tag:blogger.com,1999:blog-1350181109033523476.post2039348648427733582..comments2023-08-24T00:28:08.108-07:00Comments on Why is American health care so expensive?: what do I mean by cost effective medicine?Janice Boughtonhttp://www.blogger.com/profile/02321947802871503562noreply@blogger.comBlogger2125tag:blogger.com,1999:blog-1350181109033523476.post-42783766721658695452010-09-21T15:15:23.370-07:002010-09-21T15:15:23.370-07:00Best dispensed, I think, by any system that pays p...Best dispensed, I think, by any system that pays providers to make their patients healthy rather than per encounter. Fee for service lacks incentives to make the patient well enough that she does not need care. If doctors were paid to provide health care for a particular population, the incentives would be to make patients healthy and independent. National health services set this up through a large centralized system, which can work, but can be cumbersome and inefficient. Community funded health care or capitation of some sort would also provide appropriate incentives.Janice Boughtonhttp://www.whyisamericanhealthcaresoexpensive.blogspot.comnoreply@blogger.comtag:blogger.com,1999:blog-1350181109033523476.post-859363751671076862010-09-21T15:02:41.176-07:002010-09-21T15:02:41.176-07:00As noted elsewhere, medical care is not synonymous...As noted elsewhere, medical care is not synonymous with health care. What works best is to provide health services and good nutrition to pregnant people, then follow up care, then good health education and occasional minimally invasive exams through adulthood and then later life medical care appropriate the the individual's condition. These are, as a matter of public fact, better dispensed not-for-profit by a national health service than for profit by insurance and pharmaceutical firms.Anonymousnoreply@blogger.com