September 24, 2009

THE PROBLEM ISN'T THAT WE MIGHT GET RATIONING...:

Prof. discusses health care costs (Christina Wray, September 24, 2009 , The Dartmouth)

Reducing health care spending is both economically important and beneficial to health care quality, [Dartmouth Medical School professor H. Gilbert Welch] said, noting that excessive treatment can often have negative effects.

“Excessive intervention is particularly problematic at two extremes of health: the well and the dying,” Welch said. “Aggressive care for the dying is inhumane, and as for the well, it’s hard to make them any better.”

Welch cited a study by DMS professor Elliott Fisher, director of population health for TDI, that found effective care was provided equally to multiple patients with a particular illness, regardless of how much money the patients spent on care.

“The more money you spend, the worse patients tend to do,” Welch said, noting that aggressive treatment can often cause greater harm than the initial problem.

“Let’s not deliver services that don’t work, and let’s not deliver services that patients don’t want,” Welch said.


...but that the rationing regime wouldn't be strict enough.

Posted by Orrin Judd at September 24, 2009 7:16 AM
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