garry’s subposthaven

I didn't want to give away the kind of freedom. When you have 50 licensees on stuff like that, you are handcuffed.

Big = not as fast, not as fun. I dig it, John.

All of the actors in health care—from doctors to insurers to pharmaceutical companies—work in a heavily regulated, massively subsidized industry full of structural distortions. They all want to serve patients well. But they also all behave rationally in response to the economic incentives those distortions create. Accidentally, but relentlessly, America has built a health-care system with incentives that inexorably generate terrible and perverse results. Incentives that emphasize health care over any other aspect of health and well-being. That emphasize treatment over prevention. That disguise true costs. That favor complexity, and discourage transparent competition based on price or quality. That result in a generational pyramid scheme rather than sustainable financing. And that—most important—remove consumers from our irreplaceable role as the ultimate ensurer of value.

Interesting read at The Atlantic.

Makes me worry the coming health reforms will be just more band-aids instead of major surgery that is desperately needed.

Huh, that is looking pretty familiar.