This is all well-taken, but as with Dean it goes to level of spending, not rate of growth. With zero inefficiency and waste, income growth and technical progress will expand the demand for health care, and because it must be tax-financed in great part, that creates a political problem.
Gar Lipow wrote:
One note on this. By all evidience, we get a poor to mediocre system for all that we are spending. The biggest source of waste could be cut without cutting care - and that is the insurance companies - not just their profits and overhead, but the huge red tape medical providers have to put in place to deal wit them. For example, your average large provider hires a separate billing staff for each insurer. Smaller providers (including individual practices) use billing services which do the same thing.
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