Ezekiel Emanuel of University of Pennsylvania discusses his views on a variety of topics in contemporary health policy. Emanuel says that, overall, he is an optimist and believes that by 2020 the reforms instituted by the Affordable Care Act will have had a chance to be implemented and the United States will have a robust healthcare system. Currently, argues Emanuel, the U.S. does not have the best healthcare system in the world because quality and access are too uneven. Nobody should be satisfied with American healthcare today because, even at its best, the system produces outcomes that are too unpredictable. To improve healthcare, he says, doctors need to have more incentives to work in teams, and the system needs to pay doctors based more on outcomes than on service volume.
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