digplanet beta 1: Athena
Share digplanet:

Agriculture

Applied sciences

Arts

Belief

Business

Chronology

Culture

Education

Environment

Geography

Health

History

Humanities

Language

Law

Life

Mathematics

Nature

People

Politics

Science

Society

Technology

Victor R. Fuchs
Institution Stanford University
Field Health economics
Alma mater Columbia University (Ph.D.)(M.A.)
New York University (B.S.)
Information at IDEAS / RePEc

Victor Robert Fuchs (born 1924) is an American health economist. He has been called "the dean of health economists" by New York Times economics columnist David Leonhardt.[1]

He is the Henry J. Kaiser, Jr. Professor at Stanford University, emeritus.[2] Since 1962, he has been a research associate at the National Bureau of Economic Research, and is the co-director of the FRESH-Thinking Project, CASBS, at Stanford University.[3] Fuchs was elected to the American Academy of Arts and Sciences in 1982,[4] and to the American Philosophical Society in 1990. In 1995, he served as president of the American Economic Association.[5]

A Comparison Between the United States and Canada[edit]

Also, Fuchs published a paper with James S. Hahn in the New England Journal of Medicine entitled “How Does Canada Do it? – A comparison of Expenditures for Physicians’ Services in the United States and Canada”. This paper discusses the differences in the Canadian and US healthcare spending patterns and also discusses why healthcare expenditures are so much higher in the United States. They found that the higher US expenditures were entirely based on higher fees for services, at 234% higher than Canada, even though there are more physicians per capita in Canada. This proves that the typical view of Canada saving money by delivering fewer services is false, and that the insurance setup, being a single-payer system, is what gives them the edge. [6]

This empirical analysis published in 1990 sharpened our understanding of the differences in physicians’ services between the United States and Canada regarding fees, spending, and utilization. The accentuating difference begins with the disparity in health care coverage; Canada operates under a universal health care system, which covers majority of their residents. On the other hand, the United States operates under a fragmented multi-payer system that inevitably fails to provide coverage for many Americans. [7] Moreover, the lack of correspondence between both countries regarding health care coverage validates part of the narrative reported in the Fuchs and Hahn study, which concluded that the US spent more on physicians’ services than Canada. [8]

Health care coverage in Canada provides more services at lower costs by virtue of negotiated physician fees between physician organizations and the provincial governments, as well as other limits placed on spending. [9] Furthermore, the results from this study also suggest that higher expenditures in the US is a function of many factors including higher wages earned by US physicians, the difference of physicians on demand, billing costs, quality of health care, physicians’ workload, and superfluous amenities. Notably, these factors bring to question the underlying differences in health care delivery, in which the authors reported a larger number of general practitioners in Canada for visits per capita. The limited role of general practitioners in the US compared to Canada may imply that Canadian physicians are “more inclined to recommend additional evaluation and management services.”[10] The evidence to validate that general practitioners provide more quality care than specialty physicians is inconclusive, thus more research is necessary. [11]

The lower quantity of physician services per capita coupled with higher expenditures is an example of the fundamental inefficiencies embedded within the fragmented multi-payer health care system in the US.[12] Thus a concerted effort to reform these inefficiencies has been made by the US government, which resulted in the adoption of the Patient Protection and Affordable Care Act, a noteworthy addition to the health care system since the passage of Medicare and Medicaid in 1965. The advent of this key piece of legislation is shifting the payment of care in the US from the inefficiencies of fee-for-service to payment models grounded on improved outcomes and lower health care spending.[13] Specifically, some of these models reduce costs through a team-based approach known as a medical home, which are often led by a general practitioner. Furthermore, congress is currently working on a “permanent doc fix” to control Medicare spending on physician services, also known as the Medicare Sustainable Growth Rate (SGR). [14] Since the publication of the Fuchs and Hahn article in 1990, important changes in health care policy have taken place, the outcome of these policy changes have the potential to resolve the exorbitant expenditures for physicians’ services in the US.

References[edit]

  1. ^ New York Times, 8/25/2009
  2. ^ Victor R. Fuchs, Stanford University
  3. ^ Fresh Thinking Project
  4. ^ List of active members by class, October 24, 2014
  5. ^ http://www.aeaweb.org/honors_awards/officerspast.php
  6. ^ Fuchs, Victor. "How Does Canada Do It? – A Comparison of Expenditures for Physicians’ Services in the United States and Canada", The New England Journal of Medicine, 27 September 1990.
  7. ^ PBS Newshour. (2009, October 6). Comparing International Health Care Systems. PBS NewsHour. Retrieved from http://www.pbs.org/newshour/updates/health-july-dec09-insurance_10-06
  8. ^ Fuchs, Victor. "How Does Canada Do It? – A Comparison of Expenditures for Physicians’ Services in the United States and Canada", The New England Journal of Medicine, 27 September 1990.
  9. ^ Folland,S., Goodman, A., & Stano, M. (2013). The Economics of Health and Health Care. (Ed.).New Jersey: Pearson Education.
  10. ^ Fuchs, Victor. "How Does Canada Do It? – A Comparison of Expenditures for Physicians’ Services in the United States and Canada", The New England Journal of Medicine, 27 September 1990.
  11. ^ Primary Care Physicians. (n.d.), Retrieved March 15, 2014 from the Wiki: /wiki/Primary_care_physician#Studies_of_the_quality_of_care_providedby_primary_care_physicians
  12. ^ Folland,S., Goodman, A., & Stano, M. (2013). The Economics of Health and Health Care. (Ed.). New Jersey: Pearson Education.
  13. ^ Cameron, D. (2012, July 11). Moving Beyond Health Care’s Fee-For-Service: Global Budget Payment Model Lowers Medical Spending, Improves Quality. Harvard Gazette.Retrieved from http://news.harvard.edu/gazette/story/2012/07/moving-beyond-health- cares-fee-for-service/
  14. ^ Kliff, S. (2014, February 7). The Doc-fix is in: Congress Actually Has a Plan to Overhaul Doctor Payments. The Washington Post. Retrieved from http://www.washingtonpost.com/blogs/wonkblog/wp/2014/02/07/the-doc-fix-is-in-congress-actually-has-a-plan-to-overhaul-doctor-payments

