> Cam wrote:
> This is actually the biggest challenge to healthcare.  It's a
> massively huge system that includes everyone in the country (one way
> or another) - even more people than the tax system.

I also work in the heart of the beast and I can also say there's
nothing inevitable about it.  It's everything from not having
electronic PHRs to prescriptions being hand written.

Within hospitals, operations are not standard or "LEANed out", there's
little in terms of best practices (take infections for example), and
there's around 10 average core providers that service any given
patient and about 30 non-core.  Meaning there's ~40 people updating a
chart and staying in communication on a patients status in any given
DAY!

In short, the bureaucracy is ridiculously unnecessary even in the
current system, but a consumer-directed system would drive out those
inefficiencies and remove that bureaucracy just like it did in the
airline industry when it de-regulated - another industry I'm more
familiar with than I'd like.

And you can't tell me the airlines suffer from a lack of federal
regulations!  And since de-regulation look at what's happened to
prices and choice!

So the airline industry is a perfect example of how a highly regulated
industry can safely and easily drive down costs while increasing
quality and choice.

Why would we want to go backwards when we've got a perfect case study
in the other direction?

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