You can take this to the bank. Every innovation in the production of every good or serviceanything that lowers costs or increases qualityoriginates on the supply side of the market.
This principle applies to health care in spades. For as long as I have been in health policymore than 30 yearsI have been dealing with non-doctors who have a deep, abiding desire to tell doctors what to do. Yet I dont know of any example anywhere in the world where this approach has ever worked.
If the definition of insanity is repeating the same thing over and over again and each time expecting a different result then insanity is the appropriate word here. The Obama administration has spent millions of dollars on pilot programs and demonstration projects in a fruitless attempt to discover how to better practice medicine. It has spent millions more trying to herd Medicare patients into Accountable Care Organizationssuper HMOs with financial incentives to hit quality measures. That hasnt worked either.
So what does the Obama Administration propose to do about all of this? More of the same.
|John C. Goodman is a Senior Fellow at the Independent Institute, President of the Goodman Institute for Public Policy Research, and author of the widely acclaimed Independent books, A Better Choice: Healthcare Solutions for America, and the award-winning, Priceless: Curing the Healthcare Crisis. The Wall Street Journal and the National Journal, among other media, have called him the Father of Health Savings Accounts.|
Obamacare remains highly controversial and faces ongoing legal and political challenges. Polls show that by a large margin Americans remain opposed to the healthcare law and seek to repeal and replace it. However, the question is: Replace it with what?