Just a few quick questions:

How can you have patient centered care when healthcare is a complex physician prescribed good? The patient it seems matters very little in outcome management. Either the hospital and physicians are competent or they are not. Patients are goods in process. Either the end product has defects (e.g., surgical instruments left behind) or it doesn’t.

What would you do to reform hospital chargemasters? Uwe Reinhardt has written about the wide discrepancy in charges among California Hospitals for something as simple as a chest X-ray varying by as much as 1,700%. The cost of delivering self-administered drugs to patients can be as much as 2,000% of the retail cost of the drugs alone. Many hospital services delivered by nurses or nurses aides carry a simulated hourly rate of $500 or more per hour. How can mundane hospital services be as dear as physician surgical services?