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Bill Clinton’s
    Dilemma
When Bill Clinton needs to have a
heart quadruple bypass surgery, he
can choose any hospital he wants.

He chose: New York Presbyterian-
Columbia Medical Center

But the problem is …
New York Presbyterian-
Columbia has a mortality rate
for this kind of surgery that is
twice the average rate of all
hospitals in the State of New
York.

At the time, it was a low
performing hospital with high risk
of poor outcomes.
Ref: The American Journal of Managed Care, Oct 2004.
http://www.ajmc.com/publications/issue/2004/2004-10-vol10-n10/Oct04-1900p664
Why?
 Maybe he does not know this fact.
  unlikely, given his extensive knowledge on healthcare policies, and
   the advisors and resources he has

 Maybe his doctor / insurer pushed him to make this decision.
  probably, given the urgency of the surgery

 Maybe Hilary chose it for him (just joking!)
It is difficult for even
   well-informed and
  affluent patients to
     choose their own
healthcare providers.

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Clinton's Dilemma

  • 2. When Bill Clinton needs to have a heart quadruple bypass surgery, he can choose any hospital he wants. He chose: New York Presbyterian- Columbia Medical Center But the problem is …
  • 3. New York Presbyterian- Columbia has a mortality rate for this kind of surgery that is twice the average rate of all hospitals in the State of New York. At the time, it was a low performing hospital with high risk of poor outcomes. Ref: The American Journal of Managed Care, Oct 2004. http://www.ajmc.com/publications/issue/2004/2004-10-vol10-n10/Oct04-1900p664
  • 4. Why?  Maybe he does not know this fact.  unlikely, given his extensive knowledge on healthcare policies, and the advisors and resources he has  Maybe his doctor / insurer pushed him to make this decision.  probably, given the urgency of the surgery  Maybe Hilary chose it for him (just joking!)
  • 5. It is difficult for even well-informed and affluent patients to choose their own healthcare providers.