The Unhealthy Care System

Monday all eyes will be on foreign affairs, as President-Elect Barack Obama introduces members of his National Security team, including several Cabinet secretaries. The New York Times quotes a foreign policy advisor suggesting that Obama will be seeking "a rebalancing" of how the U.S. conducts itself in the world, emphasizing a sustainable policy that returns diplomacy and material assistance to the mix, as well as military power.

But an article in the Washington Post on Sunday about a primary domestic issue shouldn't escape significant notice. It's about the U.S. health care system, and it begins: "Talk to the chief executives of America's preeminent health-care institutions, and you might be surprised by what you hear: When it comes to medical care, the United States isn't getting its money's worth. Not even close."

"Our health-care system is fraught with waste," says Gary Kaplan, chairman of Seattle's cutting-edge Virginia Mason Medical Center. As much as half of the $2.3 trillion spent today does nothing to improve health, he says.

The article goes on to assert: "Yet among physicians, insurers, academics and corporate executives from across the ideological spectrum, there is remarkably broad consensus on what ought to be done."

Those familiar with the issue, especially if they have been listening to what Barack Obama said during the campaign, probably won't be surprised by the prescription for efficiency, preventive care, an emphasis on primary care, etc. But it is significant that (1) health care officials are saying it themselves, and (2) these quotes are appearing in Washington's establishment newspaper.

Health care is very likely to be an important component in the Obama proposals to change the economy. This is only a preview. But a very good indication that something might really get done this time. Because it is change we need.