Harold S. Luft


On his book Total Cure: The Antidote to the Health Care Crisis

Cover Interview of January 05, 2009

Editor’s note

Originally, this interview ran on the Rorotoko cover page under the headline

“To change the health care system, combine the collective action potential of government with the flexibility and innovation of well-designed markets.”

We highlighted two quotes.

On the first page:

“Providing more access to a failing system is not the solution—the [health care] system must be redesigned to work more effectively for everyone.  [...] SecureChoice mandates insurance for what requires insurance, using income-based subsidies for all other medical care.  Government focuses on that for which government is needed; well-structured market incentives foster flexibility and creativity.  SecureChoice uses incentives and information rather than command-and-control.”

On the second:

“[...] our staff members were dying and were being denied coverage because plans were afraid of the economic risks.  The challenge I decided to address was how to change payment incentives so health plans would take care of very sick people and even become so proficient at such care that they would gladly attract these patients.”