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Hegel’s Triad—thesis, antithesis, synthesis—suggests that when good people disagree, the issue is not which is right, but how to integrate the 2 perspectives. In this issue of JAMA Internal Medicine, Goitein1 raises concerns about the potential dangers of providing physicians with financial incentives to become more efficient. Although I respect her concerns, I also respect concerns articulated by Berwick and Hackbarth2 and others that we are at a point of crisis that demands a dramatic response from physicians and other clinicians. Simply put, health care is consuming too much of society’s resources and failing all too often to meet patients’ needs.
Lee TH. Improving Value Is Improving Health Care, Not Rationing. JAMA Intern Med. 2014;174(6):847-848. doi:10.1001/jamainternmed.2014.439