Uwe Reinhardt
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Uwe Ernst Reinhardt (September 24, 1937 – November 14, 2017) was a
professor Professor (commonly abbreviated as Prof.) is an Academy, academic rank at university, universities and other post-secondary education and research institutions in most countries. Literally, ''professor'' derives from Latin as a "person who pr ...
of
political economy Political economy is the study of how Macroeconomics, economic systems (e.g. Marketplace, markets and Economy, national economies) and Politics, political systems (e.g. law, Institution, institutions, government) are linked. Widely studied ph ...
at
Princeton University Princeton University is a private university, private research university in Princeton, New Jersey. Founded in 1746 in Elizabeth, New Jersey, Elizabeth as the College of New Jersey, Princeton is the List of Colonial Colleges, fourth-oldest ins ...
and held several positions in the healthcare industry. Reinhardt was a prominent scholar in
health care economics Health economics is a branch of economics concerned with issues related to efficiency, effectiveness, value and behavior in the production and consumption of health and healthcare. Health economics is important in determining how to impr ...
and a frequent speaker and author on subjects ranging from the war in
Iraq Iraq,; ku, عێراق, translit=Êraq officially the Republic of Iraq, '; ku, کۆماری عێراق, translit=Komarî Êraq is a country in Western Asia. It is bordered by Turkey to Iraq–Turkey border, the north, Iran to Iran–Iraq ...
to the future of Medicare.


Biography

Reinhardt was born 1937 in
Osnabrück Osnabrück (; wep, Ossenbrügge; archaic ''Osnaburg'') is a city in the German state of Lower Saxony. It is situated on the river Hase in a valley penned between the Wiehen Hills and the northern tip of the Teutoburg Forest. With a population ...
, Germany, and later emigrated to Canada where he received his
Bachelor of Commerce A Bachelor of Commerce (abbreviated BComm or BCom; also, ''baccalaureates commercii'') is an undergraduate degree in business, usually awarded in Canada, Australia, India, Sri Lanka, Pakistan, Ireland, New Zealand, Ghana, South Africa, Myanmar, ...
degree from
University of Saskatchewan A university () is an institution of higher (or tertiary) education and research which awards academic degrees in several academic disciplines. Universities typically offer both undergraduate and postgraduate programs. In the United States, t ...
. He later received a
Ph.D. A Doctor of Philosophy (PhD, Ph.D., or DPhil; Latin: or ') is the most common degree at the highest academic level awarded following a course of study. PhDs are awarded for programs across the whole breadth of academic fields. Because it is ...
in
economics Economics () is the social science that studies the Production (economics), production, distribution (economics), distribution, and Consumption (economics), consumption of goods and services. Economics focuses on the behaviour and intera ...
from
Yale University Yale University is a private research university in New Haven, Connecticut. Established in 1701 as the Collegiate School, it is the third-oldest institution of higher education in the United States and among the most prestigious in the wo ...
in 1970, with a thesis titled "An Economic Analysis of Physicians' Practices" under the supervision of Richard Ruggles. He taught courses in
economic theory Economics () is the social science that studies the production, distribution, and consumption of goods and services. Economics focuses on the behaviour and interactions of economic agents and how economies work. Microeconomics analyzes ...
and
policy Policy is a deliberate system of guidelines to guide decisions and achieve rational outcomes. A policy is a statement of intent and is implemented as a procedure or protocol. Policies are generally adopted by a governance body within an organ ...
,
accounting Accounting, also known as accountancy, is the measurement, processing, and communication of financial and non financial information about economic entities such as businesses and corporations. Accounting, which has been called the "languag ...
, and
health economics Health economics is a branch of economics concerned with issues related to efficiency, effectiveness, value and behavior in the production and consumption of health and healthcare. Health economics is important in determining how to improv ...
and
policy Policy is a deliberate system of guidelines to guide decisions and achieve rational outcomes. A policy is a statement of intent and is implemented as a procedure or protocol. Policies are generally adopted by a governance body within an organ ...
. Reinhardt's scholarly work focused on economics and policy and included more far-reaching topics such as cost-benefit analyses of the
Lockheed L-1011 TriStar The Lockheed L-1011 TriStar, also known as the L-1011 (pronounced "El-ten-eleven") and TriStar, is an American medium-to-long-range, wide-body trijet airliner built by the Lockheed Corporation. It was the third wide-body airliner to enter comme ...
and the
Space Shuttle The Space Shuttle is a retired, partially reusable low Earth orbital spacecraft system operated from 1981 to 2011 by the U.S. National Aeronautics and Space Administration (NASA) as part of the Space Shuttle program. Its official program na ...
. He died of sepsis on November 14, 2017 in Princeton, NJ. Reinhardt was married to Tsung-Mei Cheng, also known as May Reinhardt. In July 2015 Reinhardt's 2013 syllabus and first lecture for a class titled "Introductory Korean Drama" received attention from several bloggers. By way of explanation, Reinhardt introduced the class by stating It was not clear whether Reinhardt actually intended to teach the course.


