The Mayo Clinic opposes a public plan, and the dissonance facing progressive health reformers

October 2, 2009

Health reformers often cite the Mayo Clinic as a model for how all medical practices should look like.

It’s often mentioned by the President, and indeed, studies do back up their claims of higher quality, lower cost, care.

But in a recent piece from the Washington Post, some are questioning whether the stellar results from the Mayo are due to demographics. The Mayo Clinic has a very low Medicaid patient population, perhaps because they make these patients pay a premium to use the hospital’s services.

To me, the most telling statistic is that Mayo Clinic outposts in other areas of the country, like Jacksonville and Phoenix, have spending rates comparable to local hospitals.

In any case, there’s a bit of a dissonance for progressive reformers who espouse the Mayo way. The hospital is staunchly opposed to a public plan option, which will financially hurt the institution. Health reformers should be careful when constantly pointing to the Mayo as the ideal medical model, because politically, their interests are not aligned.



Related posts:

  1. Mayo Clinic for all?
  2. Executive physicals, and what the Mayo Clinic doesn’t want you to know
  3. Should a public plan option be part of any health reform initiative?
  4. Convincing doctors to accept a public health care plan option
  5. Will the public limit the degree of health reform?
  6. Why health reformers should be worried about the breast cancer screening backlash
  7. If health reformers want to emulate Canada and Europe, can we copy their malpractice systems too?


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{ 2 comments }

1 NoVA doc October 2, 2009 at 8:47 am

CEO of Mayo was interviewed on NPR last month about the public option. He was against the P.O. if it were similar to Medicare but was in favor of a P.O. plan similar to what the US Government offers its employees.

http://www.npr.org/templates/story/story.php?storyId=113052504

BTW, NPR had a good story this AM about co-ops why people familiar with them are scratching their heads why politicians claim they save money.

http://www.npr.org/templates/story/story.php?storyId=113404632

2 txmed October 23, 2009 at 9:14 pm

There’s no doubt that the Mayo Clinic takes a patient population not totally indicative of the population as whole. Hard to compare their expenditures and outcomes with the rest of the system.

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