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Since 2010, insurance companies had been turned essentially into public utilities with the feds setting strict minimum benefits requirements. The health reform bill also limited the administrative costs of insurers, which has ended up basically guaranteeing their profits. With competition all but outlawed, the increasingly consolidated insurance industry has had very little incentive to pay for new treatment regimens outside those specified by government standard-setting agencies. Federal government health agencies have been reluctant to authorize newer treatments because they often lead to higher insurance premiums that then must be subsidized by higher taxes. The seen aspect of health care reform is that it has had some success in providing more Americans with access to vintage 2010 medical therapies. The unseen aspect is that more people are suffering from and dying of diseases that might well have been cured had the Obama version of health care reform never been enacted. As a result of health care reform, Americans forfeited 2020 medicine in favor of more equal access to 2010 treatments.

If internal and international migrants comprised a nation, it would be the third most populous country in the world, just after China and India. Thus, there can be little doubt that population mobility is among the leading policy issues of the 21st century. However, policies to protect migrants and global health have so far been hampered by inadequate policy attention and poor international coordination. This is the conclusion of a new article in PLoS Medicine arguing that current policy-making on migration and health has been conducted within sector silos, which frequently have different goals. Yet, population mobility is wholly compatible with health-promoting strategies for migrants if decision-makers coordinate across borders and policy sectors, say the authors, who are also serving as guest editors of a new series in PLoS Medicine on migration & health that launches this week.

Macro health news breaks when there is a natural disaster, a scientific breakthrough, or a new twist in a policy debate (see: "ACOs"). I read up on the facts and try to make sense of the latest turn of events, but usually from a comfortable distance. Micro health news breaks when a loved one gets a serious diagnosis. Then I follow the unfolding health care story with intensity and I care more about the outcome.

What could health and health care in the US look like in 2020? 

Each year, the cost of health care pushes some 39 million people back into poverty, according to a study published in the Lancet medical journal. Patients shoulder up to 80 percent of India's medical costs. Their share averages about $66 (3,000 rupees) annually per person - a crippling sum for the 800 million or so Indians living on less than $2 a day.

The high cost of health care is deterring parents from taking their children to the doctor or buying prescription medication, regardless of how much money they make or whether they have health insurance, according to a study to be presented Sunday, May 2, at the Pediatric Academic Societies (PAS) annual meeting in Denver.

A ground-breaking report released today highlights the wide range of health care needs affecting older women.

"Last year, the South Pacific Island of Tokelau, a tropical atoll governed by New Zealand, became the first completely solar powered territory on Earth. Having invested $7.2 million on the project, the island of 1500 souls is now redirecting money it would have spent on oil to education, irrigation, and health care. Could Tokelau's experience be a harbinger for the rest of the world? Maybe, maybe not. It is worth remembering, after all, that most of the island's inhabitants are subsistence farmers, and that thousands of their countrymen have emigrated to New Zealand and Samoa. An advanced economy it is not."