Something even more worrisome is going on as well. In the war over the culture of medicine—the war over whether our country’s anchor model will be Mayo or McAllen—the Mayo model is losing. In the sharpest economic downturn that our health system has faced in half a century, many people in medicine don’t see why they should do the hard work of organizing themselves in ways that reduce waste and improve quality if it means sacrificing revenue.
Phenomenal, yet troubling article by A. Gawande. Health care reform is far larger than a more robust public plan or the taxes and infrastructure needed to support such an initiative. Health care reform must concentrate on the delivery of quality care, preventative care and payment reforms that will*reward* physicians and instituitons who are successful at keeping their patients healthy and out of the hospitals and specialists hands….