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David Brooks’ Tour Outside ‘Bourgeois Strata’ Should Start In Healthcare

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by Dave Chase
Forbes
May 2, 2016

The New York Times‘ David Brooks and other GOP elites are reflecting on the seeming inevitability of Donald Trump being the GOP standard bearer. Brooks has a good perspective on the issue and has decided he needs to venture outside of his “bubble.” I’d like to propose where he can start his venture: the U.S. healthcare situation.

Brooks: “Trump’s success grew out of that pain, but he is not the right response to it. The job for the rest of us is to figure out the right response. That means first it’s necessary to go out into the pain. I was surprised by Trump’s success because I’ve slipped into a bad pattern, spending large chunks of my life in the bourgeois strata—in professional circles with people with similar status and demographics to my own. It takes an act of will to rip yourself out of that and go where you feel least comfortable.”

My seven-year quest to find why the American Dream has been shattered…

While there are plenty of problems in healthcare, to understand how healthcare has devastated the American Dream, I’d focus on the two biggest problems that underlie the under-performance. They are pricing failure (i.e., no correlation between price and value) and overuse. Pricing failure has been healthcare’s most vexing problem, as the Washington Post has reported. The Lown Institute has taken the lead on the overuse problem–read about the faces of overuse and listen to the horrifying impact of our volume-driven system.

Read the full article here.

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