Posts tagged ‘risk’
Written by Lewis D. Eigen
With all the histrionics over Health Care Reform, throughout the entire process, it was easy to miss some of the very important issues of the debate. One, in particular, got entirely lost for a very interesting set of reasons. It was the Bigness issue. But there was hardly a Republican who did not complain about Bigness. It was mentioned hundreds of times each day throughout the more than a year of debate. How could it be lost?
It was “lost in plain site”. There are few citizens who do not know that one of the criticisms of the Health Care Reform Bill was that there would be a large, centralized, system running American Health Care instead of the smaller decentralized status quo. But very few people indeed can recall any discussion of WHY bigness would be bad–for our health delivery system and for the nation. That is what was missed. And that is where the Republican political tacticians could have done a much better job.. In their choice of tactics to defeat Health Care Reform, they failed to communicate and explain the, admittedly complex, issue of Bigness in American history and public policy. Had they done so, Health Reform probably still would still have passed, but it might look quite different from the present law. This article is the first of a series that discusses what the debate missed: Why bigness in our nation’s health system might not be very good. (more…)