It seems insurers, doctors and medical corporations will do whatever it takes to maintain their current income levels, but how do we change the incentives?
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Increasingly, the cost of care is unnecessarily dear, rising exponentially while the return on investment is falling precipitously. What can be done about improving the value of health care? Our health care system is particularly inefficient and, for some it has become unaffordable. As for the quality of care, by any measure it is variable at best. But, why is it so hard to fix our health care system.
The United States is the only wealthy, industrialized country that does not ensure that all of its citizens have healthcare coverage. Insuring America's Health: Principles and Recommendations, Institute of Medicine at the National Academies of Science, January 14, 2004, last accessed Tuesday, February 2, 2010
Dr. Atul Gawande's "Cost Conundrum" (New Yorker, June 1, 2009), is arguably, "one of the most influential health care stories in recent memory"; it helps us better see a already palpable problem and gives us pause, if not agita... . "Our country’s health care is by far the most expensive in the world. In Washington, the aim of health-care reform is not just to extend medical coverage to everybody but also to bring costs under control.