Research

Reinhardt's research focused on hospital pricing, systems of health care around the world, Medicare reform, and health care spending. His work appeared in ''Health Affairs'', ''
The New England Journal of Medicine ''The New England Journal of Medicine'' (''NEJM'') is a weekly medical journal published by the Massachusetts Medical Society. It is among the most prestigious peer-reviewed medical journals as well as the oldest continuously published one. His ...
'', ''
JAMA ''The Journal of the American Medical Association'' (''JAMA'') is a peer-reviewed medical journal published 48 times a year by the American Medical Association. It publishes original research, reviews, and editorials covering all aspects of biom ...
'', ''
The British Medical Journal ''The BMJ'' is a weekly peer-reviewed medical trade journal, published by the trade union the British Medical Association (BMA). ''The BMJ'' has editorial freedom from the BMA. It is one of the world's oldest general medical journals. Origina ...
,'' and ''The
European Heart Journal The ''European Heart Journal'' is a peer-reviewed medical journal of cardiology published by Oxford University Press on a weekly basis, on behalf of the European Society of Cardiology. The first issue was published in February 1980. Overview ...
''. In one paper, Reinhardt discusses the obstacles to success of consumer-directed health care in light of the lack of transparency in
hospital A hospital is a health care institution providing patient treatment with specialized health science and auxiliary healthcare staff and medical equipment. The best-known type of hospital is the general hospital, which typically has an emerge ...
pricing. He suggests several reforms that could lead to better information on hospital pricing for consumer decision-making, including a national set of
diagnosis-related group Diagnosis-related group (DRG) is a system to classify hospital cases into one of originally 467 groups, with the last group (coded as 470 through v24, 999 thereafter) being "Ungroupable". This system of classification was developed as a collaborat ...
weights to which each hospital could then apply its own conversion factor. Reinhardt's previous work on hospitals examined the
tax A tax is a compulsory financial charge or some other type of levy imposed on a taxpayer (an individual or legal entity) by a governmental organization in order to fund government spending and various public expenditures (regional, local, or n ...
and cost of equity capital advantages of not-for-profit hospitals over
for-profit hospital For-profit hospitals, sometimes referred to as alternatively investor-owned hospitals, are investor-owned hospitals or hospital networks. Many of the for-profit hospitals are located in Europe and North America, with many of them established particu ...
s. Reinhardt's scholarship analyzed the U.S.
health care industry The healthcare industry (also called the medical industry or health economy) is an aggregation and integration of sectors within the economic system that provides goods and services to treat patients with curative, preventive, rehabilitative, a ...
in relation to systems around the world. He argued that higher U.S. health spending is a result of higher U.S. per capita gross domestic product (GDP) as well as intricate and disjointed payment systems. Reinhardt's work on foreign systems of health care includes a 2004 analysis of
Switzerland ). Swiss law does not designate a ''capital'' as such, but the federal parliament and government are installed in Bern, while other federal institutions, such as the federal courts, are in other cities (Bellinzona, Lausanne, Luzern, Neuchâtel ...
that appeared in ''JAMA''. In it, Reinhardt argued that there is little correlation between the prevalence of consumer choice and the high quality of Swiss
health care Health care or healthcare is the improvement of health via the prevention, diagnosis, treatment, amelioration or cure of disease, illness, injury, and other physical and mental impairments in people. Health care is delivered by health profe ...
. In 2003, Reinhardt and 14 other experts on health policy and the private health care industry signed an open letter arguing that Medicare should lead the U.S. health care industry in paying for performance by tying financial reimbursement to quality measures. Reinhardt's work on health care spending includes his argument that the aging of the U.S. population is not the primary cause of the growth in U.S. health care spending.


