Doctor If the key to the health care delivered is what the doctor orders, how do we influence those recommendations while respecting the professional knowledge of doctors and the variability of patients? (Photo: Getty Images)

Health care costs too much for what we get in return. Is it more reasonable to hope that doctors will curb unnecessary spending, or consumers? I have long believed that while both are useful, our primary focus should be on influencing what doctors recommend.

Recent evidence shows that should indeed be where we put most of the emphasis. Consumer-driven health care may have some benefits, but it doesn't come close to a doctor-driven approach.

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