`We'll Need Hillary Clinton In Holland'

Eelke van der Veen is worried. The Dutch government wants him to help lead a radical program to cut exploding medical costs. Health officials have already unshackled his nonprofit insurance fund, one of the largest in the Netherlands, so it can compete for customers instead of merely paying bills according to a list of government-set prices. Now, they want the Amsterdam health-care executive to live on an annual budget, based on the number and type of people he enrolls. Soon, they will ask him to bargain with hospitals and doctors over prices. But van der Veen doesn't believe health care should be left to the savagery of the market. "In a few years, I think we'll need Hillary Clinton in Holland," he muses.

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