McGuire and Anderson bring the findings of the behavioral
biology of group cooperation to bear on the vexatious problem of
healthcare reform. One of the few certainties that we have is that
the approach of the last 50 years--arguments between advocates of
government or private insurance--has led to intractable gridlock.
It is thus necessary to ask whether the initial assumptions buried
within this controversy might have fatal flaws. In the authors'
views, they do. Our modern society would never tolerate funding of
any other necessity or convenience by such clumsy methods. In
short, McGuire and Anderson contend we must pay for healthcare the
way we pay for food, housing, clothing, and transportation.
McGuire and Anderson begin by examining the flaws embedded in
each side of the current debate. They offer ten postulates around
which any successful system must be devised, and identify the
problems from the perspective of patients, professionals, and
public and private insurance providers. Finally, they apply the
knowledge of the biology of human behavior to the problem of
enhancing group cooperation toward a self-correcting system, which
avoids the current major pitfalls. A workable system, they contend,
will be one that is compatible with human nature; not a perfect
system, but better than we have, and more likely to work than
competing theoretical constructs.
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