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greater competition and market forces

But Dave, on what basis does the consumer choose his health care?

Outcomes reports on hospitals and doctors is fundamental to making good choices. And they must come from an independent body.

Arguing that all such reports are flawed and hence useless or misleading leads to the situation where choices are made based on anecdotes (Uncle Harry had a hangnail treated there years ago and did OK.) Or glossy advertizing.

Or trust your doctor's advice (to recommend where he has financial incentives)? Believe what you read in the news? On TV? On the internet? Trust your insurance company to send you where it gets the best deal?

I don't think competition works very well in this regard.
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