Atul Gawande Quotes
Health care confronts us with a difficult test. We have never corrected failure in something so deeply embedded in people's lives and in the economy without the pressure of an outright crisis.
Gawande, Atul. "Testing, Testing." The New Yorker, 14 Dec. 2009.
At the time, over 40 million Americans were without health insurance, and the cost of health care was increasing at several times the rate of the economy as a whole. America had the best medicine in the world but did not yet have a way to deliver it to all citizens.
Before Obamacare was passed, insurance companies could unilaterally decide who gets health insurance and who does not. Even after they allowed a person to have health insurance, they could then cancel it in many cases after someone got sick. So they determined who could or could not get health insurance,
In some areas, the United States has the best performance in the entire world—length of survival rates for breast cancer and some other diseases for example. However, on basic medical services, like infant mortality, we have a poorer record than all the other industrialized countries. Cuba and Costa Rica are better than us in this area and their citizens actually have a longer life expectancy than Americans. Emmanuel makes the argument that the cost differential between US health care and other—even better systems—is so great that we can easily save money and reform our system without rationing medical care or wait in lines for surgery. However, to do so, there must be huge reforms and few in the system want to risk changing anything. It is hard for most Americans to face the fact that other countries offer obvious medical superiority in many areas. For example, in France, if you call their emergency telephone number for a medical emergency a doctor answers the phone, not an operator with only modest medical knowledge. When a French ambulance is dispatched, it does not have emergency medical technicians only, but there is a doctor and a nurse in the ambulance. And the ambulance itself is equipped to do emergency surgery of other critical treatment if time is critical.
Atul Gawande is an American surgeon, writer, and public health researcher. He practices general and endocrine surgery at Brigham and Women's Hospital in Boston, Massachusetts. He is a professor in the Department of Health Policy and Management at the Harvard T.H. Chan School of Public Health and the Samuel O. Thier Professor of Surgery at Harvard Medical School. In public health, he is executive director of Ariadne Labs, a joint center for health systems innovation, and chairman of Lifebox, a nonprofit that works on reducing deaths in surgery globally. On June 20, 2018, Gawande was named the CEO of healthcare venture Haven, owned by Amazon, Berkshire Hathaway, and JP Morgan Chase and stepped down as CEO in May 2020.
