I had an inspiration today. The way we pay for healthcare is like the old military cost-plus contracts. The payer (the government, the private insurance company) pays for all the costs the patients racks up (or a percentage of the costs). This method was terrible at cost-containment on military spending, so we junked it. It's terrible for cost-containment on healthcare spending, so we should... junk it.
a new model to pay for and manage healthcare costs, now that
won't be easy, especially with people screaming "rationing" and fighting every inch of cost containment. How do we get consumers to want less healthcare and doctors to hold down costs while maintaining a responsive healthcare system?