A great op-ed on the dilemmas we are facing in healthcare

Stephen Pearlstein at the Washington Post does a great job explaining the serious dilemma that the country is facing in healthcare:

Here's the dilemma: The only way for the health-care industry to move toward accountable care is to further accelerate a process of consolidation that has already reduced competition and increased market power. Hospitals are once again busily buying up physician practices and outside laboratories that used to compete with them, incorporating them into their "systems." And independent physicians who used to compete with one another are quickly merging into multi-specialty practices, offering a full range of services to large blocks of patients for fixed annual fees - an arrangement known as "capitation."