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Health Futures was founded in 1982 by Jeff Goldsmith. Jeff Goldsmith is one of the nation's foremost health industry analysts, specializing in corporate strategy, trend analysis, health policy and emerging technologies. He has worked across the health system- hospitals, health plans, physician groups, pharmaceutical, biotechnology and health manufacturing and distribution sectors, not only advising senior management and Boards. Health Futures also helps guide venture and private equity investment in emerging technologies. Jeff Goldsmith writes and lectures actively on health policy, financing and technology, both in the United States and overseas. You can find an active archive of his writings and lecture topics in this site.

Download "The Long Baby Boom: An Optimistic Vision for a Graying Generation" for free. To purchase a hardcopy of the book you can go to Amazon or Johns Hopkins University Press. For a description of Jeff's pathbreaking vision for the Baby Boom generation's future, click here.


New Lecture Topics

Beyond Health Reform: Strategic Imperatives for Health Systems

Health Reform, What can the US Learn from Other Countries?

Changing of the Guard: How the Retirement of Baby Boom Physicians will Affect both the Hospital and Medical Practice


Jeff Goldsmith's Opinions     Visit Jeff Goldsmith's Blog



This Harvard poll makes it official:  millennials are getting hammered by the recession. And even of those who took refuge in college from the appalling labor market, 45% are having trouble staying there.  Two-thirds of those who are in community college acquiring skills to climb the job ladder are having difficulty finding the money to keep going.  Are these hard times going to deliver the “most progressive generation” of young Americans to the Republicans?   Don’t bet on it…


Date: 03.11.10   Time: 12:03 PM

Jeff Goldsmith on Why Health Reform is Stuck

Progressives dislike the Rasmussen poll, but don’t shoot the messenger, even if he comes from the opposing camp.  Here’s what Rasmussen said this morning in the Wall Street Journal:

“The reason President Obama can’t move the numbers and build public support is because the fundamentals are stacked against him. Most voters believe the current plan will harm the economy, cost more than projected, raise the cost of care, and lead to higher middle-class taxes.”

Unfortunately, the wisdom of crowds is probably right on all four points. Congress is screwing this up.   A pointed example:   there are 19 million uninsured young people.  It COULD cost $50-60 a month to cover them/you, but by the time the social engineers in Congress get done reorganizing health insurance, it’ll cost north of $300 a month.  The difference:  a healthy subsidy to uninsured baby boomers, who COULD have been enrolled early in Medicare instead (which young people are ALREADY subsidizing thru their/your payroll taxes).

It’s anguishing to wonder if it’s better to start over and simply focus on covering the uncovered, rather than trying to, as Pete Stark put it once, “reinvent the marshmallow”.

Rasmussens’s article:  http://online.wsj.com/article/SB10001424052748704784904575111993559174212.html?mod=WSJ_hps_sections_opinion


Date: 03.10.10   Time: 09:43 AM

Jeff Goldsmith on Hope and the Young Voter. . .

The Bum Control Problem

Barack Obama came charging into office just thirteen months ago “fired up and ready to go”, with huge Congressional majorities and what they felt was a mandate to transform American society.  They told their voters that they wouldn’t pay a dimes’ more taxes (only the “rich” will pay more).  They flung billions of dollars in borrowed money at the banks, the auto industry, the teachers and public employees, they capped and traded and nearly nationalized our private health insurance system.  And their reward:  we hate it!

So much for “hope”.  It’s March, 2010 and we ain’t transformed.  28 million of us are either unemployed, out of the labor force or working part time involuntarily. Millions have lost their homes and are buried under a mountain of credit card debt.  The mood is ugly.

In crystal clear hindsight, it’s clear that 2008 wasn’t a “transformative” election- a mandate for government to save us from ourselves.  It was a “throw the bums out” election- a repudiation of George Bush and a venal, morally challenged Republican regime.

So, fifteen months later, the lynch mob is rallying and we’re getting ready to throw the Democrats out and hand control of Congress back to the Republicans!!?  Why?  What do they stand for? What are we going to get from them?  Do we trust them?  Are the bums we’re throwing back in going to be any more capable of governing or steering us in the right direction than the bums we’re throwing out?

What we’ve really got is a bum control problem.  At some point, we’re going to look in the mirror and see Clem Kadiddlehopper (above).  The real bums …  is us.

Jeff Goldsmith on Are the Republicans Pouring Themselves a Set of Cement Overshoes?

Braveheart!  The Obama Final Push on Health Reform

This is a momentous week for health reform.  The President’s proposals this morning do not appear to be game changing.  Rather, by making the bill more expensive and proposing direct federal regulation of health insurance premiums, he seems to have tacked to the left to  shore up his own base. If the goal was to rebrand “health reform”, this morning’s package doesn’t get it done.  It is a pastiche of cautious tweaks, with one modest populist call-out to a frustrated Democratic left wing still pining for a “public option”.

On Friday, the Newsweek poll  found that crucial independent voters OPPOSED “Obama’s health reform proposals” 62% to 29% in favor.  Nothing in the President’s plan seems likely to strengthen independent voter support for the process, or make it easier for the “running scared” Democratic moderates to vote for the bill.  Health reform is still an incomprehensible, wonkish mess only a mother could love.

At the same time as he is preparing a “summit” with Republicans, his political operatives appear to be preparing to ram a modified bill through the Senate under a parliamentary maneuver requiring only 51 votes.  I think the Republicans are being set up- trolled for a You Tube-worthy gaffe that the White House can use to blame the collapse of this process on Republicans. (Remember what Edward I did to the Scottish partisans he lured to a peace meeting?)

This isn’t about Republican obstructionism.  It is divisions inside the Democratic party that will doom health reform, unless Obama can rally his frightened troops.   Nobody can fault the President for his courage. It is a dangerous game he is playing.   We’ll see how many of his colleagues are ready to die on the hill of health reform.  . .

Keynote Engagements

  • GE Healthcare
  • International Association of Fire Fighters
  • Health Industry Distributors Association
  • Parkland Hospital
  • Washington State Medical Association
  • Massachusetts Hospital Association
  • Blue Cross/Blue Shield of South Carolina
  • Innovatix
  • Kinetic Concepts Inc (KCI)
  • Association of American Medical Colleges
  • Inova Healthcare
  • Carilion Clinic
  • College of Health Information Executives (CHIME)
  • MEDITECH
  • Lawrence and Memorial Hospital (CN)