David U Himmelstein

Summary

Affiliation: Harvard University
Country: USA

Publications

  1. pmc Lack of health coverage among US veterans from 1987 to 2004
    David U Himmelstein
    Department of Medicine, Cambridge Health Alliance Harvard Medical School, Cambridge, Mass 02139, USA
    Am J Public Health 97:2199-203. 2007
  2. ncbi request reprint Privatization in a publicly funded health care system: the U.S. experience
    David U Himmelstein
    Department of Medicine, Cambridge Hospital Harvard Medical School, MA 02139, USA
    Int J Health Serv 38:407-19. 2008
  3. pmc Access to care, health status, and health disparities in the United States and Canada: results of a cross-national population-based survey
    Karen E Lasser
    Department of Medicine, The Cambridge Health Alliance and Harvard Medical School, Cambridge, Mass, USA
    Am J Public Health 96:1300-7. 2006
  4. pmc The health and health care of US prisoners: results of a nationwide survey
    Andrew P Wilper
    Departmentof Medicine, Cambridge Health Alliance, Cambridge, USA
    Am J Public Health 99:666-72. 2009
  5. pmc U.S. physicians' views on financing options to expand health insurance coverage: a national survey
    Danny McCormick
    Department of Medicine, Cambridge Hospital and Harvard Medical School, Cambridge, MA 02139, USA
    J Gen Intern Med 24:526-31. 2009
  6. pmc Free drug samples in the United States: characteristics of pediatric recipients and safety concerns
    Sarah L Cutrona
    Department of Medicine, Cambridge Health Alliance and Harvard Medical School, Cambridge, MA 02139, USA
    Pediatrics 122:736-42. 2008
  7. doi request reprint Hypertension, diabetes, and elevated cholesterol among insured and uninsured U.S. adults
    Andrew P Wilper
    Department of Medicine, University of Washington, USA
    Health Aff (Millwood) 28:w1151-9. 2009
  8. pmc Characteristics of recipients of free prescription drug samples: a nationally representative analysis
    Sarah L Cutrona
    Department of Medicine, Cambridge Hospital, 1493 Cambridge St, Cambridge, MA 02139, USA
    Am J Public Health 98:284-9. 2008
  9. pmc Health insurance and mortality in US adults
    Andrew P Wilper
    Department of Medicine, Cambridge Health Alliance, Harvard Medical School, Cambridge, MA, USA
    Am J Public Health 99:2289-95. 2009
  10. ncbi request reprint A national study of chronic disease prevalence and access to care in uninsured U.S. adults
    Andrew P Wilper
    Cambridge Health Alliance Harvard Medical School, Cambridge, Massachusetts 02139, USA
    Ann Intern Med 149:170-6. 2008

Detail Information

Publications50

  1. pmc Lack of health coverage among US veterans from 1987 to 2004
    David U Himmelstein
    Department of Medicine, Cambridge Health Alliance Harvard Medical School, Cambridge, Mass 02139, USA
    Am J Public Health 97:2199-203. 2007
    ..We sought to determine how many veterans were uninsured, trends in veterans' coverage, and whether uninsured veterans lacked access to medical care...
  2. ncbi request reprint Privatization in a publicly funded health care system: the U.S. experience
    David U Himmelstein
    Department of Medicine, Cambridge Hospital Harvard Medical School, MA 02139, USA
    Int J Health Serv 38:407-19. 2008
    ..The poor performance of U.S. health care is directly attributable to reliance on market mechanisms and for-profit firms, and should warn other nations from this path...
  3. pmc Access to care, health status, and health disparities in the United States and Canada: results of a cross-national population-based survey
    Karen E Lasser
    Department of Medicine, The Cambridge Health Alliance and Harvard Medical School, Cambridge, Mass, USA
    Am J Public Health 96:1300-7. 2006
    ..We compared health status, access to care, and utilization of medical services in the United States and Canada and compared disparities according to race, income, and immigrant status...
