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View from the Cordillera

A Commentary on Achieving Excellence in Local Government
Read by Municipal Leaders on 4 Continents
Published by the Cordillera Institute
(Vol. 4, Issue 29)
The Health-Care Dilemma (part 3): A Prescription for Real Reform
To order the full text of this commentary or to become a subscriber, see the notes below.

Summary of This Commentary
In the 2 previous parts of this 4-part series, we identified the real problems with current health-care systems and saw how the legislation known as the U.S. health-care reform law does nothing to address those problems.  It seems as though, nearly every day, another horror buried in that 2,700-page document is brought to light by the alternative media.  As public opposition to this 'reform' continues to grow, some apologists in the major media are claiming that those responsible for drafting this legislation were treading new ground so we should excuse 'a few' missteps — and we should expect them to be corrected in future.  Nonsense.  With governments around the world having entangled themselves in the delivery of health care for a half century or more, policymakers are well familiar with what works and what doesn't.  The real question is: works for whom?  Clearly, the U.S. legislation is designed to give further power to the government — not to improve the quality or cost of health care for the public.  The tragedy is that there are solutions to the health-care dilemma which have been shown to improve both quality and cost.  Other nations are applying 1 or more of those solutions successfully and there is at least 1 country which is applying them all.  In this issue, those solutions are presented and discussed.  By applying them, any country can have a health-care system which is effective, efficient, accountable, and sustainable over the long term.  The 1st step is to recognize that such solutions exist and that they are being used successfully even as this is being written.  Without that recognition, however, our existing health-care systems will keep spinning their wheels as quality continues to decline and costs continue to rise.

As always, we welcome your comments.

David Barber
Director
Cordillera Institute
(416) 293-9300
CordInst@istar.ca
http://pages.istar.ca/~cordinst/



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About This Publication
Each issue of View from the Cordillera covers some aspect of excellence in local government.  It may examine one of the success elements; it may present a case study; it may introduce a resource (an individual, a group, a publication, etc.) which is advancing excellence; it may advocate a new direction for local government; or it may identify a wrong turn in public policy and offer an appropriate remedy.  This electronic publication is read by those who govern, manage, support, and sustain our local governments.  For more information, just click on the About VFC button below.

About the Cordillera Institute
The Cordillera Institute is an independent research and public policy organization dedicated to excellence in local government.  Since our founding in 1994, we have studied many high-performance organizations to learn what makes them successful.  From this research, we have distilled a set of principles, paradigms, policies, programs, and practices which are the key elements of their success.  Our mission is to be a catalyst — to empower municipalities, school boards, public utilities, and other local public agencies to achieve excellence by adopting and applying these success elements.  For more information, just click on the About CI button below.

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