Systemwide Cost Control — The Missing Link in Health Care Reform.

In the NEJM [V361,pp1131-1133. Sept 17] Is an article worth reading about the failure of current legislation to be serious about cost reduction, or even control. The article references three European countries with multiple payers that require annual collective bargaining with the government to control prices. Comment: The article is worth reading for the other serious options for controlling costs. The biggest barrier is the insurance industry