Like oil and water:
In the US, we have a consumerist society where the patient, now a client, makes the decision themselves. It’s a little like picking out a purse at Coach, “I want two preventions and a diagnostic.”
In a society where “more testing = better medicine”, saying no to patients will be the death of any cost-containment/single-payer reform.
Related posts:
- The cost of "free" health care
- ACP: Embracing a culture of cost-effective health care
- ACP: Putting effectiveness into the health care equation: Rational or rationing?
- Containing health care costs
- Reader take: Moral hazard, and whether patients should consider cost in their health care decisions
- Why health reform is going to be difficult, and the trouble with saying no to American patients
- A cost effectiveness institute
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