title: Commentary: something has to give. the question is, what?
abstract: A large facet joint cyst, the size of a walnut, at L5-S1 resulted in an "emergency" laminectomy at Asheville, North Carolina's Mission Hospitals on this 79-year-old active equestrian and retired healthcare consultant, who more than a half-century earlier was formally trained in hospital administration and medical economics. While as an inpatient, he reflected broadly about today's healthcare expenditures, utilization, and quality, and speculated on possible future remedies.
authors.affiliation: tpweil@aol.com
authors.forename: Thomas P
authors.initials: TP
authors.lastname: Weil
mesh_terms: D060866:Accountable Care Organizations / Q000191:economics; D002170:Canada; D003363:Cost Control; D003695:Delivery of Health Care / Q000191:economics / Q000458:organization & administration*; D016527:Drug Costs; D017598:Efficiency, Organizational / Q000191:economics*; D001330:Electronic Data Processing; D005858:Germany; D017048:Health Care Costs; D006801:Humans; D007344:Insurance Claim Reporting / Q000191:economics; D018802:Patient-Centered Care / Q000191:economics; D012051:Reimbursement Mechanisms / Q000191:economics; D014481:United States