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An Insider's Forecast for the Future of Health Care: Getting Better in Spite of Reform
Jeffrey C. Bauer, Ph.D.
Senior Vice President - SAGE
Superior Consultant Holdings Corporation
Southfield, Michigan
Telephone: (970) 847-3360
Voice mail: (800) 781-0960, ext. 8891
E-mail: [email protected]
Prepared at the request of President Clinton and the White House
January 24, 2000
© 2000, Superior Consultant Holdings Corporation
Summary
Medical science, technology, and market competition-not legislation and
regulation-are relentlessly laying the foundations of a new, better, and different
health care system for the 21" century. Changes of seismic proportion are taking
place outside the view of those who look only to government to define the realm of
possibilities for reform. The key challenge for government today is to accelerate the
digital transformation of health care by investing in transformative technologies, by
rewarding progressive organizations and individuals, and by participating
creatively in the development of a better, different system that trusts consumers to
make informed choices.
Competing Forces of Reform
Most Americans believe that our health care system needs to be changed, but they do not agree on the
nature of desired alterations. Some want a return to the days when doctors called all the shots and
insurance paid all the bills. Others want a national health plan and are willing to accept bureaucratic
control as the price of universal coverage. The various camps are so divided that health reform is
characterized as a battle, with the underlying implication that one side will ultimately prevail.
In most peoples' minds, the battle is being fought in the halls of Congress and state legislatures. Millions
of dollars are spent each year to sway elected officials either directly (through campaign contributions) or
indirectly (via media campaigns to enlist public pressure). In reality, the future of health care is being
shaped to a much greater degree by scientific, technological, and economic forces. The power of these
forces may be stalled by government actions, but it won't be stopped in the long run.
Century-to-Century Differences
The differences between 20th and 21st century health care can be seen in six different areas that will
ultimately matter much more than anything that might be done in 2000 by politicians.
AUTHORITY
The reign of scientific medicine coincides almost perfectly with the 20ᵗʰ century. The Flexner
Report (1910) caused snake-oil salesmen and other charlatans to be drummed out of business in
favor of university-trained doctors who practiced the teachings of respected scientists like Pasteur.
Dr. Jeff Bauer - An Insider's Forecast for the Future of Health Care - Page I
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"ocrText": "An Insider's Forecast for the Future of Health Care: Getting Better in Spite of Reform\nJeffrey C. Bauer, Ph.D.\nSenior Vice President - SAGE\nSuperior Consultant Holdings Corporation\nSouthfield, Michigan\nTelephone: (970) 847-3360\nVoice mail: (800) 781-0960, ext. 8891\nE-mail: [email protected]\nPrepared at the request of President Clinton and the White House\nJanuary 24, 2000\n© 2000, Superior Consultant Holdings Corporation\nSummary\nMedical science, technology, and market competition-not legislation and\nregulation-are relentlessly laying the foundations of a new, better, and different\nhealth care system for the 21\" century. Changes of seismic proportion are taking\nplace outside the view of those who look only to government to define the realm of\npossibilities for reform. The key challenge for government today is to accelerate the\ndigital transformation of health care by investing in transformative technologies, by\nrewarding progressive organizations and individuals, and by participating\ncreatively in the development of a better, different system that trusts consumers to\nmake informed choices.\nCompeting Forces of Reform\nMost Americans believe that our health care system needs to be changed, but they do not agree on the\nnature of desired alterations. Some want a return to the days when doctors called all the shots and\ninsurance paid all the bills. Others want a national health plan and are willing to accept bureaucratic\ncontrol as the price of universal coverage. The various camps are so divided that health reform is\ncharacterized as a battle, with the underlying implication that one side will ultimately prevail.\nIn most peoples' minds, the battle is being fought in the halls of Congress and state legislatures. Millions\nof dollars are spent each year to sway elected officials either directly (through campaign contributions) or\nindirectly (via media campaigns to enlist public pressure). In reality, the future of health care is being\nshaped to a much greater degree by scientific, technological, and economic forces. The power of these\nforces may be stalled by government actions, but it won't be stopped in the long run.\nCentury-to-Century Differences\nThe differences between 20th and 21st century health care can be seen in six different areas that will\nultimately matter much more than anything that might be done in 2000 by politicians.\nAUTHORITY\nThe reign of scientific medicine coincides almost perfectly with the 20ᵗʰ century. The Flexner\nReport (1910) caused snake-oil salesmen and other charlatans to be drummed out of business in\nfavor of university-trained doctors who practiced the teachings of respected scientists like Pasteur.\nDr. Jeff Bauer - An Insider's Forecast for the Future of Health Care - Page I"
}