Tuesday, July 10, 2007

More on the Central Dilemma

Fellow alum and blogger (www.grindstonehc.blogspot.com) John Kelly had the following to say in response to the posting titled The Central Dilemma of Health Care Reform:

You’ve gotten most of the ‘central dilemma’ spot on. We (USA) spend too much on healthcare. Yet, in a free society, isn’t it our right/choice to spend as much as we wish? Years ago, (about 17 years give or take) my guess was that we would freely choose to spend 25% of GDP on healthcare. Within a few short years, we’ll be very close to that. At that point, we face a choice…simple really…spend more or watch the economy collapse.

Relman states (in a recent Chicago Tribune interview) that we do spend way too much on healthcare (so you’re in good company) and fingers the culprit as the commercialization of healthcare services (all aspects from insurance to provision). This is big money business. Even bigger than the Military-Industrial complex that Dwight D. Eisenhower warned against in his farewell address.

Any thought on the commercialization as root cause?

I do have some thoughts, which I’ll put in a separate posting.

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