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Articles

Dr. Taylor Dickinson's articles and essays discussing his ideas on tax-preserved Universal healthcare...

Counterpoise Solution: The Gordian Knot »

Posted: Tue, Dec 25, 2012

By Taylor Dickinson

Healthcare is a Gordian Knot.

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A Counterpoise solution: Prologue »

Posted: Fri, Nov 30, 2012

By Taylor Dickinson

Healthcare's Price.

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The New Healthcare: Physician Reward »

Posted: Thu, Apr 21, 2011

By Taylor Dickinson

Rewarding physicians on the basis of volume incentives or mandatory quality of care measurements miss the opportunity presented by today’s upheaval in health care. The care of patients is about life and death. Reward should ultimately reflect this basic truth.

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Conference: The Physician as Solution »

Posted: Sun, Feb 21, 2010

By Taylor Dickinson

On January 30, 2010 the Symposium, “The Physician as Solution” took place at the IBM Conference Center in Palisades, New York. The discussions, led by Professor Alain Enthoven and Dr. Taylor Dickinson, explored the causes of the dysfunction in healthcare and considered the role physicians should play as the healthcare system evolves.

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Healthcare Reform's Achilles Heel »

Posted: Fri, Oct 16, 2009

By Taylor Dickinson

All current proposals for healthcare reform perpetuate a fundamental flaw. There is no sustainable fiscal link between the delivery of care and its funding. As originally conceived, when an insurance company elected to pool the health risk of patients, it simultaneously assumed fiscal responsible for the cost of delivering that care to its clients. In turn this contract relieved both patient and physician from this same fiscal responsibility. By pooling their risk patients could now reasonably expect access to whatever care they would need without monetary prejudice. These are the assumptions and agreements which formed the basis upon which all parties accepted the bargain. As a result both patient and physician could pursue quality care freed from consideration of its potential financial burden. But this bargain dissociated all parties from the economic realities of the medical marketplace. This arrangement fractured healthcare.

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Health Care Reform Redefined: Core Principles »

Posted: Thu, Aug 13, 2009

By Taylor Dickinson

Europe and Canada established universal care based upon a socialist concept of equality which rejected any disparity in access between rich and poor. To accomplish this they nationalized all aspects of healthcare, including confiscation of physician's skills. Is this acceptable?

The Supreme Court of Canada said no. It ruled that restricted access, as utilized by their system to contain cost, violates the "protection of the person" guaranteed in their Bill of Rights. It also found that physicians must be free to provide care independent of the government system. This Canadian decision illuminates the problem: the right to healthcare cannot, in the process, subjugate the inherent rights of either physician or patient. Legitimate universal care is not about equality of access: it is about equitable access and distribution.

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Health Care Reform Redefined: The Problem »

Posted: Wed, Aug 12, 2009

By Taylor Dickinson

The mantra driving healthcare reform is cost. But there is another common thread. The introduction of private health insurance significantly altered medicine. The new players, Medicare, Medicaid, private- sector insurance and managed-care organizations all function within their own self-interest. Their common interest requires the control of cost. Increased cost threatens their profit and control of medicine. But their self-interest has failed to produce a viable healthcare system. Why not?

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health care breakthrough »

Posted: Wed, Jan 21, 2009

By Taylor Dickinson

Finally, someone gets it. Alain Enthoven recognizes that physician owned, risk-bearing, medical partnerships which forgo fee-for-service are the cornerstone upon which an equitable and sustainable healthcare system can be built. Moreover, a full tax credit to every household takes reform one step further. It establishes universal access: choice of healthcare, at one fair price, in one risk pool. People gain the right to unfettered access to their own healthcare.

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Healthcare as Economic Stimulus »

Posted: Sun, Jan 18, 2009

By Taylor Dickinson

Rather than delay healthcare reform until after the economic crisis is over, make it the centerpiece of a direct economic stimulus to every taxpayer. Protect everyone's access to health care by creating a permanent "health tax-credit" to be subtracted from their total tax owed to the government. This credit must be used to choose and purchase health insurance. The federal and State governments can satisfy their political responsibilities by sharing the cost of this credit. The individual gains economic independence and personal control over health care and our government achieves its goal of universal coverage.

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Socioeconomic Anomalies »

Posted: Sat, Sep 27, 2008

By Taylor Dickinson

An article in the New England Journal of Medicine examined socioeconomic inequalities in health in a number of European countries. The authors identified several socioeconomic anomalies that were not easily explained within the context of their study. They are presented below with this author's comments.

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