And how about the outcomes? In the most recent studies comparing the United States to 17
other wealthy industrialized nations (including France, Japan, Canada and Britain), Americans had a shorter life
expectancy, higher rates of disease, the highest rates of infant mortality and the lowest chance over all of surviving
to middle age. The World Health Report ranked the U.S. health care system 37th in the world. Again, from the
I’m not here to knock American healthcare. In many
ways, it’s very good and getting better. But we do
need a better handle on how to streamline costs and
improve outcomes, and piling more titles and committees on top of what we already have does not seem
to be the best way to achieve that.
Should we be holding manufacturers accountable?
Yes. Should we be measuring and improving clinical practices, outcomes, readmission rates and other
measures of patient health? Yes. Should we be striving for the best metrics in every area to demonstrate
So what am I suggesting? That we work on improving the process, so that we have one that depends on
both metrics and the quality of the relationships between vendors and hospitals. I’d like to get to a model
in which both the numbers and personal judgment
count, in which the quality we call integrity – something you can’t measure with statistics – once again
becomes an important part of the equation.•
currently serving as
US Vice President
of Sales at Mentor
Sebby’s career has
included executive sales and marketing
positions at Johnson & Johnson
Healthcare Systems Inc., Ethicon, Inc.
and Ortho-McNeil Pharmaceuticals,
Inc. Sebby received his B.A. in Public
Administration from St. John’s
University in ‘81, and received his M.S.
in Organizational Dynamics from the
University of Pennsylvania in 2001.