Wheelchair? Hearing Aids? Yes. ‘Disabled’? No Way.

In her house in Ypsilanti, Michigan, Barbara Meade said, “there are walkers and wheelchairs and oxygen and cannulas all over the place.” Barbara, 82, has chronic obstructive pulmonary disease, so a portable oxygen tank accompanies her everywhere. Spinal stenosis limits her mobility, necessitating the walkers and wheelchairs and considerable help from her husband, Dennis, who…

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High deductible health plans: Lessons from Singapore

Republicans are pushing for increased use of high deductible health plans (HDHP). HDHPs have increased over time, from 29% of all employer health plans in 2021 to 33% of all employer health plans in 2025. One country that has successfully used HDHP is Singapore. A 2020 Commonweath Fund Report summarizes 3 components of the Singapore’s…

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Types of uncertainty in health economic modelling

There are four primary types of uncertainty in health economic modelling: Heterogeneity: Variation between individuals that can be explained by their characteristicsStochastic uncertainty: Variation between individuals that cannot be explained by their characteristics, Parameter uncertainty: Uncertainty in the estimated values for the parameters that define the modelStructural uncertainty: Uncertainty in model outcomes that arise from…

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Is Caring Productive?

That is the title of a paper by Longo et al. (2025). The authors use dynamic panel data on Adult Social Care (ASC) in the UK. What is ASC include: A quick explainer about ASC in the UK: In England, there are 152 upper-tier local authorities (LAs) who are responsible for publicly-funded ASC services. Access…

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