Actually I don’t mind efficiency and efficacy if it’s defined across the board and not just what’s efficient for one segment of the players in the whole health care services delivery-and-consumption picture. For instance, prevention seems to often be the cheapest and most efficient first step towards an efficient health care system. The processed foods industry continues to provide high-sodium, high-fat, high-sugar foods so that if you don’t have time to cook a home-prepared meal every night, you’re damaging your (and your family’s) health. Preventative care is also such a low priority but could save so much in future costs; there seems to be some sort of mentality out there that people don’t really “deserve” health care until they’re in dire condition. It’s the same story with education – kids who don’t have access to a high quality education and finish high school and (gasp) go on to college will make less money, contribute less to the tax pool, and ultimately need more support rather than be a supporter. I guess I’m just grousing here. Something I’ve been thinking about for awhile.

Thrilled to see you blogging again! Go Hopeful!