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Politics : View from the Center and Left
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To: JohnM who wrote (133752)3/19/2010 2:28:10 PM
From: Lane3  Read Replies (1) of 542720
 
This conversation is, once again, going absolutely nowhere. The problem is the structural flaw.

Well, since you haven't told me what structural flaw you have in mind, there's nothing more to say other than that insurance companies reneging on contracts doesn't seem like it would fit into the category of structural flaws to me. It seems like a behavior problem ineffectively enforced. If you're not going to describe what it is that you see as a structural flaw, I guess that's that.

Edit: I googled health care and structural flaw and found these three on The Health Care Blog. Is one of them what you had in mind?

"To be meaningful, though, reform must fix the three deep structural flaws that enable the excesses that have benefited the health industry and created the cost crisis. A specialty- rather than primary care-dominated system promotes more expensive downstream care at the expense of less costly upstream care. The lack of an interoperable information technology infrastructure has created barriers to quality/cost transparency, transactional streamlining, and science-driven decision support. And a fee-for-service reimbursement system has encouraged more care, independent of appropriateness, rather than the right care. "
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