{"id":27,"date":"2010-01-20T17:24:56","date_gmt":"2010-01-20T21:24:56","guid":{"rendered":"http:\/\/www.khpi.org\/wp\/?p=27"},"modified":"2010-01-20T17:24:56","modified_gmt":"2010-01-20T21:24:56","slug":"health-care-reform-vision-or-hallucination","status":"publish","type":"post","link":"http:\/\/www.khpi.org\/blog\/health-care-reform-vision-or-hallucination\/","title":{"rendered":"Health Care Reform:   Vision or Hallucination?"},"content":{"rendered":"<p>Has anything in health care improved for the better for us patients&#8230; for anyone?<\/p>\n<p>Over 10 years ago as we approached the new millennium I was finishing an intensive <a href=\"http:\/\/www.healthpolicyfellows.org\/home.php\" target=\"_blank\">Health Policy Fellowship<\/a>. \u00a0As a synthesis of all I had seen and learned from an insider&#8217;s perspective, I penned a <a href=\"http:\/\/www.khpi.org\/Vision_healthcare\/Vision_print_1999.pdf\" target=\"_blank\">vision of what I thought healthcare should look like<\/a> in the next century. \u00a0It was more a statement of some twenty principles and directions rather than specifics. We are now a full decade into the 21st century so it seemed a good time to take a look at my old roadmap.\u00a0 \u00a0Perhaps it is a measure of my current pessimistic state of mind, but I am not immediately able to declare progress towards <span style=\"text-decoration: underline;\">any<\/span> of the goals I envisioned.\u00a0 In fact, it seemed at first blush that despite all the money and best efforts of public and private interests, that most of the items on my wish list were getting worse.<\/p>\n<p>What do you think? \u00a0Please prove me wrong.\u00a0 Help me indentify something good that has happened to us as collective patients.\u00a0 Is anyone better off?\u00a0\u00a0 If so, who? \u00a0\u00a0\u00a0Convince me that we are not irreversibly lost in a status quo of decreasing access to healthcare of uncontrollable cost, and of unknowable quality.<\/p>\n<p>Peter Hasselbacher<\/p>\n<div class=\"sharedaddy sd-sharing-enabled\"><div class=\"robots-nocontent sd-block sd-social sd-social-icon-text sd-sharing\"><h3 class=\"sd-title\">Share this:<\/h3><div class=\"sd-content\"><ul><li><a href=\"#\" class=\"sharing-anchor sd-button share-more\"><span>Share<\/span><\/a><\/li><li class=\"share-end\"><\/li><\/ul><div class=\"sharing-hidden\"><div class=\"inner\" style=\"display: none;\"><ul><li class=\"share-facebook\"><a rel=\"nofollow noopener noreferrer\" data-shared=\"sharing-facebook-27\" class=\"share-facebook sd-button share-icon\" href=\"http:\/\/www.khpi.org\/blog\/health-care-reform-vision-or-hallucination\/?share=facebook\" target=\"_blank\" title=\"Click to share on Facebook\" ><span>Facebook<\/span><\/a><\/li><li class=\"share-linkedin\"><a rel=\"nofollow noopener noreferrer\" data-shared=\"sharing-linkedin-27\" class=\"share-linkedin sd-button share-icon\" href=\"http:\/\/www.khpi.org\/blog\/health-care-reform-vision-or-hallucination\/?share=linkedin\" target=\"_blank\" title=\"Click to share on LinkedIn\" ><span>LinkedIn<\/span><\/a><\/li><li class=\"share-end\"><\/li><li class=\"share-twitter\"><a rel=\"nofollow noopener noreferrer\" data-shared=\"sharing-twitter-27\" class=\"share-twitter sd-button share-icon\" href=\"http:\/\/www.khpi.org\/blog\/health-care-reform-vision-or-hallucination\/?share=twitter\" target=\"_blank\" title=\"Click to share on Twitter\" ><span>Twitter<\/span><\/a><\/li><li class=\"share-email\"><a rel=\"nofollow noopener noreferrer\" data-shared=\"\" class=\"share-email sd-button share-icon\" href=\"mailto:?subject=%5BShared%20Post%5D%20Health%20Care%20Reform%3A%20%20%20Vision%20or%20Hallucination%3F&body=http%3A%2F%2Fwww.khpi.org%2Fblog%2Fhealth-care-reform-vision-or-hallucination%2F&share=email\" target=\"_blank\" title=\"Click to email a link to a friend\" data-email-share-error-title=\"Do you have email set up?\" data-email-share-error-text=\"If you&#039;re having problems sharing via email, you might not have email set up for your browser. 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Over 10 years ago as we approached the new millennium I was finishing an intensive Health Policy Fellowship. \u00a0As a synthesis of all I had seen and learned from an insider&#8217;s perspective, I penned a vision of what I thought healthcare &hellip; <a href=\"http:\/\/www.khpi.org\/blog\/health-care-reform-vision-or-hallucination\/\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &#8220;Health Care Reform:   Vision or Hallucination?&#8221;<\/span><\/a><\/p>\n<div class=\"sharedaddy sd-sharing-enabled\"><div class=\"robots-nocontent sd-block sd-social sd-social-icon-text sd-sharing\"><h3 class=\"sd-title\">Share this:<\/h3><div class=\"sd-content\"><ul><li><a href=\"#\" class=\"sharing-anchor sd-button share-more\"><span>Share<\/span><\/a><\/li><li class=\"share-end\"><\/li><\/ul><div class=\"sharing-hidden\"><div class=\"inner\" style=\"display: none;\"><ul><li class=\"share-facebook\"><a rel=\"nofollow noopener noreferrer\" data-shared=\"sharing-facebook-27\" class=\"share-facebook sd-button share-icon\" href=\"http:\/\/www.khpi.org\/blog\/health-care-reform-vision-or-hallucination\/?share=facebook\" target=\"_blank\" title=\"Click to share on Facebook\" ><span>Facebook<\/span><\/a><\/li><li class=\"share-linkedin\"><a rel=\"nofollow noopener noreferrer\" data-shared=\"sharing-linkedin-27\" class=\"share-linkedin sd-button share-icon\" href=\"http:\/\/www.khpi.org\/blog\/health-care-reform-vision-or-hallucination\/?share=linkedin\" target=\"_blank\" title=\"Click to share on LinkedIn\" ><span>LinkedIn<\/span><\/a><\/li><li class=\"share-end\"><\/li><li class=\"share-twitter\"><a rel=\"nofollow noopener noreferrer\" data-shared=\"sharing-twitter-27\" class=\"share-twitter sd-button share-icon\" href=\"http:\/\/www.khpi.org\/blog\/health-care-reform-vision-or-hallucination\/?share=twitter\" target=\"_blank\" title=\"Click to share on Twitter\" ><span>Twitter<\/span><\/a><\/li><li class=\"share-email\"><a rel=\"nofollow noopener noreferrer\" data-shared=\"\" class=\"share-email sd-button share-icon\" href=\"mailto:?subject=%5BShared%20Post%5D%20Health%20Care%20Reform%3A%20%20%20Vision%20or%20Hallucination%3F&body=http%3A%2F%2Fwww.khpi.org%2Fblog%2Fhealth-care-reform-vision-or-hallucination%2F&share=email\" target=\"_blank\" title=\"Click to email a link to a friend\" data-email-share-error-title=\"Do you have email set up?\" data-email-share-error-text=\"If you&#039;re having problems sharing via email, you might not have email set up for your browser. 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