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Health
care is on a collision course with patient needs and economic
reality. Without significant changes, the scale of the problem will
only get worse. Rising costs, mounting evidence of quality problems,
and increasing numbers of Americans without insurance are
unacceptable and unsustainable, but the future of health care is not
predetermined. It is a mistake to extrapolate and attempt to respond
to trends within the current structure. Instead, the most pressing
task for leaders in the health
sector is to create a new and better
structure. Effective leaders have the insight to revisit the
fundamental purpose of an organization and imagine a different and
more effective way to attain it. America can move now to a system
based on the right kind of competition that will serve patients far
better than either a government-run model or the current U.S.
system. |
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