Americans Can Have Better Health At Lower Cost. Here’s How

Forbes October 26, 2023
Arthur L. Kellermann

In the first installment of this two-part series, I noted that U.S. healthcare spending has reached the point where it is affecting every aspect of our economy, from the federal budget deficit to family finances. Medical debt is the leading cause of personal bankruptcy in the U.S.

It doesn’t have to be this way.

A Path Forward

Many groups, including the National Academy of Medicine, the Health Affairs Council on Health Care Spending and Value, RAND Corporation, the Bipartisan Policy Center, and others have offered blueprints to tackle this challenge. Among the hundreds of recommendations that have been offered, five stand out:

1. Pay for Value, Not Volume

Doctors drive most health spending in the U.S. through the decisions they...

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