  4. pmc The health and health care of US prisoners: results of a nationwide survey
    Andrew P Wilper
    Departmentof Medicine, Cambridge Health Alliance, Cambridge, USA
    Am J Public Health 99:666-72. 2009
    ..We analyzed the prevalence of chronic illnesses, including mental illness, and access to health care among US inmates...
  5. pmc U.S. physicians' views on financing options to expand health insurance coverage: a national survey
    Danny McCormick
    Department of Medicine, Cambridge Hospital and Harvard Medical School, Cambridge, MA 02139, USA
    J Gen Intern Med 24:526-31. 2009
    ..Physician opinion can influence the prospects for health care reform, yet there are few recent data on physician views on reform proposals or access to medical care in the United States...
  6. pmc Free drug samples in the United States: characteristics of pediatric recipients and safety concerns
    Sarah L Cutrona
    Department of Medicine, Cambridge Health Alliance and Harvard Medical School, Cambridge, MA 02139, USA
    Pediatrics 122:736-42. 2008
    ..Free drug samples frequently are given to children. We sought to describe characteristics of free sample recipients, to determine whether samples are given primarily to poor and uninsured children, and to examine potential safety issues...
  7. doi request reprint Hypertension, diabetes, and elevated cholesterol among insured and uninsured U.S. adults
    Andrew P Wilper
    Department of Medicine, University of Washington, USA
    Health Aff (Millwood) 28:w1151-9. 2009
    ..Undiagnosed and uncontrolled chronic illness, which is common among insured people, is even more frequent among the uninsured...
  8. pmc Characteristics of recipients of free prescription drug samples: a nationally representative analysis
    Sarah L Cutrona
    Department of Medicine, Cambridge Hospital, 1493 Cambridge St, Cambridge, MA 02139, USA
    Am J Public Health 98:284-9. 2008
    ..Free prescription drug samples are used widely in the United States. We sought to examine characteristics of free drug sample recipients nationwide...
  9. pmc Health insurance and mortality in US adults
    Andrew P Wilper
    Department of Medicine, Cambridge Health Alliance, Harvard Medical School, Cambridge, MA, USA
    Am J Public Health 99:2289-95. 2009
    ..A 1993 study found a 25% higher risk of death among uninsured compared with privately insured adults. We analyzed the relationship between uninsurance and death with more recent data...
  10. ncbi request reprint A national study of chronic disease prevalence and access to care in uninsured U.S. adults
    Andrew P Wilper
    Cambridge Health Alliance Harvard Medical School, Cambridge, Massachusetts 02139, USA
    Ann Intern Med 149:170-6. 2008
    ..No recent national studies have assessed chronic illness prevalence or access to care among persons without insurance in the United States...
  11. ncbi request reprint Single-payer national health insurance. Physicians' views
    Danny McCormick
    Department of Medicine, Cambridge Hospital and Harvard Medical School, Cambridge, MA 02139, USA
    Arch Intern Med 164:300-4. 2004
    ..One proposed solution is a single-payer health care financing system with universal coverage. Yet, physicians' views of such a system have not been well studied...
  12. doi request reprint Hospital computing and the costs and quality of care: a national study
    David U Himmelstein
    Department of Medicine, Cambridge Hospital Harvard Medical School, Cambridge, MA 02139, USA
    Am J Med 123:40-6. 2010
    ..However, no previous studies have examined computerization's cost and quality impacts at a diverse national sample of hospitals...
  13. ncbi request reprint Relationship between low quality-of-care scores and HMOs' subsequent public disclosure of quality-of-care scores
    Danny McCormick
    Department of Medicine, Cambridge Hospital and Harvard Medical School, 1493 Cambridge St, Cambridge, MA 02139, USA
    JAMA 288:1484-90. 2002
    ..But, because disclosure is voluntary, some HMOs could subvert these objectives by refusing to release unfavorable data...
  14. ncbi request reprint Health care administration in the United States and Canada: micromanagement, macro costs
    Steffie Woolhandler
    Harvard Medical School, Cambridge, MA 02139, USA
    Int J Health Serv 34:65-78. 2004
    ..2 to 27.3 percent; in Canada it grew from 16.0 percent in 1971 to 19.1 percent in 1996. Reducing U.S. administrative costs to Canadian levels would save at least dollar 209 billion annually, enough to fund universal coverage...
