Health care costs in the U.S. are high in part because expensive procedures are used even when they don’t work.  So grading health care means assessing clinical practice, not just the details of  insurance models and single-payer systems.  Shannon Brownlee writes in The Washington Monthly about the one agency in the federal government devoted to the effectiveness of medical procedures, the Agency for Health Care Research and Quality.  See her story — with a proposal for a revamped agency to take on this challenge — here.

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