 to 2004
Objectives. Veterans Administration health care enrollment is restricted to veterans with service-connected problems and those who are poor. We sought to determine how many veterans were uninsured, trends in veterans’ coverage, and whether uninsured veterans lacked access to medical care. Methods. We analyzed annual data from 2 federal surveys, the Current Population Survey for the years 1988 to 2005 and the National Health Interview Survey for 2…
Health Status and Health Care Utilization of US Adults Under Probation
Objectives. To compare the health and health care utilization of persons on and not on probation nationally. Methods. Using the National Survey of Drug Use and Health, a population-based sample of US adults, we compared physical, mental, and substance use disorders and the use of health services of persons (aged 18–49 years) on and not on probation using logistic regression models controlling for age, race/ethnicity, gender, poverty, and insuranc…
Annotation
Annotation: patients on the auction block. S Woolhandler, and D U HimmelsteinCopyRight https://doi.org/10.2105/AJPH.86.12.1699 Published Online: October 07, 2011
Who administers? Who cares? Medical administrative and clinical employment in the United States and Canada
OBJECTIVES. We compared US and Canadian health administration costs using national medical care employment data for both countries. METHODS. Data from census surveys on hospital, nursing home, and outpatient employment in the United States (1968 to 1993) and Canada (1971 and 1986) were analyzed. RESULTS. Between 1968 and 1993, US medical care employment grew from 3.976 to 10.308 million full-time equivalents. Administration grew from 0.719 to 2.7…
The Current and Projected Taxpayer Shares of US Health Costs
Objectives. We estimated taxpayers’ current and projected share of US health expenditures, including government payments for public employees’ health benefits as well as tax subsidies to private health spending. Methods. We tabulated official Centers for Medicare and Medicaid Services figures on direct government spending for health programs and public employees’ health benefits for 2013, and projected figures through 2024. We calculated the valu…
Characteristics of Recipients of Free Prescription Drug Samples
Objectives. Free prescription drug samples are used widely in the United States. We sought to examine characteristics of free drug sample recipients nationwide. Methods. We analyzed data on 32681 US residents from the 2003 Medical Expenditure Panel Survey (MEPS), a nationally representative survey. Results. In 2003, 12% of Americans received at least 1 free sample. A higher proportion of persons who had continuous health insurance received a free…
Medicine as Industry
In the past 30 years, few sectors of the U.S. economy have escaped the periodic ravages of recession. The health-care industry is a notable exception. Since 1950 hospitals and other health-related enterprises have experienced uninterrupted, indeed meteoric, expansion. Between 1950 and 1982 national health expenditures increased more than 25-fold, reaching $322 billion per year, and the proportion of the GNP accounted for by the health sector incr…
The Effects of Household Medical Expenditures on Income Inequality in the United States
Objectives. To assess the effect of households’ outlays for medical expenditures on income inequality and changes since the implementation of the Affordable Care Act (ACA). Methods. We analyzed data from the US Current Population Surveys for calendar years 2010 through 2014. We calculated the Gini index of income inequality before and after subtracting households’ medical outlays (including insurance premiums and out-of-pocket costs) from income,…
Moving Forward From the Affordable Care Act to a Single-Payer System
The authors discuss developments in the effort to achieve universal health care in the U.S. in 2016, particularly the implementation of the Affordable Care Act (ACA). Also cited are the ruling by the Supreme Court upholding the legality of the ACA subsidies, the claim by the Congressional Budget Office that will still be 27 million Americans who will be uninsured under the ACA, and some recommendations to resolve the shortcomings of the ACA in te…
Access to Care and Chronic Disease Outcomes Among Medicaid-Insured Persons Versus the Uninsured
Objectives. We sought to determine the association between Medicaid coverage and the receipt of appropriate clinical care. Methods. Using the 1999 to 2012 National Health and Nutritional Examination Surveys, we identified adults aged 18 to 64 years with incomes below the federal poverty level, and compared outpatient visit frequency, awareness, and control of chronic diseases between the uninsured (n = 2975) and those who had Medicaid (n = 1485).…
No Care for the Caregivers
Objectives. This study examined trends in health insurance coverage for health care workers and their children between 1988 and 1998. Methods. We analyzed data from the annual March supplements of the Current Population Survey (CPS), a Census Bureau survey that collects information about health insurance from a nationally representative sample of noninstitutionalized US residents. Results. Of the health care personnel younger than 65 years, 1.36 …
Medical care employment in the United States, 1968 to 1993
OBJECTIVES: The purpose of this study was to elucidate the social and economic impact of health sector employment. METHODS: US medical care employment was analyzed for each year between 1968 and 1993, with data from the March Current Population Survey. RESULTS: Between 1968 and 1993, medical care employment grew from 4.32 million to 11.40 million persons, accounting for 5.7% of all jobs in 1968 and 8.4% in 1993. Today, one seventh of employed wom…
