Proven, systemic solutions waiting to be found

Hi -  I’m writing from the Yale Global Conference on Health.  The questions of the survey reflect a lack of studying how other advanced countries have learned to control the rise in costs and services that zoomed in the 1960s, until the oil crisis recession of the 1970s. Why is there so much in-attention to how this problem of avoidable care as a SYMPTOM of mis-organization of financing and services? See my course on the answers: STANFORD 2011 Syllabus on Kaiser web:

In the US, Kaiser Permanente and a few other whole-system organizations have come up with similar solutions. Our own Veterans Health Administration showed how one can transform wasteful, 2nd-rate care into 1st-rate, efficient care in just ten years. Yet how they do this is not indicated in the choices offered for the survey questions.

In the area of prescribing, there is serious avoidable over-prescribing, which contributes to an epidemic of harmful side effects that cost even more to treat (often by prescribing yet another drug). See the INVERSE BENEFIT LAW on

I guess I feel frustrated that most policy thinking about how to avoid unnecessary care and expenses today feels like discussions held in the US, Germany, and France in the early 1970s, after a series of articles at that time about excessive hospitalizations, investigations, operations, and prescriptions…

Leave a Reply

Your email address will not be published. Required fields are marked *


You may use these HTML tags and attributes: <a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <cite> <code> <del datetime=""> <em> <i> <q cite=""> <strike> <strong>

2019 © Lown Cardiovascular Research Foundation | 21 Longwood Avenue Brookline, MA 02446 USA | P: 617-732-1318 | F: 617-277-0347 | Contact Us