Tuesday, September 22, 2009

Bill Clinton on CNBC

Whether conservative, liberal, super left or super right, it was interesting to watch former President Bill Clinton this morning on CNBC. He articulated perfectly what is wrong with the healthcare system in the U.S. and it has NOTHING to do with not having a public option, or whether we pay17% or more of our GDP on healthcare spending....it is all about outcomes. He referenced Columbia where they spend 6% of GDP on healthcare and have a much higher outcomes rating than the U.S. The problem is on governance of the healthcare process, especially on physicians and hospitals, which can happen between government, insurance carriers and providers. A public plan is such a radical (far left) change to the current system, that most agree we do not need to be so radical, though we do need a big change. This can be done pushing providers, and insurance carriers, to be regulated and incented based on outcomes. The better a patient gets, and more efficiently, means better compensation to the provider and institution (read up on the Cleveland Clinic, and Mayo Clinic). Providers and institutions that do not have good outcomes, will go out of business - just like in the REAL world....poor business models fail and go bankrupt. Same should be true for healthcare.

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