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<blockquote data-quote="TechGrrl" data-source="post: 586613" data-attributes="member: 4932"><p>This article is required reading:</p><p></p><p><strong><a href="http://www.newyorker.com/reporting/2009/06/01/090601fa_fact_gawande?currentPage=all" target="_blank"><span style="color: Blue"><u><span style="font-size: 10px">The Cost Conundrum</span></u></span></a></strong></p><p></p><p>I particularly was intrigued by this, for all you 'set the market free and let consumers decide' folks:</p><p></p><p><span style="font-size: 12px"><span style="color: Green">"The third class of health-cost proposals, I explained, would push people to use medical savings accounts and hold high-deductible insurance policies: “They’d have more of their own money on the line, and that’d drive them to bargain with you and other surgeons, right?”</span></span></p><p><span style="font-size: 12px"><span style="color: Green"></span></span></p><p><span style="font-size: 12px"><span style="color: Green">He gave me a quizzical look. We tried to imagine the scenario. A cardiologist tells an elderly woman that she needs bypass surgery and has Dr. Dyke see her. They discuss the blockages in her heart, the operation, the risks. And now they’re supposed to haggle over the price as if he were selling a rug in a souk? “I’ll do three vessels for thirty thousand, but if you take four I’ll throw in an extra night in the I.C.U.”—that sort of thing? Dyke shook his head. “Who comes up with this stuff?” he asked. “Any plan that relies on the sheep to negotiate with the wolves is doomed to failure.”"</span></span></p></blockquote><p></p>
[QUOTE="TechGrrl, post: 586613, member: 4932"] This article is required reading: [B][URL="http://www.newyorker.com/reporting/2009/06/01/090601fa_fact_gawande?currentPage=all"][COLOR=Blue][U][SIZE=2]The Cost Conundrum[/SIZE][/U][/COLOR][/URL][/B] I particularly was intrigued by this, for all you 'set the market free and let consumers decide' folks: [SIZE=3][COLOR=Green]"The third class of health-cost proposals, I explained, would push people to use medical savings accounts and hold high-deductible insurance policies: “They’d have more of their own money on the line, and that’d drive them to bargain with you and other surgeons, right?” He gave me a quizzical look. We tried to imagine the scenario. A cardiologist tells an elderly woman that she needs bypass surgery and has Dr. Dyke see her. They discuss the blockages in her heart, the operation, the risks. And now they’re supposed to haggle over the price as if he were selling a rug in a souk? “I’ll do three vessels for thirty thousand, but if you take four I’ll throw in an extra night in the I.C.U.”—that sort of thing? Dyke shook his head. “Who comes up with this stuff?” he asked. “Any plan that relies on the sheep to negotiate with the wolves is doomed to failure.”"[/COLOR][/SIZE] [/QUOTE]
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