The best book I’ve read to help understand the underlying dynamics of healthcare’s under-performance is David Goldhill’s “Catastrophic Care: Why Everything We Know About Health Care is Wrong.” Goldhill goes into great depth on the destructive dynamics of having what he calls “surrogates” — i.e., insurance companies — between us and clinicians. It’s not the simplistic demonization of insurance companies one often sees. In fact, Goldhill argues that health plans are acting quite rationally within an irrational set of circumstances.
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