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" ... Obviously I am not arguing that U.S. adoption of Singapore’s health care system would magically result in 30% of obese Americans shedding their excess weight. But an attractive feature of Singapore’s system is that it incents virtuous behavior. It rewards those willing to take the time to be prudent shoppers of medical services, but in a parallel fashion it rewards those who find a way to lower their own use of the system by adopting healthier lifestyle choices that reduce the chance of downstream health events that can be costly to repair, be they heart attacks, strokes or a wide variety of gastroenterological conditions. Such individuals not only live longer but have extra dollars in their Health Savings Accounts that can help finance their longer lives. ... "
" ... Take the proliferation of the fee for service payment model as an example. This payment model incents excessive expenditures without necessarily increasing the quality of health care. Payment reforms should encourage competitive approaches that better connect higher payments with higher quality. ... "
" ... The math of Silicon Valley may make that more probable, because if you look at the monster venture funds, the only way the math works is if you’re taking really big bets into companies and you’re betting that they can be multi-billion-dollar companies. Unless that’s true, the math of the returns just doesn't work for limited partners. And so it may be the prevalence of the money in Silicon Valley in them and the size of those funds that incents this behavior. ... "