AJMC October 30, 2024
Rajesh Balkrishnan, PhD

There are 3 ways to make the US health care system more efficient and sustainable: address its burdensome complexity, emphasize primary care reimbursement, and regulate drug pricing.

The US health care system is on the verge of collapse. The US spends more than any other country in the world on health care (nearly one-fifth of its gross domestic product and nearly $4.8 trillion in 2023)1 and ranks poorly among other high-income countries when ranked for indicators of health care quality by agencies such as The Commonwealth Fund.2 Issues in all dimensions of health care—quality, access/coverage, and costs—abound, with 5 dominating: (1) uneven quality and access to health care, (2) a significant portion of the population lacking health insurance coverage, (3)...

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