An epidemic of waste blights the US health care delivery system. Despite a huge dedication of resources to health care in the United States, the medical system does not deliver safe, effective, efficient, patient-centered, timely, and equitable care as recommended by the Institute of Medicine.1
Specifically, the US health care system is not safe: 50 000 to 100 000 or more lives are lost each year because of medical error,2 and 42% of respondents to a public survey reported experience with poorly coordinated, inefficient, or unsafe care.3
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