re: "Americans spend more on health care than anyone". What if it is due to consumer choices?

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I dont think we can have an honest discussion about the cost of healthcare without tort reform though.

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Get govt out of healthcare and tort reform will begin taking care of itself.

Healthcare costs not driving by litigation but instead by the industry dynamics and by medical errors.

Get the govt out of healthcare, and let the lawyers go HAM on medical errors and you can rest assured that the AMA will finally begin policing itself with regard to medical errors. There are far too many errors made and medical professionals should be ashamed of this. Instead they run from it, cry about malpractice insurance costs, and take no steps to prevent it.

In their defense however, the govt overlord and its onerous restrictions on how things must be coded and so forth so that Uncle Sam pays, all the paperwork all the admin time they spend - all of that takes away from doing proper exams, makes patient encounters shorter, and increases the chances of error. Doctors need to be doing doctoring. That alone will help fix the errors as well.