  15. ncbi request reprint Do minorities in the United States receive fewer mental health services than whites?
    Karen E Lasser
    Department of Medicine, Cambridge Hospital, MA 02139, USA
    Int J Health Serv 32:567-78. 2002
    ..6 vs. 85.1; P < .0001 for both comparisons) and drug therapy (38.3 and 29.1 vs. 71.8; P < .0001 for both comparisons). These results indicate that minorities receive about half as much outpatient mental health care as whites...
  16. ncbi request reprint Massachusetts' approach to universal coverage: high hopes and faulty economic logic
    David U Himmelstein
    Department of Medicine, Cambridge Hospital Harvard Medical School, Cambridge, MA 02139, USA
    Int J Health Serv 37:251-7. 2007
    ..Hence, it is unlikely to achieve universal coverage or to stabilize the state's health care financing system...
  17. ncbi request reprint Our health care system at the crossroads: single payer or market reform?
    David U Himmelstein
    The Department of Medicine, Cambridge Health Alliance Harvard Medical School, Cambridge, Massachusetts, USA
    Ann Thorac Surg 84:1435-46. 2007
  18. pmc Competition in a publicly funded healthcare system
    Steffie Woolhandler
    Department of Medicine, Cambridge Hospital, Harvard Medical School, Cambridge, MA, USA
    BMJ 335:1126-9. 2007
  19. ncbi request reprint State health reform flatlines
    Steffie Woolhandler
    Cambridge Hospital, MA 02139, USA
    Int J Health Serv 38:585-92. 2008
    ..Unfortunately, none of those efforts can be judged a success. The authors briefly review this earlier experience and caution against premature declaration of victory...
  20. pmc Life and health insurance industry investments in fast food
    Arun V Mohan
    Department of Psychiatry, Cambridge Health Alliance, Cambridge, MA 02139, USA
    Am J Public Health 100:1029-30. 2010
    ..Insurers own $1.88 billion of stock in the 5 leading fast food companies. We argue that insurers ought to be held to a higher standard of corporate responsibility, and we offer potential solutions...
  21. ncbi request reprint Proposal of the Physicians' Working Group for Single-Payer National Health Insurance
    Steffie Woolhandler
    Department of Medicine, Cambridge Hospital Harvard Medical School, Cambridge, Mass 02139, USA
    JAMA 290:798-805. 2003
    ..An NHI program is the only affordable option for universal, comprehensive coverage...
  22. ncbi request reprint Costs of health care administration in the United States and Canada
    Steffie Woolhandler
    Department of Medicine, Cambridge Hospital and Harvard Medical School, Cambridge, Mass, USA
    N Engl J Med 349:768-75. 2003
    ..We investigated whether the ascendancy of computerization, managed care, and the adoption of more businesslike approaches to health care have decreased administrative costs...
  23. ncbi request reprint Administrative waste in the U.S. health care system in 2003: the cost to the nation, the states, and the District of Columbia, with state-specific estimates of potential savings
    David U Himmelstein
    The Cambridge Hospital Harvard Medical School, MA 02139, USA
    Int J Health Serv 34:79-86. 2004
    ..Because incremental reforms necessarily preserve the current fragmented and duplicative payment structure, they cannot achieve significant bureaucratic savings...
  24. pmc Health care expenditures of immigrants in the United States: a nationally representative analysis
    Sarita A Mohanty
    Department of Medicine, Division of Geriatric and General Internal Medicine, University of Southern California, 2020 Zonal Ave, IRD 627, Los Angeles, CA 90033, USA
    Am J Public Health 95:1431-8. 2005
    ..We compared the health care expenditures of immigrants residing in the United States with health care expenditures of US-born persons...
  25. doi request reprint Medical bankruptcy in the United States, 2007: results of a national study
    David U Himmelstein
    Department of Medicine, Cambridge Hospital Harvard Medical School, Cambridge, Mass 02139, USA
    Am J Med 122:741-6. 2009
    ..Our 2001 study in 5 states found that medical problems contributed to at least 46.2% of all bankruptcies. Since then, health costs and the numbers of un- and underinsured have increased, and bankruptcy laws have tightened...
