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MARCH 9, 2020

Value Over Volume

Reimagining Health Care Through Lens of Systems Science

By Bruce Ramshaw, MD
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When the parts of our health care system are motivated by volume and revenue growth, the result of the whole system is represented in the figure (below).

Every country in the developed world has an unsustainable slope of increasing per capita spending on health care. Each part of the system is successfully hitting revenue and growth targets, guaranteeing the unsustainability of the system as a whole.

If private insurers raise rates and decrease benefits each year, hospitals