--- title: "Meaning & Key Takeaway of: Nations that pay for outcomes and health…" description: "\"Nations that pay for outcomes and health actually spend a lower percentage of GDP, and they have better outcomes. And so the Affordable Care Act is sta..." image: "https://sms4smile.com/quotes/i/b42/tim-kaine-1918_affordable_nations-that-pay-for-outcomes-and-health_2041047.jpg" --- # Nations that pay for outcomes and health actually spend a… ![“Nations that pay for outcomes and health actually spend a lower percentage of GDP, and they have better outcomes. And so the Affordable Care Act is starting to make that migration, but we've got to keep down that path, and we'll improve outcomes and reduce cost.” quote by Tim Kaine](https://sms4smile.com/quotes/i/b42/tim-kaine-1918_affordable_nations-that-pay-for-outcomes-and-health_2041047.jpg) [Download](https://sms4smile.com/quotes/i/b42/tim-kaine-1918_affordable_nations-that-pay-for-outcomes-and-health_2041047.jpg) [Open image](https://sms4smile.com/quotes/i/b42/tim-kaine-1918_affordable_nations-that-pay-for-outcomes-and-health_2041047.jpg) > “Nations that pay for outcomes and health actually spend a lower percentage of GDP, and they have better outcomes. And so the Affordable Care Act is starting to make that migration, but we've got to keep down that path, and we'll improve outcomes and reduce cost.” [Tim Kaine](https://sms4smile.com/quotes/author/tim-kaine/) ## About This Quote This interpretation was drafted with AI assistance. It is one reading of the quote, not the author's own explanation. Pay‑for‑performance health systems lower overall spending while improving health results, and reforms like the ACA move toward that model. **In simple terms:** Paying for results cuts costs and improves health. Key Takeaway Adopt outcome‑based payment models. Themes health economics policy reform cost control public health healthcare innovation Mood optimistic analytical Type policy analytical inspirational When to use this quote - government budgeting - hospital administration - insurance design - patient advocacy Key Concepts Value‑based care incentive alignment risk adjustment Questions to Reflect On - How can we ensure accurate outcome measurement? - What incentives motivate providers to embrace value‑based care? A Different Perspective Implementation can be hampered by data gaps and provider resistance. ★ ★ ★ ★ ★ No ratings yet [Affordable](https://sms4smile.com/quotes/about/affordable/) [Affordable care act](https://sms4smile.com/quotes/about/affordable-care-act/) [Better Outcomes](https://sms4smile.com/quotes/about/better-outcomes-954830/) [Care](https://sms4smile.com/quotes/about/care/) [Cost](https://sms4smile.com/quotes/about/cost/) [Gdp](https://sms4smile.com/quotes/about/gdp/) [Gdp Better](https://sms4smile.com/quotes/about/gdp-better-3799638/) [Health](https://sms4smile.com/quotes/about/health/) [Improve Outcomes](https://sms4smile.com/quotes/about/improve-outcomes-2649227/) [Migration](https://sms4smile.com/quotes/about/migration/) [Nations](https://sms4smile.com/quotes/about/nations/) [Outcomes](https://sms4smile.com/quotes/about/outcomes/) [Outcomes Affordable](https://sms4smile.com/quotes/about/outcomes-affordable-3799639/) [Outcomes Health](https://sms4smile.com/quotes/about/outcomes-health-3799640/) [Path](https://sms4smile.com/quotes/about/path/) [Pay](https://sms4smile.com/quotes/about/pay/) [Percentages](https://sms4smile.com/quotes/about/percentages/) [Starting](https://sms4smile.com/quotes/about/starting/) ## Related quotes > [No matter how expert you may be, well-designed checklists can improve outcomes.](https://sms4smile.com/quotes/steven-levitt/no-matter-how-expert-you-may-be-well-designed-checklists-can-improve/) [Steven Levitt](https://sms4smile.com/quotes/author/steven-levitt/) > [“to frame the decision, asking questions about the data and the methodology, working to understand the results, and using them to improve outcomes for…](https://sms4smile.com/quotes/anonymous/to-frame-the-decision-asking-questions-about-the-data-and-the/) [Anonymous](https://sms4smile.com/quotes/author/anonymous/) > [“Furthermore, integrating the objectives of QA and Operations into everyone’s daily work reduces firefighting, hardship, and toil, while making people more productive and increasing…](https://sms4smile.com/quotes/gene-kim/furthermore-integrating-the-objectives-of-qa-and-operations-into/) [Gene Kim](https://sms4smile.com/quotes/author/gene-kim/) > [We need a new health care architecture that will reduce costs, improve outcomes, and protect vulnerable persons.](https://sms4smile.com/quotes/jeff-fortenberry/we-need-a-new-health-care-architecture-that-will-reduce-costs-improve/) [Jeff Fortenberry](https://sms4smile.com/quotes/author/jeff-fortenberry/) > [The trouble is that we do not know whether it has delivered better outcomes or not in services. After more than a decade, the…](https://sms4smile.com/quotes/brian-donohoe/the-trouble-is-that-we-do-not-know-whether-it-has-delivered-better/) [Brian Donohoe](https://sms4smile.com/quotes/author/brian-donohoe/) > [“Is there a point at which doing less (but thinking more) will actually produce better outcomes?”](https://sms4smile.com/quotes/greg-mckeown/is-there-a-point-at-which-doing-less-but-thinking-more-will-actually/) [Greg