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Health Insurance/Care Overhaul, Pt.10 – Government Infrastructure and summary.

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The axiom remaining is certainly not the least. This would be the critical ‘Government Infrastructure Support’. This wildcard is not well-defined here, but it’s influence is so critical, that it’s seriously doubtful that any national health insurance/care system project of this scope could even get off the ground without it. The ‘Commonwealth’ assessment only calls for the need of ‘infrastructure support’, some help in adoption of ‘health IT’ and ‘performance improvement’. It almost sounds ‘passive’. With the 50 diverse visions coming from the 50 different states concerning health insurance/care, there is little mentioned about unity or ‘championship’ to ever bring such a high-performance national health insurance/care system about but, perhaps, those are beyond the scope of this study.

So the conclusion given at the end of the report is that reorganization will be required at all levels, if our nation expects to achieve a high-performance health insurance/care system. Those levels include practice level, the community level, the state level and the national level. As James J. Mongan, M.D. puts it "There is no one policy, or practice that will make our health care system run like an efficient, well-oiled machine.” James J. Mongan is the CEO of Partners Health System and also the Chair of the Commission on A High Performance Health System. He does concede that "This is going to take strong national leadership and a commitment from all of the players in our health care system.” He believes that all of these strategies that have been treated here can get our country well down the road toward a high performance national health insurance/care system.

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