A Quote by Donald Berwick
The decision is not whether or not we will ration care. The decision will be whether we ration care with our eyes open.
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In an interview, last year in the journal Biotechnology Healthcare, Dr. Berwick said, “The decision is not whether or not we will ration care — the decision is whether we will ration with our eyes open.
The chronically ill and those toward the end of their lives are accounting for potentially 80% of the total health care bill out there. There is going to have to be a very difficult democratic conversation that takes place. The decision is not whether or not we will ration care. The decision is whether we will ration with our eyes open.
How, voters will ask, can we cover 50 million new people without any new doctors or nurses? The answer is to ration health care, with the U.S. government deciding whom will get hip and knee replacements, heart bypass surgery and all manner of medical treatments. And what does rationing mean? It means that the elderly will be denied care, which they can now get whenever they want it.
We are not here to advocate abortion. We do not ask this Court to rule that abortion is good or desirable in any particular situation. We are here to advocate that the decision as to whether or not a particular woman will continue to carry or will terminate a pregnancy is a decision that should be made by that individual. That, in fact, she has a constitutional right to make that decision for herself and that the state has shown no interest in interfering with that decision
There is no question that managed care is managed cost, and the idea is that you can save a lot of money and make health care costs less if you ration it.
I just don't care that much about how famous I am. I care a lot about our world, and whether our planet will survive. It seems really low-stakes how many Twitter followers I have, in the grand scheme of things. In 80 years, who will care?
Ultimately, we are not subject to the conditions that confront us; rather, these conditions are subject to our decision ... we must decide whether we will face up or give in, whether or not we will let ourselves be determined by the conditions.
On one of the most personal matters of our lives, our health care, President Obama would turn decision making over to government bureaucrats. He forced through Obama-care and I will repeal it.
The Supreme Court, or any court, when they make a decision, if that's a published
decision, it becomes virtually like a statute. Everybody is suppose to follow that law. Whether I decide to allow a law to become a law without my signature is simply
in effect expressing a view that while I don't particularly care for this, the Legislature passed it, it was an overwhelming.
vote, or maybe there were other reasons. But
my decision not to sign doesn't have to be followed by
everybody from that point on
When team members openly and passionately share their opinions about a decision, they don't wonder whether anyone is holding back. Then, when the leader has to step in and make a decision because there is no easy consensus, team members will accept that decision because they know that their ideas were heard and considered.
If you obsess over whether you are making the right decision, you are basically assuming that the universe will reward you for one thing and punish you for another. The universe has no fixed agenda. Once you make any decision, it works around that decision. There is no right or wrong, only a series of possibilities that shift with each thought, feeling, and action that you experience.
It don't care whether I'm good enough. It don't care whether I snore or not. It don't care which God I pray to. There are only three things with that kind of unconditional acceptance: Dogs, donuts, and money.
I play because I know I can play the game, so it's their decision whether or not they want to keep me or they wanna trade me. Whatever decision they make, I will understand it.
My interest in well-being evolved from my interest in decision making - from raising the question of whether people know what they will want in the future and whether the things that people want for themselves will make them happy.
With a small town mentality, you make a decision very early on as to whether you are going to do everything by the book or just go your own way and not care.
What I care about is whether or not a leader will work with America's working people, whether or not a leader cares about responsibility and honest work and whether or not a leader will fight to keep the American Dream alive.
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