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Why Is Fixing American Health Care So Difficult?

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Why Is Fixing American Health Care So Difficult?

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This is, in fact, the typical pattern of how the health care industry works. It does something new, and employers, taxpayers and, increasingly, consumers, pick up the tab in a fairly unquestioning way. At the margins, employers stop offering insurance and poorer consumers go without, but because health care is such an emotionally important part of most people’s lives, it’s very hard for consumers and their employers to say “no.” Consequently, even though people drop out, more and more money goes into the system, which increasingly entrenches the interests of those who benefit — those providing services and the insurers who take a big cut off the top. Attempts by providers to improve the cost-effectiveness, quality and safety of the care being delivered are done more from a sense of moral obligation than from self-interest. Intermountain Healthcare in Utah, which has probably made greater strides than any other organization in the nation to improve the quality of care it delivers, foun

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