Private industry and advisory roles

In addition to his university duties, Reinhardt was active as an advisor for government, non-profit organizations, and private industry and held directorships in various for-profit companies in the health industry. Reinhardt served on the Governing Council of the Institute of Medicine of the National Academy of Sciences between 1979 and 1982, after election to the Institute in 1978. At the Institute, he served on a number of study panels, including the Committee on the Implications of For-Profit Medicine, the Committee on Technical Innovation in Medicine, the Committee on the Implications of a Physicians Surplus, and the Committee on the U.S. Physician Supply. In 1996, he was appointed to the Board of Health Care services of the Institute. From 1986-1995, Reinhardt served three consecutive three-year terms as a Commissioner on the Physician Payment Review Commission (PPRC), established in 1986 by the Congress to advise it on issues related to the payment of physicians. Reinhardt served as a Commissioner for the
Kaiser Family Foundation KFF (Kaiser Family Foundation), also known as The Henry J. Kaiser Family Foundation, is an American non-profit organization, headquartered in San Francisco, California. It prefers KFF since its legal name can cause confusion as it is no longer a ...
Commission on Medicaid and the Uninsured. Reinhardt was a member of numerous editorial boards, among them
The New England Journal of Medicine ''The New England Journal of Medicine'' (''NEJM'') is a weekly medical journal published by the Massachusetts Medical Society. It is among the most prestigious peer-reviewed medical journals as well as the oldest continuously published one. His ...
,
JAMA ''The Journal of the American Medical Association'' (''JAMA'') is a peer-reviewed medical journal published 48 times a year by the American Medical Association. It publishes original research, reviews, and editorials covering all aspects of biom ...
, The Journal of Health Economics, the Milbank Quarterly, and Health Affairs. Reinhardt served as a trustee of
Duke University Duke University is a private research university in Durham, North Carolina. Founded by Methodists and Quakers in the present-day city of Trinity in 1838, the school moved to Durham in 1892. In 1924, tobacco and electric power industrialist James ...
and the Tekla Family of Funds. He also served on the Boards of Directors of
Boston Scientific Corporation Boston Scientific Corporation ("BSC"), incorporated in Delaware, is a biomedical/biotechnology engineering firm and multinational manufacturer of medical devices used in interventional medical specialties, including interventional radiology, in ...
, a leading maker of medical devices, and Amerigroup Corporation, a large health insurer whose clients consist primarily of persons enrolled in Medicare. He served on the Board of Directors of Triad Hospitals, Inc, until that company was merged into
Community Health Systems Community Health Systems (CHS) is a Fortune 500 company based in Franklin, Tennessee. It was the largest provider of general hospital healthcare services in the United States in terms of number of acute care facilities. In 2014, CHS had around 20 ...
in 2007. He was a regular contributor to the ''New York Times Economix blog, where he wrote about economic matters, particularly the economics of health care.


Role in Taiwan's healthcare system and awards

In 1989, as
Taiwan Taiwan, officially the Republic of China (ROC), is a country in East Asia, at the junction of the East and South China Seas in the northwestern Pacific Ocean, with the People's Republic of China (PRC) to the northwest, Japan to the nort ...
was restructuring its healthcare system, Reinhardt persuaded its leaders to model it on those of
Canada Canada is a country in North America. Its ten provinces and three territories extend from the Atlantic Ocean to the Pacific Ocean and northward into the Arctic Ocean, covering over , making it the world's second-largest country by tot ...
and
Germany Germany,, officially the Federal Republic of Germany, is a country in Central Europe. It is the second most populous country in Europe after Russia, and the most populous member state of the European Union. Germany is situated betwe ...
. As of 2014, Taiwan's system provides universal care for 6.6% of
GDP Gross domestic product (GDP) is a monetary measure of the market value of all the final goods and services produced and sold (not resold) in a specific time period by countries. Due to its complex and subjective nature this measure is ofte ...
. For his contribution, in 2014 he was awarded the nation's Presidential Prize. In 2018, Reinhardt was posthumously awarded the First Grade Medal for Professionalism in Health and Welfare by Taiwan's Ministry of Health and Welfare.


Views


Administration

In the 2009 ''
Frontline Front line refers to the forward-most forces on a battlefield. Front line, front lines or variants may also refer to: Books and publications * ''Front Lines'' (novel), young adult historical novel by American author Michael Grant * ''Frontlines ...
'' show "Sick Around America", Reinhardt criticized the United States for spending 24% of every health care dollar on
administration Administration may refer to: Management of organizations * Management, the act of directing people towards accomplishing a goal ** Administrative assistant, Administrative Assistant, traditionally known as a Secretary, or also known as an admini ...
, and pointed out that Canada spends less than half of the U.S. amount and Taiwan spends significantly less than Canada.Sick Around America
''
Frontline Front line refers to the forward-most forces on a battlefield. Front line, front lines or variants may also refer to: Books and publications * ''Front Lines'' (novel), young adult historical novel by American author Michael Grant * ''Frontlines ...
''. 46 minutes in
Transcript
Accessed August 28, 2011.
Reinhardt faulted the seeming U.S. preference for an unwieldy "mishmash of private insurance plans" for the inefficiency. He said if the U.S. could spend half as much on administration, it would save more than enough money to cover all the uninsured.


Selected articles


"Little hope for the uninsured."
''Denver Post'', January 25, 2004; E4.


References


External links




Uwe Reinhardt's appearances on National Public Radio

Institute of Medicine official web site

Hambrecht and Quist Capital Investors official web site

Boston Scientific official web site

Reinhardt's posts on the ''New York Times'' Economix blog
* {{DEFAULTSORT:Reinhardt, Uwe 1937 births 2017 deaths American economists Canadian economists Health economists Yale University alumni Princeton University faculty University of Saskatchewan alumni German emigrants to the United States German emigrants to Canada Writers from Osnabrück Recipients of the Cross of the Order of Merit of the Federal Republic of Germany Members of the National Academy of Medicine