Medicare (Dis)Advantage, Medical Blind Spots, & Supreme Court Stench
As the Medicare enrollment period gets underway again, we welcome Dr. Adam Gaffney to remind us the ways all those heavily advertised Medicare Advantage programs are ripping you off. Then we receive another house call from Dr. Marty Makary, author of Blind Spots: When Medicine Gets It Wrong, and What It Means for Our Health about the effect of medical groupthink on all kinds of accepted treatments from peanut allergies to opioid addiction. Finally, founder of Media Matters, David Brock stops by to discuss his latest book, Stench: The Making of the Thomas Court and the Unmaking of America. Dr. Adam Gaffney is a physician, writer, public health researcher, and advocate. Dr. Gaffney practices at the Cambridge Health Alliance and is an Assistant Professor in Medicine at Harvard Medical School. A member of the Cambridge Health Justice Lab, his research focuses on healthcare financing, reform, and equity, and disparities in lung health. He writes about the policy, politics, and history of health care, and is the author of To Heal Humankind: The Right to Health in History. The reality is we don't need Medigap. We could plug those holes with public coverage. There's no reason to have a role for private insurers to cover a slice of our healthcare when all seniors need the same thing—which is comprehensive universal care. There's no need for these private stopgap measures, when what we need is a public system of universal care. Dr. Adam Gaffney I do think there’s growing interest among physicians in change. Their bosses are increasingly these for-profit companies whose mission is not really medicine. Their mission is money. And what we need to do is to rethink our healthcare system, so it serves communities, is owned by communities, and it returns us to the underlying reason why we went into this profession—which is to help patients, and not to pad the pockets of shareholders. Dr. Adam Gaffney Dr. Marty Makary is a Johns Hopkins professor and member of the National Academy of Medicine. He is the author of two New York Times best-selling books, Unaccountable and The Price We Pay. Dr. Makary has written for the Wall Street Journal, the Washington Post, and the New York Times, and he has published more than 250 scientific research articles. He served in leadership at the W.H.O. and has been a visiting professor at 25 medical schools. His latest book is Blind Spots: When Medicine Gets It Wrong, and What It Means for Our Health. For most of human history, doctors were respected, but maybe like you would respect your hairdresser, or maybe a clergy member in the community. And we didn't have many tools as doctors. We had a lancet, we had a saw to do amputations, we had a couple of drugs that didn't work or were counterproductive like digoxin. And then what happened in 1922 is Alexander Fleming discovered penicillin. And by the post-World War II era in the 1940s and '50s, we saw the mass production of antibiotics. That ushered in the white coat era of medicine. Doctors began to wear a white coat. They now had the power to prescribe a magical pill that could cure disease, make childbirth safe, enable surgeons to do procedures safer. And this ushered in this new unquestioned authority. And what happened was, physicians as a class took advantage of this unquestioned authority. Dr. Marty Makary David Brock is a Democratic activist and founder of Media Matters for America, a progressive media watchdog group. Following the 2010 elections, Mr. Brock founded the Super PAC American Bridge, which works to elect Democrats. He is a New York Times best-selling author, and his books include the memoir Blinded by the Right: The Conscience of an Ex-Conservative, Killing the Messenger: The Right Wing Plot to Hijack Your Government, and his latest book is Stench: The Making of the Thomas Court and the Unmaking of America. The Federalist Society was originally founded by three rightwing law students. And it was pitched as a debating society. So I don't