  26. ncbi request reprint Taking care of business: HMOs that spend more on administration deliver lower-quality care
    David U Himmelstein
    Department of Medicine, The Cambridge Hospital, MA 02139, USA
    Int J Health Serv 32:657-67. 2002
    ..Excess HMO bureaucracy is not only wasteful but harmful...
  27. pmc National health insurance or incremental reform: aim high, or at our feet?
    David U Himmelstein
    Department of Medicine, Cambridge Hospital Harvard Medical School, Mass, USA
    Am J Public Health 93:102-5. 2003
    ..While national health insurance is often dismissed as ultra left by the policy community, it is dead center in public opinion. Polls have consistently shown that at least 40%, and perhaps 60%, of Americans favor such reform...
  28. pmc Sources of U.S. physician income: the contribution of government payments to the specialist-generalist income gap
    Karen E Lasser
    Department of Medicine, The Cambridge Health Alliance and Harvard Medical School, Cambridge, MA 02139, USA
    J Gen Intern Med 23:1477-81. 2008
    ..Physician income varies threefold among specialties. Lower incomes have produced shortages in primary care fields...
  29. pmc Consumer directed healthcare: except for the healthy and wealthy it's unwise
    Steffie Woolhandler
    The Department of Medicine, Cambridge Hospital, Harvard Medical School, 1493 Cambridge Street, Cambridge, MA 02139, USA
    J Gen Intern Med 22:879-81. 2007
    ..They offer little hope of slowing the growth of health care costs and add further bureaucratic costs and complexity to our health care financing system...
  30. pmc Treating opioid addiction with buprenorphine-naloxone in community-based primary care settings
    Ira L Mintzer
    Harvard Medical School Cambridge Health Alliance, Cambridge, MA 02139, USA
    Ann Fam Med 5:146-50. 2007
    ..Efficacy of this treatment in non-research clinical settings has not been studied. We examined the efficacy and practicality of buprenorphine-naloxone treatment in primary care settings...
  31. ncbi request reprint National health insurance: liberal benefits, conservative spending
    Steffie Woolhandler
    Cambridge, MA 02139, USA
    Arch Intern Med 162:973-5. 2002
  32. pmc Diabetes and cardiovascular disease among Asian Indians in the United States
    Sarita A Mohanty
    Department of Medicine, Division of Geriatric and General Internal Medicine, University of Southern California, Los Angeles, CA 90033, USA
    J Gen Intern Med 20:474-8. 2005
    ..Studies, mostly from outside the United States, have found high prevalence of diabetes, coronary heart disease (CHD), and hypertension among Asian Indians, despite low rates of associated risk factors...
  33. doi request reprint Waits to see an emergency department physician: U.S. trends and predictors, 1997-2004
    Andrew P Wilper
    Harvard Medical School affiliated with the Cambridge Health Alliance, in Cambridge, Massachusetts, USA
    Health Aff (Millwood) 27:w84-95. 2008
    ..2 percent per year. Blacks, Hispanics, women, and patients seen in urban EDs waited longer than other patients did...
  34. ncbi request reprint U.S. medical students' knowledge about the military draft, the Geneva Conventions, and military medical ethics
    J Wesley Boyd
    Int J Health Serv 37:643-50. 2007
    ..9 percent could not state when they would be required to disobey an unethical order...
  35. pmc No care for the caregivers: declining health insurance coverage for health care personnel and their children, 1988-1998
    Brady G S Case
    Harvard Medical School, 955 Massachusetts Ave, PMB 321, Cambridge, MA 02139, USA
    Am J Public Health 92:404-8. 2002
    ..This study examined trends in health insurance coverage for health care workers and their children between 1988 and 1998...
