A book which I have on order is Who Killed Health Care? by Regina Herzlinger. Based upon what I've read by her in the past and this interview, I'm looking forward to a worthwhile read.
We are surrounded by medical miracles: polio has been eradicated; childhood leukemia is now treatable; death by cardiovascular disease has declined by two-thirds in the last fifty years. Yet while American medicine has never been better, angst over American health care has never been greater.
Why is American health care such a mess? In this pathbreaking book—Nobel laureate Milton Friedman calls it "fascinating and thorough"—Dr. David Gratzer goes to the heart of the problem, showing that the crisis in American health care stems largely from its addiction to outmoded and discredited economic ideas.
What needs to be done? Dr. Gratzer mounts a bold and provocative argument, rejecting the conventional wisdom that socialized health care is compassionate and that top-down government agencies like the FDA actually save lives. Instead, he prescribes a strong dose of capitalism.The Cure offers a detailed overview of American health care, from economics and politics to medical science. Weighing in on the most controversial topics in health care, Dr. Gratzer makes the case that it’s possible to reduce health expenses, insure millions more, and improve quality of care while not growing government or raising taxes.
My sense is that of the foreign alternatives, the Swiss model is the only one worth a lick, but we can do even better.
So, we will either have a government controlled health care system, as in the
, or a consumer driven one, as in UK . Switzerland
A single payer system would kill our health.We have to move elsewhere, to ourselves. You and I need to control health care: not our employers, not our insurers, not our Congress, but us.
The single-payer, government controlled health care system he advocates is great, except if you are sick.
uses Moore as a model of a great health care system. Get serious: when it comes to health care, this isn’t just propaganda; people’s lives are at stake. Cuba
, tens of thousands have died from cancer who would have survived under Britain health care and many are placed on years long waiting lists, enduring excruciating pain from arthritic joints or blocked arteries while they wait for their operation. Sometimes they are placed on waiting lists for the waiting lists. While they wait, their problem gets worse making the operation they may finally receive all the more dangerous. U.S. , which he also lauds, is not a single payer system: much of the money is paid by the citizens for health care. France illustrates a Mother who can get her baby taken care of for a few hours a week for “free” in Moore ; but ignores the fact that those doing the laundry are rioting in the streets and the French are drowning in taxes. France
Here is how they make it happen: everyone is required to buy health insurance, the poor are subsidized, so they can buy insurance just like everybody else, the sick pay the same prices as the well. The key is that is the Swiss people who buy the insurance, not employers or governments. The people make sure they get the insurance they want at a price they are willing to pay.
The insurers risk-adjust each other so nobody makes money solely by picking only healthy people to insure. And there is a lot of transparency about insurance prices.But the system is not perfect. The Swiss government micromanages the prices paid to hospitals and doctors, which deter innovation. And it subsidizes inefficient public hospitals which needlessly inflates the budget.
But we have very little innovation in health services which account for the bulk of health care costs. The reason is that we are not doing the buying. And also the insurers put the suppliers in a straightjacket which punishes innovation.
The most important innovation is in the management of chronic diseases which account for 80% of health care costs. These diseases typically cause lots of different problems which are treated by different doctors. A person with this kind of disease has to run all over town to get complete treatment. This fragmentation imposes costs on the patient and our economy .It is enormously wasteful.The insurers cause it because they pay providers for procedures—doctor visits or hospital stays and not for the complete bundle of care. So the healthier doctors make the patient, the less money they earn.