To the Editor:Re “How Do We Fix the Scandal That Is American Health Care?,” by Nicholas Kristof, with photographs by September Dawn Bottoms (column, Aug. 20):Nicholas Kristof scratches the surface of the failures of the health care system in this country.
I have been in practice for 28 years as a cardiologist and internist and have seen firsthand the miraculous breakthroughs in cardiac care as well as the appalling level of care typical in treatment of chronic diseases, especially among minority populations.
Most care in this country is delivered by large for-profit and nonprofit entities (which function largely as for-profit entities but avoid taxes).
These systems are incentivized to invest in high-end tertiary care, typically cardiac, orthopedic, neurosurgical and oncologic care, as they have the highest reimbursement.
Our health care system needs to incentivize primary care and force nonprofit entities to allocate larger portions of their budgets to primary care or lose their nonprofit status.
Persons:
Nicholas Kristof, Dawn
Organizations:
Health