Ripp Med

Thoughts and Education on Healthcare from Jake Ripp
February 7th

How popular healthcare articles can be misleading

US Capitol

Every day, there are numerous articles about healthcare published in newspapers, blogs, magazines, and journals. It depends on the climate, but one can almost always assume that it involves a doctor angry at insurance companies and/or the bureaucracy and regulations he or she is subjected to, a politician demanding more responsible legislation, an underpaid journalist […]


January 17th

How “Entrepreneurial Spirit” Increases Costs


This morning over a cup of coffee, I decided to read a few articles by Atul Gawande, my favorite physician-writer writer of all time. I re-read some of his New Yorker articles and earlier blog posts at Slate, which are hilarious by the way, and one piece caught my attention. It’s about a medium-sized town named […]


January 4th

Steven Brill’s, “Bitter Pill,” is the most important healthcare event from 2013


I just reread Steven Brill’s exposé in Time Magazine from March, 2013, and I’m still going over the implications in my head (pdf here). It’s shocking. It’s wonderful. It’s everything I wish I had the time and energy to do myself. Nevertheless, I’m glad that someone who is much wiser and organized, like Steven Brill, […]


December 20th

Six Months of Madness


The past 6 months in D.C. have been some of the worst in recent history. It doesn’t matter where you stand on the political spectrum. It doesn’t matter who you voted for in recent elections. It just doesn’t matter. Everyone should be outraged by the job performance of their Congressman or woman, Senators, President, and […]


December 13th

Narrow Networks

Narrow sign

If you understand economics, I think you could predict about 80-85% of how the exchanges will operate. Here’s an interesting study I came across today, which found that the marketplace plans have very narrow networks. In other words, those who are enrolling in the exchanges in these next few months will find themselves with very limited options […]


December 5th

An Alarming Effect of Moral Hazard on Cost


Health economists frequently analyze healthcare by commenting on one or all of the following: cost, access, or quality of care. “The sacred triad,” as some label it, is helpful because each item can be measured (some better than others) and analyzed in relationship to the other, which provides a wonderful way for policymakers and insurance companies […]


December 1st

The 50/5 Rule, IPAB, and NICE


I’m actually quite pleased at how much attention healthcare/health insurance/health policy has been receiving lately. It seems like everyone – from the President to Paul Krugman, two Nobel laureates in non-medical fields – is investing a lot of time to it. I realize that this is mostly because of problems with the Obamacare rollout, and […]


November 22nd

The Winners: Health Insurance Companies?


Wow. Who knew that amid all the turmoil surrounding the botched rollout and Obama allowing insurers to continue issuing God-awful, healthy-people insurance plans into 2014 (breaking the law, essentially) that Aetna Inc, UnitedHealth Group, Cigna Corp, Humana Inc, and WellPoint – would have some of the steepest stock gains on Wall Street. Take a look […]


November 21st

The Climax


Usually in an election cycle, soundbites rarely have any weight. Speeches and ads are mostly ideological (and strategically so) - telling the voters what they want to hear. However, President Obama’s promise during his campaigns for the ACA in 2010 and his 2012 presidency that people would be able to keep their health insurance plans if they wanted to has recently been met with a […]


November 21st

Incognito, Martin, and Mental Health


The current situation involving Dolphins offensive linemen Richie Incognito and Jonathan Martin is intriguing. Yes, the socio-economic/racial issues are obvious. But I want to examine this through a healthcare lens because I think it provides insight into an area often forgotten not just in medicine, but in the news as well – mental health. I […]


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