Beyond the �R Word�? Medicine's New Frugality

Bloche, M. Gregg
May 2012
New England Journal of Medicine;5/24/2012, Vol. 366 Issue 21, p1951
Academic Journal
The author reflects on the subject of health care rationing in the U.S. According to the author, efforts by elected officials to control medical costs have been hampered by the issue of rationing. He contends that health care can be cheaper and better through state-of-the-art management methods, research on comparative effectiveness and incentives for providers to apply this knowledge. He points out that eliminating only ineffective care is not a long-term solution to rising health care costs.


Related Articles

  • accountable for value. Clarke, Richard L. // hfm (Healthcare Financial Management);Jun2011, Vol. 65 Issue 6, p152 

    The article focuses on the integration of the concept of value in healthcare industry in the U.S. It highlights the evidence on the increased focus on value in numerous programs, pilots and demonstrations while attempting to shift the basis of payment from volume to value. The availability of...

  • Community Leadership nominations sought.  // Modern Healthcare;4/14/2014, Vol. 44 Issue 15, p28 

    The article offers information on the deadline of nominations for Modern Healthcare's third annual Community Leadership Award is June 6, 2014 and to be eligible for award a nominee should be president, administrator or other top executive of a healthcare organization.

  • Squeeze out WASTE. McCue, Michael T. // Managed Healthcare Executive;Feb2010, Vol. 20 Issue 2, p17 

    The article reports on the ways of reducing the waste of healthcare spending in the U.S. by trimming the operators' medical loss ratios. It details the actions of the government to reduce the costs of healthcare, including the banning of public smoking and the removal of soda and sugary snacks....

  • What If Physicians Actually Had to Control Medical Costs? Brook, Robert H. // JAMA: Journal of the American Medical Association;10/6/2010, Vol. 304 Issue 13, p1489 

    The author argues that physicians need to lead the development of a strategy to control medical care costs. He cites several programs in the U.S. to help control health care costs, but emphasizes the need to integrate implicit attitudes towards the issue with explicit policies. He states that...

  • From an Ethics of Rationing to an Ethics of Waste Avoidance. Brody, Howard // New England Journal of Medicine;5/24/2012, Vol. 366 Issue 21, p1949 

    The article discusses the ethics of rationing and waste avoidance in the U.S. health care system. Information on two considerations for the ethics of rationing is provided. It notes that physicians' duty of fidelity to each individual patient, regardless of cost, is the main ethical objection to...

  • Healthcare Reform: Another View. Borreggine, Joseph // Podiatry Management;Nov/Dec2009, Vol. 28 Issue 9, p41 

    In this article the author argues against the notion that healthcare is bankrupting the U.S. which necessitates reforms. It is suggested that the country has the best healthcare system in the world, but several issues with health insurance companies are preventing or limiting coverage. The...

  • Americans' Views Of The Uninsured: An Era For Hybrid Proposals. Blendon, Robert J.; Benson, John M.; DesRoches, Catherine M. // Health Affairs;Jul/Aug2003 Supplement, pW3-405 

    Data drawn from ten recent public opinion polls show that the issue of the uninsured is likely to become more visible on the U.S. agenda, although not as prominent as it was in the early 1990s. Although there is no public consensus on any single approach, a hybrid plan-which leaves workplace...

  • Act II � Curve Bending. Patterson, Daniel Y. // New England Journal of Medicine;12/24/2009, Vol. 361 Issue 26, pe116 

    The article focuses on the reform of the health care bill in the U.S. According to the author, the first part of the reform, which is universal coverage, is nearing toward the conclusion and the second part will involve controlling medical care costs. He suggests that the final outcome of the...

  • Wait 'til next year. Sloane, Todd // Modern Healthcare;5/19/2008, Vol. 38 Issue 20, p24 

    The author comments that progress on efforts to craft a system of high-quality, cost-efficient healthcare in the U.S. has been incremental. He points out the continued old partisan posturing and patchwork policymaking in the U.S. government. He criticizes the Bush administration's plan to...


Read the Article


Sign out of this library

Other Topics