A thing of the past?

The NY Times today had a very interesting piece on Peter R. Orszag the Chief of the Office of Management and Budget.  Notwithstanding the fact that he might just have more energy than John Childs, there were some key insights into the perspective of his office on health care.  It indeed is the big gorilla that will need to be tackled and I facilate between hope and despair that true and effective change might actually occur.  After reading this at least I am a little more hopeful. Orzag reportedly wants to do no less than change the way medicine is practiced, eliminating unnecessary tests and unproven treatments in favor of what he calls a higher-value approach that he says will actually improve health.  Sounds like a broken record EIM blog post. Others might be questioning whether we should pay for ineffective 50K fusion surgeries, perhaps we should try a a couple hundred dollars of PT first.