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On 1-9-2009 2:10, Neeum Zawan wrote:
>
> http://www.newyorker.com/reporting/2009/06/01/090601fa_fact_gawande?currentPage=all
It is also a nice analysis why sometimes when everybody strives to get
the best for themselves the whole community suffers. Very obviously at
the level of the doctor/entrepreneur, something close to fraud already
and where laws and regulations are possible to tip it over the edge.
More subtle at the level of the patient. It seems in every patients
interest to get the best tests and treatment available, yet it evidently
harms the entire community, even the patient itself. You can not
legislate against that directly. Both because it is technically too
difficult but more importantly it is so counter-intuitive that you can
not pass the law by an elected body.
There are also tons of examples where looking preferentially at the
majority will have very detrimental results. (although in the case of US
health care specifically it seems more FUD than fact. But in other
fields, sure).
Don't expect me or anybody else (e.g. Obama) to come up with solutions
that always work. Common sense might be the best solution, but sense is
not the most common thing in these health care discussions.
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