In Delivering Care, More Isn't Always Better, Experts Say

By Ceci Connolly
Washington Post Staff Writer
Tuesday, September 29, 2009

A dirty word in health-care reform is "rationing," a term that conjures up the image of faceless government bureaucrats denying lifesaving therapies in the name of cutting costs.

But what if the real issue is not the specter of future rationing, but the haphazard, even illogical, way in which care is delivered today?

Medical professionals say the fundamental problem in the nation's health-care system is the widespread misuse and overuse of tests, treatments and drugs that drive up prices, have little value to patients, and can pose serious risks. The question, they say, is not whether there will be rationing, but rather what will be rationed, and when and how.

"More is not necessarily better," said Bernard Rosof, chairman of the board of directors of New York's Huntington Hospital and a board member of the independent National Quality Forum. "In many cases, less is better."

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