Public money, private control
Government support of public and private hospitals in Oakland and Berkeley, California was investigated. The private hospitals received government subsidies amounting to at least 60 per cent of their total revenues. The dollar amount of the subsidies to private hospitals was four and one-half times greater than government expenditures on the public hospital. In Oakland and Berkeley, as in many cities, public medical services have been reduced whi…
Response from Dr. Himmelstein, et al
Response from Dr. Himmelstein, et al David U. Himmelstein, Steffie Woolhandler, and Alice A. Jones David K. Parkinson CopyRight https://doi.org/10.2105/AJPH.71.12.1410 Published Online: October 07, 2011
Public money, private control
Government support of public and private hospitals in Oakland and Berkeley, California was investigated. The private hospitals received government subsidies amounting to at least 60 per cent of their total revenues. The dollar amount of the subsidies to private hospitals was four and one-half times greater than government expenditures on the public hospital. In Oakland and Berkeley, as in many cities, public medical services have been reduced whi…
Yugoslavia
Health care in Yugoslavia has been influenced by considerations of\nequity, a legacy from the country's partisan movement during World War II that\nunited many different racial, ethnic, religious, and political factions. \nEquality still plays a major role in ethical debates resulting from\nYugoslavian medicine's growing dependence on imported high-cost biomedical\ntechnologies coupled with economic constraints. There is little government\ninvolv…
Medicine as Industry
In the past 30 years, few sectors of the U.S. economy have escaped the periodic ravages of recession. The health-care industry is a notable exception. Since 1950 hospitals and other health-related enterprises have experienced uninterrupted, indeed meteoric, expansion. Between 1950 and 1982 national health expenditures increased more than 25-fold, reaching $322 billion per year, and the proportion of the GNP accounted for by the health sector incr…
Science for All the People
After reading the July-August issue on "Science, Technology, and Capitalism"—much of it with great interest—I put it down frustrated and angry. Once again the male left has given lip-service to feminist analyses and issues while failing to include at least some of the analysis and some of the issues. Several of the authors tip their hats to feminist critiques of science. Why weren't any such critiques included? I can think of many authors who cou…
Science, Technology and Capitalism
A special issue of MR devoted to science seems odd, somehow out of place, even stranger than the issue two years ago on religion. People on the left tend either to condemn science or to worship it—to see science as the cause of our problems or as the solution. Both views end up with pretty much the same result; we leave science alone. The concepts of science are regarded as inevitable, and the products of science are passively received. This issu…
Ideology in medical science
The Corporate Compromise
Over the past century medical care has evolved from a small cottage industry, through a period of rapid expansion as a charitable public service, to an enormously profitable and increasingly private business. Medicine has become one of the largest industries in the United States, and economics now competes with science and humanitarian concerns in shaping the future of medical care. The dominance of economic imperatives and the corporate transfor…
A Report on the Congressional Fellowship Program, 1989–90 and 1990–91
An abstract is not available for this content so a preview has been provided. As you have access to this content, a full PDF is available via the ‘Save PDF’ action button
A Report on the Congressional Fellowship Program, 1990–91 and 1991–92
An abstract is not available for this content so a preview has been provided. As you have access to this content, a full PDF is available via the ‘Save PDF’ action button
Care denied
OBJECTIVES. This study analyzed data on US residents reporting that they were unable to obtain needed care. Inadequately immunized children and women inadequately screened for breast or cervical cancer were also examined. METHODS. Data from the 1987 National Medical Expenditure Survey was analyzed. RESULTS. A total of 6,375,000 (90% confidence interval [CI] = 6,039,000, 6,711,000) people could not get hospitalization, prescription medications, me…
Annotation
Annotation: patients on the auction block. S Woolhandler, and D U HimmelsteinCopyRight https://doi.org/10.2105/AJPH.86.12.1699 Published Online: October 07, 2011
Medical care employment in the United States, 1968 to 1993
OBJECTIVES: The purpose of this study was to elucidate the social and economic impact of health sector employment. METHODS: US medical care employment was analyzed for each year between 1968 and 1993, with data from the March Current Population Survey. RESULTS: Between 1968 and 1993, medical care employment grew from 4.32 million to 11.40 million persons, accounting for 5.7% of all jobs in 1968 and 8.4% in 1993. Today, one seventh of employed wom…
US emergency department costs
