Is the main problem with the US healthcare system that hospitals have gotten too large since the 1990s? That seems to be the remarkable conclusion of two of the nation’s most distinguished health-policy analysts, David Dranove and Lawton R. Burns. Dranove is an economist and Walter J. McNerney Distinguished Professor of Health Industry Management at the Kellogg School of Management at Northwestern University. Burns is a sociologist and James Joo-Jin Kim professor of health care management at the Wharton School at the University of Pennsylvania. Dranove and Burns’s joint effort, Big Med: Megaproviders and the High Cost of Health Care in America, purports to offer special insights into the pathologies of the American healthcare system via an interdisciplinary approach.
I. From Hospitals to
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