Here's a bit more:

In 2006, doctors performed at least sixty million surgical procedures,
one for every five Americans. No other country does anything like as
many operations on its citizens. Are we better off for it? No one
knows for sure, but it seems highly unlikely.

In an odd way, this news is reassuring. Universal coverage won’t be
feasible unless we can control costs. Policymakers have worried that
doing so would require rationing, which the public would never go
along with. So the idea that there’s plenty of fat in the system is
proving deeply attractive.

Most Americans would be delighted to have the quality of care found in
places like Rochester, Minnesota, or Seattle, Washington, or Durham,
North Carolina—all of which have world-class hospitals and costs that
fall below the national average. If we brought the cost curve in the
expensive places down to their level, Medicare’s problems (indeed,
almost all the federal government’s budget problems for the next fifty
years) would be solved.

The difficulty is how to go about it. Physicians in places like
McAllen behave differently from others. The $2.4-trillion question is
why.

Unless we figure it out, health reform will 

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