New from me: Administrative burdens are bad for your health.

We spend a lot of time dealing with health care paperwork hassles. A new wave of research shows how that leads to more psychological costs and less health care.

Plz read and share.
donmoynihan.substack.com/p/administrati…
The thing about being one of the lucky Americans with health insurance is that you are also your own health care administrator.

How much time do we spend on these tasks? The equivalent of about $22 billion. 2/ donmoynihan.substack.com/p/administrati…
The $22 billion we spend on health care hassles is only a measure of the direct cost of our time. The resulting stress and frustrations lead to another $26 billion in workplace absences, and productivity losses of about $96 billion. 3/ journals.aom.org/doi/epub/10.54…
Heath care administrative burdens are incredibly common. A new nationally representative study by @afrakt & @michaelannica finds that 3 out of 4 of people dealt with them in the last year. Almost 1 in 4 reported delayed or forgone care as a result. 4/ donmoynihan.substack.com/p/administrati…
Health policy scholars have traditionally thought that some frictions are a good way to limit care to those who truly need it. But recent research instead suggests that burdens fall hardest on the most needy. 5/ donmoynihan.substack.com/p/administrati…
This piece was inspired by a conversation with @nataliesurely least year, which I cite, but you should read. The key point is that we largely don't account for the costs of health care burdens on individuals, esp. psychological costs. 6/ thenation.com/article/societ…
Also inspired by the researchers breaking new ground that we cite: @harald_tweets @PoliSciBell @MartinBaekgaard @JeffreyPfeffer @HilaryHoynes @AditiVasan @afrakt @michaelannica and many others. 7/
I'd love to hear about people's experiences with health care administrative burdens so I opened the comments.

What has gone badly (or well!) for you with your interactions with insurers and providers? How did it make you feel? 8/ donmoynihan.substack.com/p/administrati…
As always with anything I write about administrative burden, it reflects a collaboration w @pamela_herd including many of the particular papers cited healthaffairs.org/do/10.1377/hpb…

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More from @donmoyn

30 Oct
Take a minute to look at where we are: state authorities in Florida stopping professors from testifying in voting rights case.
One job of faculty is to use their expertise to speak truth to power. Here, power is silencing them. 1/
nytimes.com/2021/10/29/us/…
The most severe restrictions on campus speech come not from students, but from leaders who want to ensure that their abuses of power are not exposed. 2/
The pattern here is straightforward. Florida restricted:
*voting rights based on false claims in ways likely to hurt minority voters to protect the GOP
*teachers from talking about structural racism in the classroom
*faculty from giving evidence on the effects of these laws 3/
Read 7 tweets
26 Oct
A history professor at a tweeted criticism of VP Pence and university leadership pandemic response.
Elected officials and Fox News expressed outrage.
The College President promised to "deal with it."
Then she was fired.
(via @TheFIREorg)
thefire.org/lawsuit-fired-…
Willing to wager that a faculty fired because for speech that offended local politicians will receive only a fraction of the coverage of the faculty whose invite to MIT was rescinded. Both are bad, but the more serious attack on academic freedom will get less attention. Image
Campus Reform, College Fix, YAF and Fox routinely target faculty for their social commentary every day, hoping to create enough pressure to silence them. It has become a professional hazard. Lets be honest that these orgs don't care about free speech or cancel culture.
Read 5 tweets
23 Oct
One of the things I liked about @RottenInDenmark’s piece is his dissection of the casual tendency to compare Mao’s cultural revolution to any sort of perceived trend you disagree with. Because people do this way too much. michaelhobbes.substack.com/p/moral-panic-…
Hobbes was talking about Applebaum's piece, Friersdorf was defending Weiss. It's almost like a class of commentator who knows that Nazi comparisons won't fly, but think Stalinist or Maoist comparisons will. Andrew Sullivan is a serial offender here.
Its the "Stop comparing disagreements about campus politics to a brutal totalitarian regime" challenge
Read 4 tweets
23 Oct
You've seen the bad vax mandate headlines, the ones the emphasize the people who left even though 99% complied.
I wrote about the cognitive biases and partisan incentives behind these headlines.
Please share & consider subscribing to the free newsletter.
donmoynihan.substack.com/p/what-explain…
One thing I want to do with my blog is connect research with the real world. Once you understand denominator neglect then you understand the misleading effect of headlines that emphasize those who quit rather retain those who comply with mandates.
Stories of the rare resisters frame how we think about successful vaccine mandates.
Research by @AsmusOlsen shows that while people say they prefer statistical data to make health decisions, in reality they find anecdotes more memorable and compelling. donmoynihan.substack.com/p/what-explain…
Read 6 tweets
22 Oct
As a Packers fan, Rodgers telling Bears fans that he owned them was funny. Bears fans calling it disrespectful is not "woke culture."
Mostly what this shows is the success in rebranding "woke" to mean "anyone disagreeing with me"
thepostmillennial.com/aaron-rodgers-…
Its worth looking at the origins of the term "woke" - from Black culture, specifically about social justice - to fully appreciate how successful that negative rebranding has been.
theconversation.com/where-woke-cam…
This rebranding didn't happen organically - conservative intellectuals reframed a perspective coming from Black culture as dangerous - a "woke mob" threatening you - and civilization!
donmoynihan.substack.com/p/bullshit-bra…
Read 4 tweets
21 Oct
The attack on school officials is very much a partisan effort by the Republican Party to energeize their base nytimes.com/2021/10/21/us/…
The WI GOP candidate for Governor is directing money to school board recall elections to help her chances, and recall candidates are getting coaching from a familiar set of GOP-aligned organizations
Two other recurring patterns:
*person really mad about public school has her kid in private schools
*was drawn into school politics by COVID politics
Read 5 tweets

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