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Healthcare reform: consumers lead the way

Healthcare reform: consumers lead the way: HFMA's employee health insurance costs jumped more than 20 percent in 2004 from the 2003 level. As HFMA's CEO, I had to make difficult decisions regarding benefits, employee cost sharing, and insurance carriers.

I don't like being put into that position--attempting to balance what is best for HFMA's 80 employees versus what is best for HFMA the organization.

And I'm not alone. I recently attended a lunch with Henry Clay Ford, Jr., chairman and CEO of Ford Motor Company.

He said the most important challenge facing Ford's leadership is not Toyota or GM or DaimlerChrysler, but the cost of health insurance. I am sure Ford would rather focus on competition than on health benefits.

So what is the answer? Should Americans embrace the notion of government-controlled health delivery and financing such as in the United Kingdom, or a single payer system such as that in Canada?

Should government dictate benefits, eligibility, and services to be offered? Given our experience with and distrust of government-run programs, it is unlikely Americans would support such a response.The solution may rest with all of us.

Regina Herzlinger writes in her article "Consumer-Driven Health Care: Freeing Providers to Innovate" in this issue of hfm: Under CDHC [consumer-driven health care], providers can freely create and price their services and consumers can freely choose them.

CDHC not only enables suppliers to innovate but also enables consumers to choose the services that best meet their needs. Herzlinger notes that the original Henry Ford would not have innovated the production of inexpensive cars if government dictated the price to be paid, options to be offered, and methods of distribution...

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