To reduce health spending, Americans must distinguish between high and low-risk patients; overcoming fears of “rationing” will be critical.
Steven A. Schroeder, MD, has devoted his career to restraining health care spending (currently 17% of the U.S. gross domestic product). In this special health care reform article, Schroeder recounts his experiences as medical director of the George Washington University (GWU) medical outpatient clinics and HMO, and president of the Robert Wood Johnson Foundation.
While at GWU, Schroeder investigated why some of the clinic’s physicians accounted for significantly more costs than others; with the Division of General Internal Medicine at the University of California, San Francisco (UCSF), Schroeder modeled the costs of new treatments and found that:
In this article, Schroeder discusses three decades reigning in health care spending at major medical and public health institutions.