Friday, September 19, 2008

Health care reform must art with a plan to simplify

Their plans differ greatly, but whatever the outcome, change is surely coming, given that some 47 million Americans lack health insurance, 25 million more are considered underinsured, and even those who are adequately covered see their household incomes steadily eroded by those faster-than-inflation cost increases. Small wonder health care is consistently at or near the top of voter concerns, especially among women.

What troubles me, however, is that whenever Washington tries to overhaul something that involves a large universe of interest groups, it usually makes things not simpler, but more complex. And complexity is already one of the very worst aspects of American health care.

Has anyone been to a hospital for a procedure and not been confounded by the billing process that followed? No wonder hospitals are repeatedly asked, "Do you go out of your way to hire complete idiots for your billing office?"

In fact, just the opposite is true.

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