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Clinton's Dilemma
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Clinton's Dilemma

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Clinton's Dilemma Clinton's Dilemma Presentation Transcript

  • Bill Clinton’s Dilemma
  • When Bill Clinton needs to have aheart quadruple bypass surgery, hecan choose any hospital he wants.He chose: New York Presbyterian-Columbia Medical CenterBut the problem is …
  • New York Presbyterian-Columbia has a mortality ratefor this kind of surgery that istwice the average rate of allhospitals in the State of NewYork.At the time, it was a lowperforming hospital with high riskof poor outcomes.Ref: The American Journal of Managed Care, Oct 2004.http://www.ajmc.com/publications/issue/2004/2004-10-vol10-n10/Oct04-1900p664
  • Why? Maybe he does not know this fact.  unlikely, given his extensive knowledge on healthcare policies, and the advisors and resources he has Maybe his doctor / insurer pushed him to make this decision.  probably, given the urgency of the surgery Maybe Hilary chose it for him (just joking!)
  • It is difficult for even well-informed and affluent patients to choose their ownhealthcare providers.