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by eldavido 4446 days ago
I actually agree with this (wrote the GP). If we could have either whole-hog free market or public option, I believe either would be better than what we have now.

I think integrated systems could help, where the financial and operational sides of healthcare are combined (e.g. Group Health in Seattle, or Kaiser). The key thing is to remove the conflict between the payer and operator -- it's just madness that we have a system where one party has 100% of the incentive to control costs, and the other is completely responsible for outcomes, cost be damned.