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If you are a layperson trying to understand why the cost per capita of healthcare in the US is so much higher than the rest of the developed world with no better and often times worse outcomes this is the book for you. John Patrick combines his own very relevant experience with a prodigious amount of research to address each of the major elements of cost on a macro and micro basis and comes up with suggestions for significant productivity improvements and cost reductions. He makes a compelling case that the current Fee for Service Model has to shift to a more patient centric, Fee for Value approach. After listening to his well written, thorough review of this very complex subject it's hard to disagree with him.
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The problems described are so vast that they seem not a boulder but rather a mountain that this author skillfully picks up, turns over and twists around to look at from every side. The solutions offered seem reasonable, sensible and achievable. All in all a very clear view of a stupendously huge problem with many chilling and disturbing aspects of which I had no idea before reading this very, very good book. It is to be hoped that policymakers in the new Administration will read this book.