tag:blogger.com,1999:blog-7476621888383604834.post3481753171616960587..comments2009-08-29T15:33:19.397-04:00Jim Sabinhttp://www.blogger.com/profile/03087828142188534542noreply@blogger.comBlogger2125tag:blogger.com,1999:blog-7476621888383604834.post-38684312077016225802009-08-29T15:33:19.397-04:002009-08-29T15:33:19.397-04:00Hi Anonymous -<br /><br />I&#39;m sorry for the delay in responding to your comment - I&#39;ve been out of the country for a couple of weeks.<br /><br />I agree with you that one or another form of &quot;meddling&quot; is required. My preferred form is &quot;deliberative meddling&quot; - a form of democratic process in which many voices can be heard. In the 1990s, when we saw the tremendous backlash against &quot;managed care,&quot; not enough people understood your point - the health system must be managed, and the only question is how we choose to carry out the management process.<br /><br />Thanks for your comment!<br /><br />Best<br /><br />JimJim Sabinhttp://www.blogger.com/profile/03087828142188534542noreply@blogger.comtag:blogger.com,1999:blog-7476621888383604834.post-83564374212447867922009-08-14T08:51:27.221-04:002009-08-14T08:51:27.221-04:00Amen, brother! The right tells us we don&#39;t want &quot;government bureaucrats meddling with our health care&quot;. The left says we don&#39;t want &quot;insurance company bureaucrats meddling with our health care&quot;. I say SOMEBODY HAS TO MEDDLE.<br /><br />Whether we pool our dollars in public pools or private pools, the incentives for both doctors and patients are to overuse the &quot;commons&quot;. Someone must meddle to prevent that overuse.<br /><br />We can argue about who meddles and how they meddle. We can meddle through global budgets or capitation or pay for performance. We can meddle through private companies or state government workers or federal government workers.<br /><br />BUT SOMEBODY HAS TO MEDDLE IN SOME WAY.Anonymousnoreply@blogger.com