Name:   QuietMan - Subject:   Let's separate the cost and quality of care Date:   7/31/2018 6:44:53 PM

MM - great post and glad you continued the dialogue. For those who have not yet realized it this is a big darn deal. The ACA, ObamaCare as it’s come to be known, was one solution @ the time. Imperfect sure, but at the time something had to be done and it was. It’s our job - all of us- to improve it. In the litany of disfavored third party pastors I would add Tri care. It too has its limits. 

Our generation has an opportunity to make a difference and avoid going down the path of 50% + tax structures with abysmal healthcare delivery systems and the bad consequences you mentioned. Unfortunately, the issue seems to have moved to the back burner. For now, large systems will continue to lobby through industry groups as appropriate, try to raise awareness, and do their best to control costs so they can continue to hit those 4% margin operating targets (for which you would be fired in any other industry).