the commonwealth fund reforming us health care system improving coverage quality and efficiency karen davis president federal reserve bank of boston conference june 17 2005 kd cmwf org www 2 healthcare need for reform over a third population uninsured unstably insured or underinsured leaves room improvement 44 000 98 deaths annually from medical errors only 55 recommended is provided costly complex poorly coordinated spend more but don t get best americans receive specialized take medications experience serious than sicker adults in other countries outcomes not uniformly better ready 21 st century information technology slow to be adopted underinvestment prevention primary healthy development young children overuse services fragmentation high administrative costs 3 psst we re on curve wide variation cost treating patients with same condition improved practices production function resources 4 hospital charges ami