As we steam along toward centralizing health care with the Obama care Bill, we need to take a look at the corrective actions which the NHS in the UK are attempting to improve freedom of choice and patient involvement in their own care. This has taken several decades to become important enough to take action.
Unfortunately Don Berwick, the present head of CMS totally ignores this feature of the NHS. The NHS system has not been self correcting due to it’s massive bureaucracy and inertial guidance system. This is typical of government. The only way to control this seems to be having congress not fund mandates.