Commentary: choice--the need for a thorough and open discussion: implications for academic health centers.
The reality is that choice in health care may be limited or substantially curtailed in the future. To imply that the U.S. health care system can achieve the needed cost savings without such restrictions is not productive and may be potentially deceptive. Continued unfiltered, unlimited choice will only continue to drive more utilization and costs. Academic health centers (AHCs) should take a leadership role in expanding the public dialogue regarding health care reform and its likely need to limit choice at some level while preparing for the inevitable related evolution of AHCs' core clinical programs, relationships, and strategies.
University of Kentucky, Lexington, KY 40536, USA. mkarpf@email.uky.edu
Michael
M
Karpf
Richard
R
Lofgren
D000046:Academic Medical Centers / Q000458:organization & administration*; D017048:Health Care Costs; D018166:Health Care Reform / Q000458:organization & administration*; D006300:Health Services Misuse; D020403:Patient Freedom of Choice Laws; D058991:Patient Protection and Affordable Care Act; D012051:Reimbursement Mechanisms; D014481:United States