Reply #67: do you remember the article written by man MD and PHD in public health

[nannah]

i think it was in the New Yorker magazine. It compared medical care under medicare to use a somewhat homogenous population for comparison. They were assessing a cost benefit analyasis. They concluded that the most expensive care was in a town in texas where the "entrepreneurial doctors" owned the imaging, rehabilitation, labs, and other medical facilities in the area. they tended to overuse their own businesses for referrals which created a downside of over exposure to diagnostic testing which had a negative affect on patients health.

the best and least expensive care was delivered through group collaborative medical systems like the mayo clinics.

it supports the idea that a doctor's desire to accumulate wealth is a driving force in setting the costs of their medical care; and the business alliances to which they gravitate