We have too many complex benefits that are too complicated to support and explain. Align outside perceptions of the industry with what is happening inside the industry. Most HMOs give good quality of care. You are only going to get better quality of care in a coordinated system. This should be a core part of all health care curriculum, not just in public health.
Health care is more than the use of provider services.
We need a gestalt shift. We have reached the maximum of what we can do administratively in terms of cost. The delivery system will not change until the delivery system side sees their consumer and their payer as the end customer. This implies a different role for government, which focuses now on oversight and financing. I think we need the oversight role, but move the customer closer to the paying role through vouchers or health-care checks.