Journal of Community Health

, Volume 37, Issue 4, pp 888–896

Opportunities for Cost Reduction of Medical Care: Part 3


DOI: 10.1007/s10900-011-9534-8

Cite this article as:
Malach, M. & Baumol, W.J. J Community Health (2012) 37: 888. doi:10.1007/s10900-011-9534-8


The level of health care spending in the United States and other developed nations is rising at a disturbingly rapid rate. However, in the United States, these increases are not justified by superior performance. Rather, most other wealthy countries’ inhabitants live longer and suffer from fewer medical problems than the average American. This paper demonstrates the continued abundance of opportunities for substantially reducing health care costs without decreasing the quality of care. In particular, it emphasizes the need to reduce the practice of defensive medicine and to enlarge the cadre of non-specialist physicians who educate future doctors. Such cost-saving opportunities are not rare phenomena but are widely available and offer the United States opportunities to move toward the markedly lower cost levels that have been achieved in other countries.


Cost reduction Medical care Defensive medicine Medical education 

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  1. 1.New York University Medical CenterNew YorkUSA
  2. 2.SUNY Downstate Medical CenterBrooklynUSA
  3. 3.Berkley Center for Entrepreneurship and InnovationNew York UniversityNew YorkUSA
  4. 4.Princeton UniversityPrincetonUSA

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