Comments (#18 & #45) on Securing the Future of American Health Care Barack Obama September 26, 2012DOI: 10.1056/NEJMp1211514 and
Replacing Obamacare with Real Health Care Reform Mitt Romney September 26, 2012DOI: 10.1056/NEJMp1211516 (http://www.nejm.org/doi/full/10.1056/NEJMp1211514?query=featured_home&activeTab=comments&page=1&sort=oldest#t=article
Health Care Reforms and Systems Science
Health of a society depends on those who maintain their own health and on those who are helped to regain it. A societal report card on health reflects fluctuating rations of the above two groups and those who are not helped.
Creating a favorable bottom line for such a report card is a challenge that still awaits optimal solution.
If a surgeon needs to operate on a patient in failing health, he must know how a healthy human bodily system works. Only then, should he go to the OR. The outcome of non-compliance with such a pre-requisite is self-evident.
Expansion of this example into the realm of attempting "surgery" on a health care system that is waiting in the pre-anesthesia room should also be self-evident and the society-at-large should insist that all involved must go through the ?optimal health care system check list.?
All biologic systems that humanity represents express systems principles to a variable extent. The ultimate value creation comes from adaptation and evolution if those principles are fully respected.
Both health care reform proposals in this journal, when viewed through the prism of examples cited above, assume an image of their likely success.