Which health care reform process do you prefer?

By Steve Buckstein
In: Measure 37
Sunday February 10, 2008

As a public service, Cascade Policy Institute offers the following comparison between two approaches to the health care reform process.

Which process do you think best serves Oregon? Consider the alternatives, and then comment if you’d like about the pros and cons of the two approaches presented below.

Which health reform process do you prefer?

“Insanity: doing the same thing over and over again and expecting
different results.” “”Albert Einstein

Insanity                                           Sanity

Glorify ourselves                                   Define the problem

Assure status quo to Medicare             Insist on all-inclusiveness     &nbsp        and public employees

Process focused                                     Performance focused

Appoint commissions,                            Request competing proposals
committees, focus groups

Negotiate and compromise                    Vet, compare and contrast

Talk big, act small                                  Encourage innovation

Attack the “guilty parties”                     Reposition the interests and                                                                 incentives

Create new bureaucracy                         Select “best” alternative(s)

Dependency / control                             Self-reliance / determination

Obscure accountability                           Test, evaluate, adjust

Tell people what they get                       Win customers with what                                                                  they want

Perpetuate mediocrity                            Succeed or shut down

Change governors: Start over                 Move on to solving other                                                                           problems

You can view, print and forward a formatted color version of this comparison here.

In January 2007 Cascade Policy Institute began a series of one-page Insights to address various health care reform issues. They’re published in BrainstormNW magazine and online in the Health Care Policy Insight section of Cascade’s Health Care research page. This comparison is the February 2008 Insight.

Steve Buckstein is Senior Policy Analyst and founder of Cascade Policy Institute, a Portland-based think tank.

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