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Saturday, March 20, 2010

More on gaming

I read Megan McArdle's piece in the Atlantic on the math behind the CBO's assessment. There  is simply no way for the math to work out. I am the first to understand that we need to bend the cost curve of health care but this bill will do quite the opposite. It will stifle the very disruptive innovation which can bring down costs and simultaneously will continue if not worsen the disconnect between the cost of care and the public understanding of cost.

 I thought it was ironic that on the same page was an ad for a book entitled "No one would listen".

2 comments:

Michael Kirsch, M.D. said...

Is there any breathing person out there who believes that the cost estimates of HCR will remain on budget? Of course, it will be much higher, as is always the case, due to 'unforeseen issues'. What government initiative ever stays on budget? The HCR zealots overpromised on cost and will underdeliver on performance. The government needs reform as much as our health care system does. Nice blog.

The Medical Contrarian said...

Take the projections- multiply times 10 and weep. Tom Cahill's piece on the Massachusetts program summarizes this well:

http://online.wsj.com/article/SB10001424052748704094104575144372942933394.html?mod=WSJ_Opinion_LEADSecond

"The universal insurance coverage we adopted in 2006 was projected to cost taxpayers $88 million a year. However, since this program was adopted in 2006, our health-care costs have in total exceeded $4 billion. The cost of Massachusetts' plan has blown a hole in the Commonwealth's budget. Just last Thursday, Gov. Deval Patrick's office announced a $294 million shortfall related to health-care costs."

Albert Einstein once said "Insanity: doing the same thing over and over again and expecting different results"