1. Bill Clinton’s
Dilemma

2. When Bill Clinton needs to have a
heart quadruple bypass surgery, he
can choose any hospital he wants.
He chose: New York Presbyterian-
Columbia Medical Center
But the problem is …

3. New York Presbyterian-
Columbia has a mortality rate
for this kind of surgery that is
twice the average rate of all
hospitals in the State of New
York.
At the time, it was a low
performing hospital with high risk
of poor outcomes.
Ref: The American Journal of Managed Care, Oct 2004.
http://www.ajmc.com/publications/issue/2004/2004-10-vol10-n10/Oct04-1900p664

4. Why?
 Maybe he does not know this fact.
 unlikely, given his extensive knowledge on healthcare policies, and
the advisors and resources he has
 Maybe his doctor / insurer pushed him to make this decision.
 probably, given the urgency of the surgery
 Maybe Hilary chose it for him (just joking!)

5. It is difficult for even
well-informed and
affluent patients to
choose their own
healthcare providers.