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  1. The New YorkerAtul Gawande8/6/1251 min
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    The New Yorker
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    • jeff11 months ago

      Fantastic article! It kind of feels like a spoiler to quote the final words of the piece but I think it sums it up perfectly and doesn't take away at all from what is a highly engaging read:

      We’ve let health-care systems provide us with the equivalent of greasy-spoon fare at four-star prices, and the results have been ruinous. The Cheesecake Factory model represents our best prospect for change. Some will see danger in this. Many will see hope. And that’s probably the way it should be.

      I've only been to a Cheesecake Factory one time over 10 years ago. I had never heard of the place and went with a group of friends and it was a great experience. I wouldn't hesitate to go again but the closest one is 45 min. away and they're always packed by design so you need to get reservations or risk a long wait time.

      I'm sure there are some areas of medicine where such tradeoffs would be desirable but there does seem to be a limit to how much you can scale and replicate a good model before the qualify starts to suffer. When that happens you're then stuck with a giant centralized monopoly that's impossible to change and might be worse than what you started with.