Hi David,

On Mar 22, 2010, at 8:54 PM, David R. Block wrote:

> I think that this bill will kill innovation. Money will go towards the "feel 
> good" exercise of getting everybody covered, which means more money for 
> insurance companies at first, but insurance companies do not drive most 
> research. The Pharma companies made a deal, so they may actually continue to 
> do some research until "cost cutting" (profit cutting) will make that too 
> expensive and then they will stop. 
> 
> Hospitals below are private, and when they get squeezed, they will probably 
> cut back as well. 

I'm not sure we're talking about the same kind of innovation. Medical Research 
(funded by the government and pharma) has historically been strong, but 
generally created new drugs and more expenses.  That's not a bad thing, but 
what I'm talking about is *platform* innovation -- changing the way medical 
care is delivered and "consumed."  From my perspective, hardly -anyone- has 
been doing much innovation in that space.  The best ones, ironically, are the 
V.A. and Kaiser, of all people; they may actually be able to do a better job, 
especially in a cost-conscious environment.

E
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