How would you adjust national policy to drive more efficiency based business versus a cost plus system?
JB: We need to align the physician and the hospital so that the smartest group of people in healthcare can be aligned with care. We need to eliminate regulations which prevent hospitals from incenting their caregivers to provide better results. This would give better outcomes at a substantially reduced cost. SM: You are effectively talking about a performance based system. JB: Yes. They get paid for the efficient application of resources and for keeping their patients well. SM: What should happen in regards to out of control litigation? JB: At the end of the day I don’t think that gets solved on the Federal level, the states need to come in and cap liabilities. These are unaffordable cost which will fundamentally bankrupt the US. We are printing excess capital today to even pay for it. The government runs out of money for Medicare by 2014. Medicare Part B, which is the drug benefit, is an $8 trillion liability. If these costs are not dealt with today they are going to bankrupt the gove
