The Cost Connundrum

This module looks at who the stakeholders are in the U.S. health care system and how and why their wants and needs vary. This module also explores the incentives and disincentives to lower costs and improve quality of care in the US, and it illustrates the fragmentation and lack of centralized oversight of the system. Particular attention is paid to regional variation.

Gawande, A. (2009). The cost conundrum. New Yorker, 85(16), 36.

Shi, Ch. 12: Cost, Access, and Quality

Bohmer & Knoop, 2006, “The Challenge Facing the U.S. Healthcare Delivery System” (606096)

Questions

• 1. What are the three reasons why United States expenditures on health differ from other OECD countries?
• 2. What factors explain why the United States has a health disadvantage compared to other wealthy nations?

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