Category Archives: Health care

Cigna: Crapification or Insurance Fraud?

We’ve been slowly working toward a theory of crapification and if we manage to sort it out, we might even develop a school of craopnomics. But in reality, Corporate America presumably already has that well codified but has yet to release the playbook to the great unwashed masses.

As much as I am of two minds about sharing personal anecdotes with readers, my recent experiences with the health insurer Cigna amount to several case studies in crapification in one nasty package. Moreover, since the American health care policy is to force even more Americans into the health insurance regime and call it “health care,” I thought my tale might elicit similar accounts from readers, as well as input from people who’ve worked in the insurance industry as to how much of what I am experiencing is incompetence versus design.


Do Trans Fat Bans Save Lives?

Artificial trans fat is omnipresent in the global food chain, but the medical consensus is that it increases the risk of developing cardiovascular diseases such as heart disease and stroke. Between 2007 and 2011, New York City and six other county health departments implemented bans on trans fat in restaurants. This column presents the first evaluation of the effect of these bans on cardiovascular disease mortality rates.


Credence Goods: The Unique Economics of Health Care

Why health care will never work as a market good – there are extreme information asymmetries between the providers and the patients. That means, among other things, we need to recognize the inability of patients to know if they are getting good care or not (beyond a basic level of attentiveness) and the ease of getting them to believe that a lot of treatment, as in overtreatment, is tantamount to “good care”.


How Obamacare Policy Holders and Big Pharma Lose Out from Insurers Gaming Plan Designs

At one level, it’s vastly amusing to watch Big Pharma, through its powerful lobbying group PhRMA, complaining that its ox is being gored by insurers through how they’ve designed Obamacare plans. On another, though, the analysis prepared for PhRMA confirms what this site has long argued, that the Obamacare plans represent a deliberate effort to extract more rents from the public at large on behalf of the medical-industrial complex.