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Politics : View from the Center and Left

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To: JohnM who wrote (51414)	3/3/2008 11:42:56 AM
From: slacker711	Read Replies (1) of 541853

Focuses too much on costs and too little on the delivery of services and covering as many as possible. But it's a lot of good information I dont think you'll be surprised that I disagree. Absent siginficant cost savings, you are going to get wide coverage at the expense of services. I think that this paragraph goes to the heart of the dilemma about cutting costs on government provided health care. It is difficult enough for insurance companies to do so, it is pretty much impossible when you add in political pressure to the equation. Researchers at Dartmouth Medical School have found large variations in the amount of hospital care and other services that people with the same condition receive in different parts of the country. In some regions, where doctors favor more intensive treatments, Medicare spends much more without getting better results for patients. This research “suggests that about 20 percent of Medicare spending could be eliminated with no adverse effects on health,” said Prof. David M. Cutler of Harvard, an adviser to the Obama campaign. Identifying that 20 percent would be “very difficult,” he acknowledged.

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