Doctor If the key to the healthcare delivered is what the doctor orders, how do we influence thoserecommendations while respecting the professional knowledge ofdoctors and the variability of patients? (Photo: GettyImages)

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

Recent evidence shows that should indeed be where we put most ofthe emphasis. Consumer-driven health care may have somebenefits, but it doesn't come close to a doctor-drivenapproach.

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