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6 The Social Perspective
Pages 34-37

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From page 34...
... " I say, "Very simple king-size beds from coast to coast, two Americans in each, giving each other health care, and the Japanese feeding us intravenously, as they do now." COSTS OF HEALTH CARE This scenario sounds comical, but not everyone is laughing at it. One person who is not laughing is an employee benefits manager of a typical American corporation.
From page 35...
... Citizens have said so with votes on roads, on seatbelts, and on many other things, and they will learn to say' so for health care. That is, a raging debate will soon be upon us regarding the rationing of health services: Going from B to A means withholding beneficial services, and we will ration them.
From page 36...
... The Health Care Coalition of Florida has some interesting data, by hospital, on the cesarean section rate for commercially insured women and for Medicaid patients. In many hospitals, 42 percent of commercially insured women have cesarean sections, whereas women on Medicaid have none.
From page 37...
... If we in this country end up spending $100 to $200 million a year on outcomes and effectiveness research, we would not be wasting money, I assure you. It is a trivial percentage of the national expenditures on health care, and it is one of the finest investments we could make.


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