"No experiment can be more interesting than that we are now trying, and which we trust will end in establishing the fact, that man may be governed by reason and truth. Our first object should therefore be, to leave open to him all the avenues to truth. The most effectual hitherto found, is the freedom of the press. It is, therefore, the first shut up by those who fear the investigation of their actions." --Thomas Jefferson to John Tyler, 1804.

That health care reference

During President Barack Obama’s state of the union speech last night, he spoke (near its beginning) about health care, and included some references to changes that might cut costs. There was this significant line, for example: “We’ll bring down costs by changing the way our government pays for Medicare, because our medical bills shouldn’t be based on the number of tests ordered or days spent in the hospital; they should be based on the quality of care that our seniors receive.”

This, and a couple of other bits, were actually a specific reference – though Obama didn’t explicitly say so – to Oregon, whose Governor John Kitzhaber was sitting in the first lady’s guest area. Oregon’s health care experiment, centered on the use of regional community care organizations, probably is the most advanced such effort in the country, aimed at reducing costs while keeping medical care as good or better.

It isn’t a something-for-nothing, free lunch proposition; rather, it’s better organization of resources.

It got some good national promotion in a recent article in the Washington Post, which probably deserves some additional reading by policy makers around the country.

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