Post here (abstract only, full article requires a subscription)
Gawande points to a study recognizing a group of people that disproportionately uses medical resources:
‘His calculations revealed that just one per cent of the hundred thousand people who made use of Camden’s medical facilities accounted for thirty per cent of its costs.’
And a potential solution for these ‘super-utilizers:’
‘In addition to physicians and nurses, the Center employs eight full-time “health coaches,” who help patients manage their health.’
‘Health-coaches’ frightens me a bit. I’m still worried about politicizing the issue further; entrenching health-care as a right, which will also make it a political football (soon to be third-rail), potentially unionize it, open it to many more forms abuse and fraud (and diverging political and healh-insurance goals).
A door to single-payer? What about rising costs?
A reader sent in two quotes from Henry Hazlitt, libertarian economist:
“The art of economics consists in looking not merely at the immediate but at the longer effects of any act or policy; it consists in tracing the consequences of that policy not merely for one group but for all groups.”
“The first requisite of a sound monetary system is that it put the least possible power over the quantity or quality of money in the hands of the politicians.”
Related On This Site: Atul Gawande At The New Yorker: ‘Testing, Testing’…From The New Yorker: Atul Gawande On Health Care-”The Cost Conundrum”
A Few Health Care Links-03/18/2010