Saturday, July 25, 2009

Why ObamaCare Will Fail


Obama has good things to say about the Mayo Clinic: "One of the things I’m going to be discussing with the health and the finance committees is how can we change incentive structures so that, for example, places like Mayo Clinic in Minnesota are able to provide some of the best health care services in the country at half or sometimes even less of the costs than some other areas where the quality is not as good.”

But the Mayo Clinic is not as enthusiastic about ObamaCare:

"[T]he proposed legislation misses the opportunity to help create higher-quality, more affordable health care for patients. In fact, it will do the opposite. In general, the proposals under discussion are not patient focused or results oriented."

Denis Cortese, President and CEO of Mayo Clinic (also a physician), has a very interesting perspective. He shared his thoughts on the Charlie Rose show on Wednesday. Please take a few minutes to watch. It's well worth your time.

Unfortunately, Cortese is not opposed to more centralized government intrusion into the health care industry, but he understands the limitations of government imposed health care reform and he knows the rush to implement ObamaCare is doomed to fail.

Here are his most interesting points:
  • We already have several public plans including Medicare, Medicaid, TriCare, the VA system, and the Federal employees health care plan. Why are we wasting time trying to build another?
  • The question is not how to get everybody ensured...Massachusetts has shown that there's at least one way to accomplish that goal. The fundamental problem is designing a delivery system that can provide health care value.
  • Health care value takes quality and cost into account.
  • Congress is focused on cost, there is almost no discussion about quality.
  • An efficient and effective health care system will define value, measure it, and reward it.
  • We must acknowledge that Congress cannot design a health care delivery system, let alone one that provides good health care value. Congress is busy with the job of representing the people, they not selected to be a board of directors for an insurance agency.
  • We have to "get health care stuff out of congress."

Very good points all. There are there many intelligent people in the world of health care who understand the need to get government out of health care. Unfortunately, they don't always see that the way to do that is to turn health care over to the hardworking people and the brilliant minds of the free market.

It is our responsibility to help them see more clearly.


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