> CamChi wrote:
> I think you just described the current system, especially the "big
> time penalty" part.  Change indeed.
>

Hmmm ... good points ... however I think the point still holds: we can
incent *behavior* through fiscal policy.

Again, the trouble is that we have a disease management system instead
of a health care system.

Planet Money on NPR has started a great podcast series looking at the
different constituents and some of the challenges within them.  This
one details how there's no cost controls on the provider side because
everyone is spending someone else's money:

http://www.npr.org/blogs/money/2009/08/hear_taking_health_care_to_the.html

I don't totally agree with everything in it, but it's a great overview.

For me the top priorities should be:

(1.) Catastrophic coverage (no bankruptcies)

(2.) Prevention

(3.) Provider-patient cost controls (including "defensive medicine"
-good point robert!

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