Sick To Death > Chapter 5 > Reforms to Implement Right Away!

Sick To Death book cover This extract from the online edition of Sick to Death and Not Going to Take It Anymore! is used with permission.

Reforms to Implement Right Away!

How could we start the process of reform? I think rapid reform depends on pursuing an array of attention-getting small endeavors that could create a movement and investing in important longer-term efforts to build the evidence and shape the agenda. All of these activities would focus around creating a political force, broad clinical capability, and sustainable financing.

Short-term consciousness-raising is urgently needed and readily available, for example:

Building the evidence that can shape reform so that changes actually move health care toward efficient and effective strategies will require some longer-term perspectives:

Some of these require congressional action, leadership in federal executive agencies, or innovation by organized health-care delivery systems. Of course, if there were strong incentive to have those parties paying attention and addressing issues, we would already be moving along much more adeptly. Making small changes does matter, not only for improving care but also for forming the political will to make more substantial and enduring changes.

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