I can't quote it precisely, but here's a gist from The Glass Bead Game:
> Intelligence can find its own way, the teacher's job is to address stupidity.
Overlooking the crudeness here, I think it's a good idea, and translates to medicine. Most of us are not qualified to define good care, but we know bad care when we see it.
One example of bad care is when you don't discover how expensive a treatment will be until 3 months after it has occurred.
Another might be cases where medical professionals are expected to work insane long shifts with insufficient sleep time in between.
Whatever the examples are, let's make a list of them. Build consensus around the worst offenders, and then start revoking counts-as-medical-insurance tax status from the insurers who fund the bad behavior. If you want pre-tax-medical-insurance dollars, you must:
- be able to turn a "what if" treatment scenario into a dollar amount in less than 10 minutes
- not have organizations be in-network which create unsustainable working conditions for medical personnel
- [other example of bad care goes here]
...and we add to that list over time. Markets don't do design, they do evolution. We have to kill off the ones we don't like if we want more of the ones we like.