In regards to the managed-care debate, which you've covered in multiple articles, does it reflect the "emperor's new clothes" syndrome?
Until all Americans understand and acknowledge the following six facts, we will not make significant progress in the national managed-care debate.
1. The problem with our current and our past healthcare system is excessive medical practice variation and inconsistent/unmeasured quality and outcomes.
2. Responsible oversight is both necessary and prudent.
3. In healthcare, more is not necessarily better.
4. Our resources are substantial but not infinite. Rational utilization is reasonable and necessary.
5. Death is not optional.
6. Ignoring the uninsured is both uncivilized and extremely expensive.
Healthcare leaders have recently addressed the first three of these items. Now is the time for politicians, pundits, policymakers, healthcare purchasers, health plans, providers and the general public to openly discuss all six.
Alan Zwerner, M.D.