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Health care reform in the US – possible but not likely
Over the past few months, both in the US and the UK, I have been asked about the prospects of health care reform in the U.S. My thoughts:
The US continues to struggle with health care as a right or privilege. Until we decide it is a privilege, meaningful reform is unlikely. Health care should be treated just like fire and police services and primary education—it should be free to all members of a society.
Cost has once again become a prominent part of the health care debate in the US. Every 10 years or so, the US realizes that it spends far too much money on health care—about 40% more than any other country—with virtually no data that health outcomes are any better in the US than anywhere else.
Managed chaos is likely to continue—250 of 300 million Americans have health insurance and are relatively happy with it.
The
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