Health Affairs March 21, 2019
Bill Frist, Margaret Hamburg

In January, we were honored to co-chair the inaugural meeting of the Health Affairs Council on Health Care Spending and Value. This diverse group of 22 health care leaders has come together to stimulate a national discussion about whether we should—and how we could—constrain what feels like runaway health care spending.

An explicit conversation about this issue has long been taboo in US health policy and politics, but with health care now consuming 17.9 percent of our gross domestic product (GDP)—up from 5 percent in 1960—that time is over. It is time for us to speak boldly and thoughtfully about the wisdom, sustainability, and return on investment of these levels of funding and examine the consequences of continuing health care...

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