The Corner

The Gawande Fallacy

Ron Bailey writes:

President Barack Obama famously read the surgeon Atul Gawande’s June 2009 New Yorker article “The Cost Conundrum,” which argues that medical costs are high because incentives are skewed toward providing ever more treatment so physicians can earn more money. Gawande analogizes health care to building a house without a general contractor. Without someone keeping an eye on what’s really necessary or desirable, home buyers might well pay an electrician for every outlet he recommends, a plumber for every faucet, and so forth. Doctors get paid for each procedure they recommend. Curing patients becomes an incidental side effect of their treatments. Gawande gets the diagnosis right, but he botches his prescription, calling for the government to impose such a general-contractor model. But cost-conscious contractors exist in the housing market because of consumer demand, not government mandate.

Ramesh Ponnuru is a senior editor for National Review, a columnist for Bloomberg Opinion, a visiting fellow at the American Enterprise Institute, and a senior fellow at the National Review Institute.

Most Popular

Elections

The Only Middle Finger Available

If Donald Trump wins a second term, it will be an unmistakable countercultural statement in a year when progressives have otherwise worked their will across the culture. After months and months of statues toppling and riots in American cities and a crime wave and woke virtue-signaling from professional sports ... Read More
Elections

The Only Middle Finger Available

If Donald Trump wins a second term, it will be an unmistakable countercultural statement in a year when progressives have otherwise worked their will across the culture. After months and months of statues toppling and riots in American cities and a crime wave and woke virtue-signaling from professional sports ... Read More

The Pollster Who Thinks Trump Is Ahead

The polling aggregator on the website RealClearPolitics shows the margin in polls led by Joe Biden in a blue font and the ones led by Donald Trump in red. For a while, the battleground states have tended to be uniformly blue, except for polls conducted by the Trafalgar Group. If you are a firm believer only in ... Read More

The Pollster Who Thinks Trump Is Ahead

The polling aggregator on the website RealClearPolitics shows the margin in polls led by Joe Biden in a blue font and the ones led by Donald Trump in red. For a while, the battleground states have tended to be uniformly blue, except for polls conducted by the Trafalgar Group. If you are a firm believer only in ... Read More
Elections

What Trump Needs to Win

On the menu today: walking through President Trump’s not-so-implausible route to 270 electoral votes, state by state, and taking a look at the gubernatorial races this year -- where GOP candidates from deep red states to a few blue ones are polling considerably ahead of Trump this cycle; and how the country ... Read More
Elections

What Trump Needs to Win

On the menu today: walking through President Trump’s not-so-implausible route to 270 electoral votes, state by state, and taking a look at the gubernatorial races this year -- where GOP candidates from deep red states to a few blue ones are polling considerably ahead of Trump this cycle; and how the country ... Read More

There Is No COVID Plan

The 2020 campaign for president has been surprisingly empty of substance since Joe Biden became the nominee. The Republicans notably didn’t even bother updating their party platform. Donald Trump’s team has spent many of the last days of the campaign making personal attacks, focused on the alleged financial ... Read More

There Is No COVID Plan

The 2020 campaign for president has been surprisingly empty of substance since Joe Biden became the nominee. The Republicans notably didn’t even bother updating their party platform. Donald Trump’s team has spent many of the last days of the campaign making personal attacks, focused on the alleged financial ... Read More