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Practical Solutions for Healthcare Management and Policy (Collection) by Carolyn Pexton Dr. Brett E. Trusko Praveen Gupta, Dr. H. James Harrington, Douglas A. Perednia M.D., Jim Champy, Harry Greenspun M.D.

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11. Overhauling Payment for Healthcare Goods and Services

“Let us not seek the Republican answer or the Democratic answer but the right answer.”

John F. Kennedy

The process of funding, buying, and selling healthcare goods and services serves as the foundation of the entire healthcare system. How we handle these activities govern whether, when, and under what terms medical care will be available. If the underlying financial system is flawed and unsustainable, the rest of the healthcare system is guaranteed to be as well.

If we’re going to eliminate the defects of the current system while avoiding the wholesale creation of new problems, we need to do far more than tweak the current machine. What’s required is a complete overhaul. While inherently ...

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