The case for sweeping reform — for severing health insurance from the workplace and creating a new system — is undeniable. But it’s going to be a long time before the large majority of Americans with decent coverage are persuaded to risk changing what they have. How then to cure a malignant health care system? Can we act before the patient collapses?
Gawande, who played a significant role in Hillary's catastrophic failed reform effort in the early 1990s, apparently believes change must come gradually, and promises to tell us how. As a long-term supporter of a single-payer, universal coverage, system--something like "Medicare-for-all", I'm dubious (as I was of the enormously overcomplicated Hillary Plan then). Stay tuned.
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