To hear proponents and opponents of the nation’s new health care reform law, the Affordable Care Act will either make the United States the utopia of medical care or give Americans medicine the equivalent of a third-world country. Likely, it won’t do either. Instead, availability and cost levels might improve while quality could decline. This realization is dawning on some medical experts who are beginning to focus on wasteful spending and practices as the most immediate way to cut into rising health care costs.
In a report appearing in the current issue of the Journal the American Medical Association, Dr. Donald Berwick, a former administrator of the Centers for Medicare and Medicaid Services and Dr. And