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Remaking Health Care

This blog explores how health reform is changing the ways in which we pay for and deliver health care in the U.S. On any given week, that could mean a look at how Republican plans to repeal Obamacare could reshape the individual insurance market, how the safety net system is adapting to new financial pressures, or whether Trumpcare will affect the trend of doctors and hospitals merging into ever-larger entities. We also explore health care costs and whether Obamacare or its successor plans can live up the promise to rein them in. Throughout, we keep watch on how the goals of health reform intersect with the shaping power of markets and human behavior. Contributors include veteran health journalist Trudy Lieberman, David Lansky, executive director of the Pacific Business Group on Health, and independent health journalist Kellie SchmittRyan White, content editor of Center for Health Journalism Digital, serves as the blog's principal editor. 

Picture of Kellie  Schmitt
After the state expanded Medicaid under the ACA, Washington state health officials noticed that people who were focused on survival were letting their health needs fall by the wayside.
Picture of Rusha Modi
"The reality is that many medical students, residents and trainee physicians are illiterate in the basics of public health and health policy," says Dr. Rusha Modi.
Picture of Erika Klein
 On Jan. 1, Californians in the state's Medicaid dental program will once again have full dental coverage. But the program's low rates mean many dentists won't see them.
Picture of Kellie  Schmitt
The use of crowdfunding to cover medical costs has grown rapidly in recent years. The trend provides insights into gaps in health coverage, but also poses some problems health reporters should keep in mind.
Picture of Kellie  Schmitt
Experts increasingly point to the high cost of care in America — not necessarily the overuse of care — as the chronic illness of the U.S. system. Here's one model for reporting on the story in your local market.
Picture of Louise McCarthy
Community clinics in Los Angeles know they have to find new ways to get at the social factors that ultimately shape health if they're going to make a real difference in their patients' lives.
Picture of David Lansky
From Singapore to England, every country that has more successfully managed health care costs than the U.S. has chosen a path of self-discipline and free-market restraints.
Picture of Kellie  Schmitt
The opioid epidemic has given rise to an illicit gold rush as patient brokers and treatment centers profit off desperate addicts, funneling them to shoddy treatment centers and fraudulent “sober” homes at a profit of thousands per head.
Picture of Trudy  Lieberman
While shoppers can often find health insurance with affordable premiums, many such plans carry deductibles and out-of-pocket costs that amount to severe punishment for anyone who falls ill.
Picture of Erika Franklin Fowler
The research suggests that less advertising tied to the Affordable Care Act will lead to less informed consumers, fewer online visitors to health exchanges and lower enrollments.

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If you're a journalist with big ideas who wants your work to matter, the Center for Health Journalism invites you to apply for the all-expenses-paid National Fellowship -- five days of stimulating discussions in Los Angeles about social and health safety net issues, plus reporting and engagement grants of $2,000-$12,000 and six months of expert mentoring.

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