NCPA - National Center for Policy Analysis

Explaining the Fall (And Possible Rebirth) of Doctors' House Calls

December 10, 2015

House calls made up 40 percent of U.S. doctors' visits in the 1940s, before going into decline in the 1960s, writes NCPA Senior Fellow John R. Graham. These days, they comprise less than one percent of consultations. Why? Private patients paid 67 percent of the aggregate bill for consultations in 1960. By 2014, that had collapsed to 11 percent. As patients lost control of payment, they lost the ability to signal how much they valued their time, and house calls declined.


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