Politics | health care reform Health Care Reform: What We Can Agree On High costs hurt all of us—here's how we can cut them By Matt Cantor Posted May 13, 2009 1:54 PM CDT Copied Then-presidential candidate Barack Obama looks at some medications with registered nurses Kate Marzluf, right, and RN Amy Silbey, left, June 10, 2008, at Barnes-Jewish Hospital in St. Louis. (AP Photo/Alex Brandon) The issue of health care reform crops up regularly, then disappears—but now it may have a foothold, writes Karen Tumulty in Time. That’s because the focus of the issue is on the current system’s huge cost to everyone. Much of the spending may be unnecessary, and a consensus seems to be emerging: President Obama’s budget chief, Peter Orszag, notes four components of reform we can agree on. Health-information technology needs a push. Hardly any hospitals have “comprehensive electronic-record systems” that improve tracking of care and results. Comparative-effectiveness research—”drug A vs. drug B vs. some procedure,” rather than drug vs. placebo—must be implemented. Providers should be paid based on care quality. Currently, they can benefit from a “botched surgery” resulting in hospital readmission. “Prevention and wellness” must carry financial incentives: “It’s much cheaper not to get sick in the first place,” Tumulty notes. Read These Next That 'buy now, pay later' loan may soon hit your credit score. Hall of Famer Dave Parker dies Cops: Arizona 5th graders drew up plot to 'end' a classmate. The Bezos-Sanchez wedding: guest list, cost, the dress, and more. Report an error