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Health Care Reform Now! A Prescription for Change
We don't really have a health care delivery system in this country. We have an expensive plethora of uncoordinated, unlinked, economically segregated, operationally limited microsystems, each performing in ways that too often create suboptimal performance both for the overall health care infrasturcture and for individual patients. We have, at best, a nonsystem of care and, truth be told, the current nonsystem of care is inconsistance, massively expensive, sometimes dangerous, operationally inefficient, and dysfunctionally and sometimes perversely incented. Our current approach to financing both care and health care coverage too often leaves us with major operational problem as well as serious ethical issues relative to resources allocation.
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