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View Diary: Medicare: What can we do about it? (314 comments)

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  •  The gov't track record... (0+ / 0-)

    ...for innovation is pretty weak.  The incentives for most gov't employees is to maximize their budgets and keep their jobs.  How can we expect MORE innovation than we already have with Medicare by making the system even bigger.  

    I think gov't can be the payor, but if we don't find a way to empower people to make choices, I don't see how we can bend the cost curve.  People spend other people's money differently than their own.

    •  that's just propaganda (1+ / 0-)
      Recommended by:
      Catte Nappe

      the gov/t record for health system innovation is actually pretty strong.

      "Politics is the art of looking for trouble, finding it everywhere, diagnosing it incorrectly and applying the wrong remedies." - Groucho Marx

      by Greg Dworkin on Tue Aug 23, 2011 at 04:58:39 AM PDT

      [ Parent ]

    •  Health care choices (0+ / 0-)

      Unlike a car or refrigerator or pair of shoes, health care is not an area where wise consumer choices necessarily can come into play. When one is injured, ill, in a crisis of some sort one isn't going to be studying up on the "best" choice of doctor or treatment or facility. A different model is called for.

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