BACKGROUND: Many perceive emergency department (ED) overuse as an important cause of high medical care costs in the United States. Managed care plans and politicians have seen constraints on ED use as an important element of cost control. METHODS: We measured ED-associated and other medical care costs, using the recently released 1987 National Medical Expenditure Survey of approximately 35,000 persons in 14,000 households representative of the US…
Who administers? Who cares? Medical administrative and clinical employment in the United States and Canada
OBJECTIVES. We compared US and Canadian health administration costs using national medical care employment data for both countries. METHODS. Data from census surveys on hospital, nursing home, and outpatient employment in the United States (1968 to 1993) and Canada (1971 and 1986) were analyzed. RESULTS. Between 1968 and 1993, US medical care employment grew from 3.976 to 10.308 million full-time equivalents. Administration grew from 0.719 to 2.7…
Tyrance et al. Respond
Letters to the Editor tine in the shredded tobacco paper of the three types of Eclipse we tested were very similar. Eclipse contains and potentially delivers the same amount of nicotine as conventional cigarettes. The basis for the description of different styles such as "full flavor" and "mild" is not explained by nico- tine content or by outward appearance
Himmelstein and Woolhandler Respond
Himmelstein and Woolhandler Respond David U. Himmelstein, and Steffie Woolhandler M JenkinsCopyRight https://doi.org/10.2105/AJPH.88.1.136 Published Online: October 07, 2011
Can Medicaid managed care provide continuity of care to new Medicaid enrollees? An analysis of tenure on Medicaid
OBJECTIVES: The purpose of this study was to analyze duration of coverage among new Medicaid enrollees. METHODS: The 1991 Survey of Income and Program Participation was used to examined the duration of coverage for individuals who did not have Medicaid in January 1991 and obtained coverage by May 1993. RESULTS: Of new Medicaid enrollees, 38% (90% confidence interval [CI] = 34%, 42%) remained covered 1 year later; 26% (90% CI = 21%, 31%) remained …
Going bare
OBJECTIVES: This study analyzed trends in health insurance coverage in the United States from 1989 through 1996. METHODS: Data from annual cross-sectional surveys by the US Census Bureau were analyzed. RESULTS: Between 1989 and 1996, the number of uninsured persons increased by 8.3 million (90% confidence interval [CI] = 7.7, 8.9 million). In 1996, 41.7 million (90% CI = 40.9, 42.5 million) lacked insurance. From 1989 to 1993, the proportion with…
Smoking and Mental Illness
CONTEXT: Studies of selected groups of persons with mental illness, such as those who are institutionalized or seen in mental health clinics, have reported rates of smoking to be higher than in persons without mental illness. However, recent population-based, nationally representative data are lacking. OBJECTIVE: To assess rates of smoking and tobacco cessation in adults, with and without mental illness. DESIGN, SETTING, AND PARTICIPANTS: Analysi…
Does Investor Ownership of Nursing Homes Compromise the Quality of Care
Objectives. Two thirds of nursing homes are investor owned. This study examined whether investor ownership affects quality. Methods. We analyzed 1998 data from state inspections of 13 693 nursing facilities. We used a multivariate model and controlled for case mix, facility characteristics, and location. Results. Investor-owned facilities averaged 5.89 deficiencies per home, 46.5% higher than nonprofit facilities and 43.0% higher than public faci…
No Care for the Caregivers
Objectives. This study examined trends in health insurance coverage for health care workers and their children between 1988 and 1998. Methods. We analyzed data from the annual March supplements of the Current Population Survey (CPS), a Census Bureau survey that collects information about health insurance from a nationally representative sample of noninstitutionalized US residents. Results. Of the health care personnel younger than 65 years, 1.36 …
Mayhem in the Medical Marketplace
Even in the United States, some aspects of life are too precious, intimate or corruptible to entrust to the market. We prohibit selling kidneys and buying wives, judges, and children.This article can also be found at the Monthly Review website, where most recent articles are published in full.Click here to purchase a PDF version of this article at the Monthly Review website
National Health Insurance
From the Center for National Health Program Studies, Department of Medicine, The Cambridge Hospital/Harvard Medical School, Cambridge, Massachusetts. Reprints: David U. Himmelstein, MD, Center for National Health Program Studies, Department of Medicine, The Cambridge Hospital/Harvard Medical School, 1493 Cambridge Street, Cambridge, MA 02139. E-mail: [email protected]
Health Care Expenditures of Immigrants in the United States
Objectives. We compared the health care expenditures of immigrants residing in the United States with health care expenditures of US-born persons. Methods. We used the 1998 Medical Expenditure Panel Survey linked to the 1996–1997 National Health Interview Survey to analyze data on 18398 US-born persons and 2843 immigrants. Using a 2-part regression model, we estimated total health care expenditures, as well as expenditures for emergency departmen…
Medicine (48 works) · Health care (33 works) · Environmental health (32 works) · Healthcare Policy and Management (31 works) · Political science (24 works) · Population (19 works) · Economic growth (18 works) · Law (18 works) · Family medicine (17 works) · Economics (16 works)