What the Annals authors suggest will sound familiar to anyone payingattentionto fundamental changes already underway in the health care delivery system.
Anyone payingattentionto the crisis at General Motors prior to the government bailout would have seen that the health care obligations for retired and current employees contributed to the massive debt the company built up.
Dr. Jay Himmelstein, chief health policy strategist at the Center for Health Policy and Research at the University of Massachusetts Medical School, has analyzed various models for implementing insurance exchanges, writing with a colleague in the journal Health Affairs linked here about the importance of following the lead of early adopters, particularly payingattentionto technology.