Thursday, December 31

If Obama were really a force for change...

If Obama were really the force for change and new thinking that he purported to be, he would undertake a study of whether the terrorist threat is such as to justify the massive bureaucracy of DHS.
If the increase in post-12/25 security measures roughly reflects the popular will, and is not simply a bureaucratic reflex unmoored to popular sentiment, the chance of driving down health care spending through more rational use of precautionary testing becomes more unrealistic, it seems to me. Perhaps it’s not just a ravenous tort bar or doctors’ pecuniary self-interest that drives the aggressive ordering of medical tests, as we have been led to believe, but patient attitudes towards risk. The revised mammogram guidelines debacle would suggest that to be the case. Making patients pay for every diagnostic test may increase their tolerance of risk, but such a cost arrangement is never going to happen.

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