Paul Keckley: Friction in U.S. Health Care System Coming to a Head

November 24, 2023

Conflict between the sector’s “haves” and “have-nots” has been brewing for years and is coming to an inflection point.

// By Ron Shinkman //

Ron ShinkmanHealth care in the U.S. has been very good to those who participate on the business end of the enterprise, but the comfort they enjoy is often at the expense of others. Those frictions are likely to guide the future of the sector in the coming years.

Paul Keckley, managing editor of The Keckley Report

Paul Keckley, managing editor of The Keckley Report

That’s how health care policy analyst and industry expert Paul Keckley sees the current situation, per his opening keynote address at the SHSMD23 Connections virtual conference, held in late October. Keckley provided data to support his position, citing a report from the Centers for Medicare & Medicaid Services predicting a compound annual growth rate for the health care sector of 5.4 percent through 2028.

Keckley is the managing editor of The Keckley Report, a well-known industry newsletter. He has had a successful career in health care himself, having held top posts at Deloitte Center for Health Solutions and Vanderbilt University Medical Center. But he believes the self-interest of the sector’s “haves” and the mounting anger of its “have-nots” are moving closer to collision.

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