Often the problem is too much care, not too little
My friend Jim Jaffe has written a thoughtful piece about why the principal problem with increased costs is that something on the order of a third of what we doctors do either doesn’t work or may even be harmful. This second issue is an important point — useless tests often lead to other useless tests, and the whole process can turn into an Alice in Wonderland-like experience that takes us down a fiscal rabbit hole. Jim also thinks the loud politics have deceived us about where the true debate lies:
“The debate seems more partisan than it actually is. In reality there’s a split within each party on the over-consumption issue. Experts within the Republican Party think that backing away from employer-provided coverage would force individuals to make more prudent economic decisions that would reduce over-consumption.
Among Democrats, few believe that market forces can do the job in this area where supply basically creates its own demand.”
You can read Jim’s article here.
Test comment, please disregard.