Medicine needs to be reorganized more than it needs any scientific breakthrough. The problem is no longer inventing new lifesaving drugs or devices, but getting them to the right patients. Armies of specialists prescribe tons of pricey pills but fail to deliver basic medical care. Patients don't get drugs that could save them, and medical errors crop up with alarming frequency. New computer systems could help. But what we really need is good, old-fashioned doctoring--the kind that takes the time to take care of the whole patient.
Does this mean that the folks in various big health care organizations are going to introspect about how health care (dis)organization and (mis)governance has gotten in the way of primary care and generalism, which is what I think he means to promote?
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