Welcome to American HealthScare

Thank you for your interest in making American healthcare more affordable

I look forward to your comments

Member Login
Lost your password?
Not a member yet? Sign Up!

2060 is Back!

August 19, 2024

My independent publisher decided to declare bankruptcy, which took 2060 off of Amazon and other outlets. It took a few months for bankruptcy processes to play out, and then I had to figure out my best alternative publishing options, but 2060 is back on Amazon as a paperback or Kindle version....
Read More »

Primary Care Systems in the News — Do They Work?

January 28, 2024

This is the second in a series of conversations I had with some open-minded colleagues who also deeply want to seen meaningful change in the U.S. healthcare system. The person I primarily responded to mentioned a chapter in Pursuing the Triple Aim. Here is what I wrote back to him: I...
Read More »

Misleading Conclusions on Outcomes of Cardiovascular Disease Chronic Care

January 15, 2024
Misleading Conclusions on Outcomes of Cardiovascular Disease Chronic Care

I’m in an email group that is all in agreement that the U.S. healthcare system is exorbitantly expensive and needs reform. We come from wildly different backgrounds. The variety of perspectives is wonderful. However, a claim of some of the contributors is that aggressive medical therapy of cardiovascular disease (CVD) chronic...
Read More »

A Great Review of 2060

November 8, 2023

2060 was reviewed in the latest issue of the journal Family Medicine. Here is the link: https://journals.stfm.org/familymedicine/2023/november-december/br-salzman-0214/ I won’t repeat the entire review here, but here are the concluding thoughts: Dr Young describes health care in other developed countries that provides better outcomes for substantially lower costs and makes the case...
Read More »

2060: First Chapter

September 11, 2023

2060 is getting great reviews on Amazon. Order 2060 here. For those of you who haven’t purchased 2060, I present Chapter 1. July 12, 2060 Willis Smith walked towards the front doors of the Prairie Oaks nursing home as he had for the umpteenth time in the last six months. This...
Read More »

Announcing my New Book, 2060

August 10, 2023

I am thrilled to announce the publication of my new novel, 2060. Here is a link (but it’s on all the major publishing websites) https://www.amazon.com/2060-Richard-Young-ebook/dp/B0C3826FZ1/ref=sr_1_1?crid=18IJKL4Y8V8ST&keywords=2060&qid=1691704103&s=books&sprefix=2060%2Cstripbooks%2C127&sr=1-1 Here is the teaser: A realistic portrayal of the future dystopian realities of the American healthcare system. Willis Smith lives a Gen-Z nightmare. He has survived...
Read More »

The Micro-Economics of Healthcare — Older Diabetes Treatments

October 12, 2022

The topic today is some of the older diabetes treatments. I’ll cover some of the newer agents–jardiance, ozempic, trulicity, and so on–next month. The cost-effectiveness literature covers individual drugs and overall goals such as “intensive glucose control” or “goal of normoglycemia.” Before I get into the details, I will try to...
Read More »

Micro-Economics of Healthcare – Screening and Preventing Diabetes

September 11, 2022

Since diabetes was the disease that started me on this journey, I’ll get into it now. I’ll break this huge issue into smaller posts. Since I went into great detail about the methods of the literature with the hypertension post, I’ll keep these shorter. Screening for and preventing diabetes does not...
Read More »

The Micro-Economics of Healthcare: Hypertension

August 30, 2022

I’m on an email group whose members are heavy into the money side of healthcare. They are fighting back against our exorbitantly expensive healthcare system. The members of this group know a lot about the macro-economics of healthcare—overall spend, spend by major categories, some cross-national comparisons—and the finance of healthcare—carve-outs, loss...
Read More »

Family Physician Work Administrators Never See

February 24, 2022

A very smart person in the healthcare benefits space wrote that family physicians can’t influence much the top 25 most costly DRGs in hospitals. Here was my response: There are many reasons this isn’t true. But it’s understandable that a benefits or administrative person would have no inkling of this, because...
Read More »


Blog Archives