The approach implied by the comments of Gov. Kathleen Sebelius in response to Sen. Jon Kyl (R-Ariz.), and the general plans for reform of the healthcare industry by the Obama administration, including emphasis on increasing the role of information technology in delivery and improvement of services and quality, indicates that healthcare will move toward consistency and mediocrity, and away from what we have long appreciated as innovative, sometimes elegant, inventive and entrepreneurial.
The expected and natural consequence of garbage ingarbage out in the medical record and increased dependence on IT-gathered data to establish standard-of-care guarantees both a smoothing (flattening) of the curves and a decrease in the general rise (slope) representing improvements and innovation in medical care. All this and without real assurance that costs will decrease!
We should be cautious in what we wish for; are these intended or
really unintended consequences of the politicians plans?
Mark Coan, M.D.