Tuesday, November 24, 2009

Making (non)sense of healthcare reform

When a pretentious and half-baked nincompoop like me in the academic backwaters of a state that is often mispronounced has opinions on healthcare reform, then surely the Dean of Harvard's Medical School has opinions on this, right?  And when it comes down to it, I bet this Dean's explanations on what the reform entails will have more credibility than mine; wouldn't you think so too?

Which is why I am worried about some of the points that this Dean raises:
In discussions with dozens of health-care leaders and economists, I find near unanimity of opinion that, whatever its shape, the final legislation that will emerge from Congress will markedly accelerate national health-care spending rather than restrain it. Likewise, nearly all agree that the legislation would do little or nothing to improve quality or change health-care's dysfunctional delivery system. The system we have now promotes fragmented care and makes it more difficult than it should be to assess outcomes and patient satisfaction. The true costs of health care are disguised, competition based on price and quality are almost impossible, and patients lose their ability to be the ultimate judges of value.
Worse, currently proposed federal legislation would undermine any potential for real innovation in insurance and the provision of care. It would do so by overregulating the health-care system in the service of special interests such as insurance companies, hospitals, professional organizations and pharmaceutical companies, rather than the patients who should be our primary concern.
In effect, while the legislation would enhance access to insurance, the trade-off would be an accelerated crisis of health-care costs and perpetuation of the current dysfunctional system—now with many more participants. This will make an eventual solution even more difficult.
All too confusing this healthcare reform is.  So, as always, I turned to the only real source of news and wisdom: The Onion:

Anonymous Philanthropist Donates 200 Human Kidneys To Hospital

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