US medicare – the real issue

What Dr. Atual Gawande describes here must be familiar to many in India too:

Something even more worrisome is going on as well. In the war over the culture of medicine—the war over whether our country’s anchor model will be Mayo or McAllen—the Mayo model is losing. In the sharpest economic downturn that our health system has faced in half a century, many people in medicine don’t see why they should do the hard work of organizing themselves in ways that reduce waste and improve quality if it means sacrificing revenue. [Read the full stuff here] [ht: James Kwak at Baseline Scenario]

Couple of years ago, my good friend Ajit Ranade and Dr. Y. V. Reddy had recommended that I read his book which deals with decision-making under uncertainty in a sense. I think they were referring to this title: Complications: A Surgeon’s Notes on an Imperfect Science.

His profile is, of course, here in Wikipaedia

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