One-stop shopping comes to American medicine

Congressional fireworks over health insurance legislation may ultimately seem a minor footnote compared to a subtle, but seismic shift toward something reformers have long yearned for–one-stop shopping.

The idea is to combine insurance, where the economic incentive is to spend as little as possible on care, with medicine, where money’s to be made by providing maximum treatments. One such iteration is a health maintenance organization, like Kaiser Permanente, which Washington has been relentlessly pushing a resisting system toward since the Nixon Administration.

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