For the second time in a decade, a president and Congress will undertake a large-scale effort to re-engineer the health care system.
Politics and debate over policy are not the primary cause of this continued upheaval. It is our patchwork, Rube Goldberg-like system, developed ad hoc over 50 years.
As THCB readers know, we have an insurance and care delivery system that works less well—in terms of public health, coverage, patient outcomes, and cost—than health care in most of the rest of the developed world.
And, things are getting worse. To wit: rising death rates among middle-aged, low- and middle-income white Americans; the unchecked rise in obesity and preventable chronic diseases and opioid addiction; and woefully slow progress to reduce medical errors and improve patient safety.