  36. pmc The high costs of for-profit care
    Steffie Woolhandler
    Department of Medicine, Cambridge Hospital Harvard Medical School, Cambridge, MA 02139, USA
    CMAJ 170:1814-5. 2004
  37. pmc Infective endocarditis in the U.S., 1998-2009: a nationwide study
    David H Bor
    Department of Medicine and Division of Infectious Diseases, Cambridge Health Alliance Harvard Medical School, Cambridge, Massachusetts, United States of America
    PLoS ONE 8:e60033. 2013
    ..S. at about 4 per 100,000 population. Small-scale studies elsewhere have reported similar incidence rates. However, no nationally-representative population-based studies have verified these estimates...
  38. ncbi request reprint Timing of new black box warnings and withdrawals for prescription medications
    Karen E Lasser
    Department of Medicine, Cambridge Hospital, Cambridge, MA 02139, USA
    JAMA 287:2215-20. 2002
    ..Recently approved drugs may be more likely to have unrecognized adverse drug reactions (ADRs) than established drugs, but no recent studies have examined how frequently postmarketing surveillance identifies important ADRs...
  39. doi request reprint US health care: single-payer or market reform
    David U Himmelstein
    Harvard Medical School, Department of Medicine, Cambridge Hospital, Cambridge MA 02139, USA
    Urol Clin North Am 36:57-62, vi. 2009
    ..NHI could restore the physician-patient relationship, offer patients a free choice of physicians and hospitals, and free physicians from the hassles of insurance paperwork...
  40. ncbi request reprint Does investor-ownership of nursing homes compromise the quality of care?
    Charlene Harrington
    Department of Social and Behavioral Sciences, University of California, San Francisco, USA
    Int J Health Serv 32:315-25. 2002
    ..In the multivariate analysis, investor-ownership predicted 0.679 additional deficiencies per home; chain-ownership predicted an additional 0.633 deficiencies per home. Nurse staffing ratios were markedly lower at investor-owned homes...
  41. ncbi request reprint Discounting the debtors will not make medical bankruptcy disappear
    David U Himmelstein
    Harvard Medical School, USA
    Health Aff (Millwood) 25:w84-8; discussion w93. 2006
    ..However, the data from the bankruptcy courts are undeniable. Bankruptcies affect mainly middle-class, privately insured families, and about half are triggered, at least in part, by illnesses...
  42. pmc Brief report: Influenza vaccination and health care workers in the United States
    William D King
    CARE Center, Department of Infectious Disease, University of California, Los Angeles, CA, USA
    J Gen Intern Med 21:181-4. 2006
    ..To determine influenza vaccination rates among U.S. health care workers (HCWs) by demographic and occupational categories...
  43. ncbi request reprint The new Massachusetts health reform: half a step forward and three steps back
    Steffie Woolhandler
    Physicians for a National Health Program, USA
    Hastings Cent Rep 36:19-21. 2006
  44. ncbi request reprint America's neglected veterans: 1.7 million who served have no health coverage
    Steffie Woolhandler
    Harvard Medical School, USA
    Int J Health Serv 35:313-23. 2005
    ..Thus millions of U.S. veterans and their family members are uninsured and face grave difficulties in gaining access to even the most basic medical care...
  45. ncbi request reprint Utilization management: a bad review
    David U Himmelstein
    Am J Med 117:703-5. 2004
  46. pmc Getting more for their dollar: Kaiser v the NHS. Price adjustments falsify comparison
    David U Himmelstein
    BMJ 324:1332; author reply 1332. 2002
  47. ncbi request reprint Paying for national health insurance--and not getting it
    Steffie Woolhandler
    Harvard Medical School, USA
    Health Aff (Millwood) 21:88-98. 2002
    ..National health insurance would require smaller tax increases than most people imagine and would make government's role in financing care more visible and explicit...
  48. ncbi request reprint National health insurance
    Steffie Woolhandler
    Health Aff (Millwood) 21:299. 2002
  49. ncbi request reprint National health insurance: falling expectations and the safety net
    Steffie Woolhandler
    Med Care 42:403-5. 2004
  50. ncbi request reprint Double catastrophe: injury-related bankruptcies
    Steffie Woolhandler
    Med Care 45:699-701. 2007