Modern Healthcare April 25, 2020
Dr. David Nash

The eminent scholar, educator and advocate for continuous improvement W. Edwards Deming once said, “Every system is perfectly designed to achieve the results it gets.”

The U.S. spends more on healthcare than any other country. Yet among wealthy nations, we have the lowest life expectancy. Maybe no healthcare system could have been prepared for a pandemic, but we were not nearly as prepared as places like South Korea and Taiwan, which spend far less. As COVID-19 metastasized, America’s healthcare system, designed to deliver episodic, acute care but not health care, was nearly crippled. The negative effects, on the professionals and the bottom line, could last for years.

Our healthcare system gives little thought or resources to improving population health by...

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