Thank you for your comments. It is interesting that what Mayo is able to accomplish is demonstrated in many other areas of the country in many different ways. I encourage you to find out more about Intermountain Health Care; here is a great article from the New York Times ( http://www.nytimes.com/2009/11/08/magazine/08Healthcare-t.html?_r=1&scp=1&sq=intermountain&st=cse ). You can also look to Cleveland Clinic, Kaiser, Geisinger Clinic, Virginia Mason and many others.

They all have slightly different models and methods, but achieve excellent outcomes and safety at lower costs. I think the key point is that the idea of good value can be achieved, and is being achieved, whether or not the Mayo Model is followed exactly.