Our current medical system rewards providers for the number of procedures and services that are delivered, regardless of outcome. Hospital and doctors that deliver better care are for the most part reimbursed at the exact same rate as those who provide poor care. Additionally, the system is designed to encourage over-utilization of resources. Doctors are not paid to keep their patients healthy and out of their offices – they are paid when they treat the sick patients. The approach is so perverse that one could argue that medical errors actually reward a hospital or physician because they can bill for additional services. We have a broken sick-care system when what we really need is a whole integrated healthcare system.