Questions. Lots of questions. Questions about what we want reform to look like. Questions on how we are going to go about it.
One thing all have in common: cutting/lowering costs. Revelation (no, not really): One man’s costs are another man’s profits.
Here’s another question: Who is going to compromise? Not doctors. Not hospitals. Not insurance companies. Not device makers. Not drug companies. Not anyone else. At least willingly. So it falls to the patient. And this time, I don’t think patients are going to stand for meaningless pandering either.
So our path dependent policies and our way of doing things for oh-so-many years complicate the heck out of reform. Noted (and proven again and again). Some are pessimistic about reform in the coming years (rightfully so?). Positivity (sadly) is getting harder to find and we don’t even have a new Head Honcho yet.
Our incrementalism may not work here. Transformational, revolutionary, rebellious change may be the key. The fear: instead of choosing meaningful reform, our old ways of doing things chooses reform for us.
Our past necessitates our future.