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abstract 6 - medical spending it comes down to the...

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Esteban Sanchez 3/3/09 PLAN 370-500 Abstract 6 Investing in Health Care Reform The expansion of health insurance coverage in the United States is likely to be on the front burner of health care reform efforts in the new presidential administration. But the real threat to Americans' access to care is the rapid growth in health care costs. In a study five hospitals were compared to see their spending rates. Some of the data that was discovered was as follows, Miami grew at an annual rate of 5.0%, as compared with just 2.3% in Salem, Oregon, and 2.4% in San Francisco. What could be the reason for this it is not necessarily that more people are sick in Miami than in Salem, Oregon and San Francisco. Other research showed that it was not because of technology or because of the current paying system. These findings suggested that in order to reduce the costs of
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Unformatted text preview: medical spending it comes down to the physicians. For this leadership by physicians is going to be needed on three different levels. First un their practices, physicians can help patients understand when a more conservative path is likely to be as safe as a more intensive and higher-cost path. In their communities, physicians have the credibility to argue against the need for further growth. And physicians can support changes in the health care system that will help their patients and communities get the best possible care at the lowest possible cost. Elliott S. Fisher, M.D., M.P.H., Julie P. Bynum, M.D., M.P.H., and Jonathan S. Skinner, Ph.D. Slowing the Growth of Health Care Costs Lessons from Regional Variation 2009 New England Journal of Medicine . http://content.nejm.org/cgi/content/full/360/9/849...
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