Well, it seems just about everybody.
The ‘change-speak’ – including the healthcare-system-is-broken’ mantra — appears to be now part of everyone’s talking points. The tone is often self righteous and the pronouncements made as though this is still news, or that saying so takes an act of some courage. No, my friends, all this is not news but is truly common knowledge and part of popular culture.
What continues somehow not to be news, or uncommon knowledge, has to do with the quality question: what are we getting for our money? Real change, I believe, won’t happen until the majority of people become obsessed with that fundamental question. While the chorus of folks who share this understanding is growing, the national horse race on healthcare continues to place it as an also-ran in the official program.
So who’s leading change in healthcare? Everyone and no one. No one at least, until we see leadership that proposes change in a way that’s real, on the ground.
March 26, 2008 at 7:20 am
[...] is facing the dilemma that we continue to point to again and again, namely, that any expansion of coverage has to be integrated with serious efforts to [...]