Original courtesy of Wikipedia: http://en.wikipedia.org/wiki/Victor_Fuchs — Please support Wikipedia.
This page uses Creative Commons Licensed content from Wikipedia. A portion of the proceeds from advertising on Digplanet goes to supporting Wikipedia.
23888 videos foundNext > 

https://youtube.com/devicesupport

John Shoven and Victor Fuchs on Healthcare

SIEPR director John Shoven and Professor emeritus Vic Fuchs have a conversation about the current state of health care and share their views on coverage and cost.

Victor Fuchs Milieu Défensif

Je suis actuellement à la recherche d'un club, je suis disponible pour un essai.

Victor Fuchs Part 1

Victor Fuchs comments upon health care reform issues and the Capstone Conference presentations. Part 1 of 2.

The Kalsman Institute's 2005 Partner Gathering - Lecture by Professor Victor Fuchs

Professor Victor Fuchs at the 2005 Kalsman Institute Partner Gathering lectures on economics of medicine. Fuchs is the Henry J. Kaiser, Jr., Professor of Economics and of Health Research and...

Entrevista a Jon Etxániz y Victor Fuchs en Radio Tudela es Radio (09/01/2015)

Entrevista a Jon Etxániz y Victor Fuchs en Radio Tudela es Radio. Programa Fútbol es Radio, con Paul Carcavilla, emitido el 9 de enero de 2015. www.radiotude...

Victor Fuchs Part 2

Victor Fuchs comments on health care reform and the Capstone Conference.

Brigitte & Michel FUCHS : La remorque+Au pays de Victor Hugo

Deux extraits du CD "Ma corne d'abondance" de Brigitte & Michel Fuchs, sorti en 2013. Les deux chansons sont écrites, composées et interprétées par Michel Fuchs : poète et troubadour moderne....

International Health Policy: Comparative Health Care Systems

December 4, 2009 - Victor Fuchs, Henry J. Kaiser Jr. Professor of Health and Research Policy Emeritus at Stanford, facilitates a discussion with students on the healthcare systems of other...

Victor Alexis & Anya Fuchs at Aventura Dance Cruise 2013

Victor Alexis, from Montreal, and Anya Fuchs, from Los Angeles, perform a salsa routine on the Aventura Dance Cruise, November 10, 2013.

23888 videos foundNext > 

125 news items

tagesspiegel

tagesspiegel
Sun, 26 Apr 2015 12:50:39 -0700

Schon seltsam. Sieben Jahre lang ist dem MDR für seine Leipziger "Tatort"-Ermittler nichts Rechtes eingefallen, und bei der letzten Folge am Sonntagabend haben sie es noch mal so richtig krachen lassen. Auch wenn der Ego-Trip von Kommissar Keppler ...
 
New York Times
Mon, 05 Mar 2012 15:36:51 -0800

“If we solve our health care spending, practically all of our fiscal problems go away,” said Victor Fuchs, emeritus professor of economics and health research and policy at Stanford University. And if we don't? “Then almost anything else we do will not ...
 
New York Times (blog)
Thu, 13 Mar 2014 21:01:28 -0700

Victor R. Fuchs is Professor Emeritus of Economics and Health Research and Policy at Stanford University, and author of “Who Shall Live? Health, Economics and Social Choice.” Americans spend more than 17 percent of GDP on health care; other high ...

Vavel.com

Vavel.com
Sat, 25 Apr 2015 04:48:45 -0700

... que ambos han quedado excluidos de una convocatoria compuesta de la siguiente manera: Pagola, Ribas, Lumbreras, Delgado, Unai García, Jonathan, Morgado, Reche, Lázaro, Azpilicueta, Ardanaz, Victor Fuchs, David Martín, Julen Goñi, Etxaniz y Álex.
 
Washington Post (blog)
Fri, 15 Jul 2011 08:49:00 -0700

Stanford economist Victor Fuchs's expanded second edition of “Who Shall Live?,” which applies economic theory to health and medical care, has been released this month and is as relevant today as it was when first published in 1974. Fuchs spoke to Scope ...
 
Scope (blog)
Mon, 02 Jul 2012 08:51:57 -0700

In case you didn't see it over the weekend, the New York Times ran a feature on how health care might now unfold in light of last week's Supreme Court decision. Among the experts who weighed in was Stanford health economist Victor Fuchs, PhD, who ...
 
Scope (blog)
Thu, 14 Jul 2011 09:06:46 -0700

Thirty-seven years ago, Stanford economist Victor Fuchs, PhD, penned Who Shall Live?, a book that took basic ideas in economic theory and applied them to health and medical care in a way that hadn't been done before. His now-classic publication, which ...
 
New England Journal of Medicine (subscription)
Wed, 22 Oct 2008 14:08:04 -0700

A strong case for comprehensive reform of the U.S. health care system has been made many times. The high cost of care, the large number of uninsured people, and the rapid increase in expenditures year after year have convinced many that our system is a ...
Loading

Oops, we seem to be having trouble contacting Twitter

Support Wikipedia

A portion of the proceeds from advertising on Digplanet goes to supporting Wikipedia. Please add your support for Wikipedia!

Searchlight Group

Digplanet also receives support from Searchlight Group. Visit Searchlight