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The Toxic Politics of Health Care

The Toxic Politics of Health Care Opinion VIEWPOINT It could be exciting. The ambitious nation that rallied on the shoals of angry, scientifically uninformed politi- Donald M. Berwick, to create the Marshall Plan, get to the moon first, and cal combat: the proper use of evidence in clinical deci- MD Institute for Healthcare birthMedicareandMedicaiddecidestomovetowardthe sion making, exploring new roles for nonphysician clini- Improvement, Harvard, health care it needs: universal, responsive, and afford- cians,enormousregionalvariationsincareandoutcome, Newton, able. But that task does not unite the nation; it rends it addressing the nation’s obesity epidemic, madden- Massachusetts. into political tatters. Health care reform could have been ingly complex and anachronistic rules for physician and a moon shot, but instead it is a battlefield: red states hospital payment, and much more. against blue, north against south, coasts against the mid- land, and liberals, who trust in government, against con- Causes servatives, who don’t. Thecausesofpoliticalparalysisinmeaningfulhealthcare Forme,thisbattlebecamepersonal.WhenthePresi- reform are many. Some of the largest are these: dent asked me to come to Washington, DC, to lead the Centers for Medicare & Medicaid Services (CMS), I Money in the Status Quo thereby acquired responsibility for implementing much More than $2.7 trillion changes hands in health care. No of the Affordable Care Act (ACA). http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

The Toxic Politics of Health Care

JAMA , Volume 310 (18) – Nov 13, 2013

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Publisher
American Medical Association
Copyright
Copyright 2013 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.2013.281965
pmid
24219938
Publisher site
See Article on Publisher Site

Abstract

Opinion VIEWPOINT It could be exciting. The ambitious nation that rallied on the shoals of angry, scientifically uninformed politi- Donald M. Berwick, to create the Marshall Plan, get to the moon first, and cal combat: the proper use of evidence in clinical deci- MD Institute for Healthcare birthMedicareandMedicaiddecidestomovetowardthe sion making, exploring new roles for nonphysician clini- Improvement, Harvard, health care it needs: universal, responsive, and afford- cians,enormousregionalvariationsincareandoutcome, Newton, able. But that task does not unite the nation; it rends it addressing the nation’s obesity epidemic, madden- Massachusetts. into political tatters. Health care reform could have been ingly complex and anachronistic rules for physician and a moon shot, but instead it is a battlefield: red states hospital payment, and much more. against blue, north against south, coasts against the mid- land, and liberals, who trust in government, against con- Causes servatives, who don’t. Thecausesofpoliticalparalysisinmeaningfulhealthcare Forme,thisbattlebecamepersonal.WhenthePresi- reform are many. Some of the largest are these: dent asked me to come to Washington, DC, to lead the Centers for Medicare & Medicaid Services (CMS), I Money in the Status Quo thereby acquired responsibility for implementing much More than $2.7 trillion changes hands in health care. No of the Affordable Care Act (ACA).

Journal

JAMAAmerican Medical Association

Published: Nov 13, 2013

References