>>>>>How can you possibly prove that?
>>>
>>>How can you possibly prove your version? This is not SQL Server where you can look it up and confidently offer a solution, all of these considerations are peered at through a glass darkly. In my case I've been privileged to be involved in more than one healthcare system in times of change, and right now the US is in the middle of a change with insurers, providers and legislators finding their way.
>>
>>Billions of dollars spent worldwide on health-care planning, and it's "through a glass darkly"? Seriously?
>
>You're seriously going to debate this with a doctor? John doesn't tout it much but he is an MD. (And so is his wife). As I have mentioned before, we attended a medical conference together in New Orleans and I saw him talk with other doctors with mutual respect. And I think you know doctors are not in the habit of faking it.

I don't need to be a doctor to question something that should be wrong based on first principles.

Health-care planning is large enough it surely qualifies as an industry in its own right. Huge sums of money are spent on legions of presumably very bright people. Calling the final results "through a glass darkly" is as damning an indictment as I can imagine.