post by Bill Gardner
Improving the U.S. health care system requires simultaneous pursuit of three aims: improving the experience of care, improving the health of populations, and reducing per capita costs of health care.
These aims have not been accomplished by the preservation of the Affordable Care Act, even though the alternative of overturning it might have been worse.
- Lack of insurance is not the only obstacle to accessing care, and even there the Affordable Care Act does not quite achieve universal access.
- The US lacks the effective means to even measure many aspects of population health, let alone improve it.
- There are striking disparities in life expectancy and morbidity, depending on your race, your social class, and where you happen to live.
- Health care costs continue to grow too fast. Merely reforming insurance will not be sufficient to reduce the growth of health care costs while preserving access and improving the quality of care. We need to develop better and if possible cheaper treatments for most conditions, and transform the institutions and professions that deliver care.
The task is about 1% completed.