Zeke’s Magic Pony
In a feature in the March GQ that’s apparently not available online, Zeke Emanuel, brother of Ari and Rahm and senior counselor on health matters to President Obama, describes his vision for a new health care system:
I think there are three main goals: get everyone covered, serious and meaningful cost control, and improving the quality of care. You gotta get all three.
Now, Zeke’s a bright guy. MD and PhD from Harvard and, well, one of the Emanuel brothers. But, um, those goals are mutually exclusive.
Covering everyone will either cause costs to skyrocket, care to decline, or both. Cost control will force people out of the system, care quality to decline, or both. Raising care quality will either increase costs, force people out of the system, or both.
There’s an old saying: “Fast, good, and cheap. Pick two.”