The participants in this thought-provoking roundtable discussion hosted by surgeon Atul Gawande brings up issues of rationing, and the healthcare payment system, including a global payment system. No guest considers the possibility that the payment system problems and rationing could be addressed in one fell swoop by reverting to a payment model closer to one in which the patient feels the cost of health care in their own pocket. Patients who feel the partial cost of health care in their own pocket, and who also feel the savings of health care in their own pocket too, will help doctors and hospitals make the value judgements about healthcare rationing that are best for them.
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