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I've often ranted about this, but not in these terms or as well thought out. Well said.

And if you don't want to sound cynical, please stop putting everything in quotes.

Thanks Joe. I had to laugh ---- yes I tend to overdo quotes. I'll limit them in the future!

"Effort is geared towards “engaging” employees in making better choices in choosing a healthy lifestyle, accessing cost-effective preventive services, selecting evidence-based medical and pharmaceutical interventions, managing their own conditions, complying with treatment regimens, and selecting high-performing health plans, hospitals and physicians."

With the possible exception of selecting evidence based interventions, none of these things seem to me to be in any way beyond the abilities of the average adult, nor would they be affected by by any variation in the health care regime.

Of course, under a universal government-run program of health care delivery, there would be no need to select a high performing health plan, hospital or physician, since you simply get whatever is available when you reach the head of the queue.

Hi Tony,
I’m not sure how you are defining the “average adult” but if they have the ability why are they not doing it? We need more education and transparency as a start. Wouldn’t it be great to have an app that compared the average cost and outcomes for different medical services? We need as much money advertising healthy food and lifestyle choices as we do McDonald’s and Burger King. It’s hard to believe we have McDonald’s and Coke as a sponsors for the Olympics. The “average” marketing department is far more sophisticated then the “average” adult.

Trevor: I understand perfectly well that "data" is not the plural of "anecdote".

Having said that, I have spent most of my professional life around working class people, and not one that I ever met was incapable of grasping concepts like "watch your diet", "get exercise", "take your all of your meds", and so forth.

If people choose not to do these things, the health care delivery regime won't matter.

I agree Tony that people can understand "watch your diet", "get exercise", "take your meds". But this is only the tip of the transparency iceberg. For people to take more ownership in their healthcare, they will need to understand much more than that. And healthcare information transparency is the answer.

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