<p>
A pair of adjacent stories on health care costs in today's New York
Times illustrate the big potholes in privatizing health reform. They also point to some better paths. One article was on "huge variations" in <a href="http://www.nytimes.com/2008/04/07/health/policy/07care.html?scp=2&sq=Robert+Pear&st=nyt">end-of-life medical costs.</a> More on that later. The other, by Reed Abelson, scrutinized a <a href="http://www.nytimes.com/2008/04/07/business/07medicare.html?ref=todayspaper">seemingly failed Medicare experiment </a>in
reducing diabetes treatment costs through intense case management. So
far, it's been a wash at best. But the figure that struck me was the
"as much as $2,000 a year" per patient that Medicare paid to private
contractors to manage the cases.
</p>