healthcare is a wonderful product; countries are spending increasing amount [of increasing GDP] on healthcare ... 20% by 2050?
tend to apply new technologies to too many people...will become more targeted
build on what works and fix what doesn't cf with radical model shift
last two years of life consume most healthcare
1% accounts for 35% of cost [chronic conditions and how we treat dying people]
shift to outcome based vs input [time based] or output based [procedures] ... ok at population level otherwise presumes accurate diagnosis and less co-morbidity?
Geisinger salaried medical staff + quality bonus [rather than no. of patients treated]
