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View Diary: NPR Hatchet Job at Trying to Discredit Medicaid and Obamacare: Prime Example of a Corporate Shill (183 comments)

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  •  They chose these groups (0+ / 0-)

    to evaluate specific hypotheses:

    We used the random assignment embedded in the Oregon Medicaid lottery to examine the effects of insurance coverage on health care use and health outcomes after approximately 2 years.
    As you might expect, access to healthcare increased healthcare utilization. The investigators did not identify a difference in health outcomes between the two groups, possibly due to the relatively short follow-up period evaluated.

    If they had instead selected populations of healthy, low risk people (which I think is what you are suggesting), then there would have been a much lower a priori chance of being able to measure a difference in these outcomes. Healthy people can (and do) go without healthcare and do not suffer for it.

    What laws can the senators make now? Once the barbarians are here, they'll do the legislating. C.P. Cavafy

    by anonymous volanakis on Thu May 02, 2013 at 10:43:47 AM PDT

    [ Parent ]

    •  That's not what I'm suggesting (0+ / 0-)

      I'm suggesting that rates of obesity, hypertension and high cholesterol are NOT correlated to health insurance status.

      The example of my office was to say that even amongst a middle class population with great low cost health insurance, you still have plenty of obese, hypertensive people with high cholesterol.  They are not healthy, low-risk people despite the fact that they have a great low cost employer sponsored health insurance plan.

      So, why would we insist that people on the Oregon Medicaid plan show improvement in these areas when people with great private insurance don't?

      I get that the Medicaid people did no better than the control group, but I suspect that many groups of people with employer provided insurance would do no better either, at least on these factors.

      These factors are more an influence of diet, exercise and nutritional knowledge, which are more correlated to other factors, not insurance.

      Liberalism is trust of the people tempered by prudence. Conservatism is distrust of the people tempered by fear. ~William E. Gladstone, 1866

      by absdoggy on Thu May 02, 2013 at 11:58:53 AM PDT

      [ Parent ]

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