In response to Matthew DoBias' GOP puts brakes on Sebelius confirmation":
The approach implied by the comments of Kansas Gov. Kathleen Sebelius in response to Sen. Jon Kyl (R-Ariz.), and the general plans for reform of the healthcare industry by the Obama administrationincluding emphasis on increasing the role of information technology in delivery and "improvement" of services and qualityindicate 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 in, garbage out" in the medical record and increased dependence on IT data to establish a standard of care guarantees both a smoothing of the curves and a decrease in the general rise representing improvements and innovation in medical care. All this 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.Atlanta
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