Best outcomes or most cost effective healthcare?

I have been thinking for a while now that one of the problems with the dialog about improving the US healthcare system is that we have done a poor job of articulating what we want to accomplish.

Do we want healthcare with the best possible outcomes? Or do we want healthcare that represents the optimal allocation of some amount of money that as a society we consider affordable (I think of this as the most cost-effective healthcare)?

This post is about how to frame these questions so we can have a rational discussion and debate. Here is my illustration of costs and quality in healthcare. [Read more…]

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