Re: “Can Amazon venture save U.S. health care?” (TNT off the wire editorial, 2/1).
There is hope on the horizon: the proposal by a partnership between Amazon, Berkshire-Hathaway and JP Morgan to seek a health care solution for their employees, based on the concept that the provision of care should not be for profit.
It is clear to anyone who looks at our poor health outcomes, measured against its exorbitant cost (17.1 percent of gross domestic product) that something is seriously wrong.
Of the 13 leading developed nations, the U.S. ranks worst in cost of care, infant mortality, life expectancy, obesity and chronic disease.
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As a physician of over 40 years and a past quality chief for a large American health care system, I can tell you that we are all getting cheated.
Past decades of fee-for-service competition in the marketplace have provided the incentive for massive overutilization and duplication of services.
Only Medicare, with its value-based purchasing program, has started paying for quality performance and penalizing for poor outcomes.
Hopefully this is the first rational step toward single-payer Medicare for all, based on the pillars of access, prevention and quality at a reasonable cost.