I nearly fell off the couch when I read the President’s statement that “nobody knew health care could be so complicated.”
Um, Mr. President, everyone knew. In fact, health care is considered the most complex industry out there. That would be why, as you and your colleagues are finding, transforming the system is “incredibly complex.” It is also why it will be nearly impossible to repeal-and-replace the Affordable Care Act (ACA) with something better unless you move to a single-payer system.You can, of course, focus on fixing its weaknesses.
I remember a healthcare economics course I took when I was in my 20s. During the first class, the professor told us: “Take every basic economic concept out there, including resource allocation, supply-and-demand pricing, and rational consumer behavior, and toss it aside. Very few apply to health care.”
The past 30 years as a healthcare writer have reaffirmed that statement hundreds of times over.
The Health Care System as a Tube of Toothpaste
I have my own analogy to describe the US healthcare system. I think of it as a tube … Continue Reading