McKeown](https://sms4smile.com/quotes/author/greg-mckeown/) > [The chance you passed up or missed could have had any number of different outcomes, and it's easy to fantasize about how much better…](https://sms4smile.com/quotes/robin-marantz-henig/the-chance-you-passed-up-or-missed-could-have-had-any-number-of/) [Robin Marantz Henig](https://sms4smile.com/quotes/author/robin-marantz-henig/) > [Trusting people to pursue their own futures invariably provides better outcomes. Money goes where it is needed, rather than being absorbed by administration costs.](https://sms4smile.com/quotes/bill-shorten/trusting-people-to-pursue-their-own-futures-invariably-provides/) [Bill Shorten](https://sms4smile.com/quotes/author/bill-shorten/) > [Our strategy is focused on driving better outcomes for patients and higher productivity for hospitals.](https://sms4smile.com/quotes/frans-van-houten/our-strategy-is-focused-on-driving-better-outcomes-for-patients-and/) [Frans van Houten](https://sms4smile.com/quotes/author/frans-van-houten/) > [Countries with the best-resourced medical services have the best outcomes for physical illness (it is better to have a heart attack in Washington or…](https://sms4smile.com/quotes/richard-bentall/countries-with-the-best-resourced-medical-services-have-the-best/) [Richard Bentall](https://sms4smile.com/quotes/author/richard-bentall/) > [If changes produce better outcomes or seemingly produce better outcomes, or we feel like it puts us in position to produce better outcomes, then…](https://sms4smile.com/quotes/mike-tomlin/if-changes-produce-better-outcomes-or-seemingly-produce-better/) [Mike Tomlin](https://sms4smile.com/quotes/author/mike-tomlin/) > [We do a disservice to society if we ignore the evidence which shows that stable families tend to be associated with better outcomes for…](https://sms4smile.com/quotes/iain-duncan-smith/we-do-a-disservice-to-society-if-we-ignore-the-evidence-which-shows/) [Iain Duncan Smith](https://sms4smile.com/quotes/author/iain-duncan-smith/) > [We must use design to inspire better outcomes.](https://sms4smile.com/quotes/dean-phillips/we-must-use-design-to-inspire-better-outcomes/) [Dean Phillips](https://sms4smile.com/quotes/author/dean-phillips/) > [What the Affordable Care Act started was a change in the American health care system from paying for procedures to paying for outcomes, paying…](https://sms4smile.com/quotes/tim-kaine/what-the-affordable-care-act-started-was-a-change-in-the-american/) [Tim Kaine](https://sms4smile.com/quotes/author/tim-kaine/) > [If every country committed to spending 0.05 per cent of GDP on researching non-carbon-emitting energy technologies, that would cost $25 billion a year, and…](https://sms4smile.com/quotes/bjorn-lomborg/if-every-country-committed-to-spending-0-05-per-cent-of-gdp-on/) [Bjorn Lomborg](https://sms4smile.com/quotes/author/bjorn-lomborg/) ## More by Tim Kaine > [People will pay a price for putting political obstruction over progress in a time that is so critical and urgent.](https://sms4smile.com/quotes/tim-kaine/people-will-pay-a-price-for-putting-political-obstruction-over/) [Tim Kaine](https://sms4smile.com/quotes/author/tim-kaine/) > [You build the bonds through the community and police force, build bonds of understanding, and then when people feel comfortable in their communities, that…](https://sms4smile.com/quotes/tim-kaine/you-build-the-bonds-through-the-community-and-police-force-build/) [Tim Kaine](https://sms4smile.com/quotes/author/tim-kaine/) > [My sense is, as governor I've gotten a lot of stuff done.](https://sms4smile.com/quotes/tim-kaine/my-sense-is-as-governor-i-ve-gotten-a-lot-of-stuff-done/) [Tim Kaine](https://sms4smile.com/quotes/author/tim-kaine/) > [I will always be a partner with the president of the United States.](https://sms4smile.com/quotes/tim-kaine/i-will-always-be-a-partner-with-the-president-of-the-united-states/) [Tim Kaine](https://sms4smile.com/quotes/author/tim-kaine/) > [ This is one where you can just kind of go to the tape on it. But Governor \[Mike\] Pence said inarguably Vladimir Putin is… ](https://sms4smile.com/quotes/tim-kaine/this-is-one-where-you-can-just-kind-of-go-to-the-tape-on-it-but/) [Tim Kaine](https://sms4smile.com/quotes/author/tim-kaine/) > [America should really wonder about a President Trump, who had a campaign manager with ties to Putin, pro-putin elements in the Ukraine who had…](https://sms4smile.com/quotes/tim-kaine/america-should-really-wonder-about-a-president-trump-who-had-a/) [Tim Kaine](https://sms4smile.com/quotes/author/tim-kaine/) > [Bill of Rights was Madison, I'm going with Madison.](https://sms4smile.com/quotes/tim-kaine/bill-of-rights-was-madison-i-m-going-with-madison/) [Tim Kaine](https://sms4smile.com/quotes/author/tim-kaine/) > [No bill works if it doesn't work in a zip code where somebody lives.](https://sms4smile.com/quotes/tim-kaine/no-bill-works-if-it-doesn-t-work-in-a-zip-code-where-somebody-lives/) [Tim Kaine](https://sms4smile.com/quotes/author/tim-kaine/) > [The Trump campaign management team had to be fired a month or so ago because of those shadowy connections with pro-Putin forces. Governor Pence…](https://sms4smile.com/quotes/tim-kaine/the-trump-campaign-management-team-had-to-be-fired-a-month-or-so-ago/) [Tim Kaine](https://sms4smile.com/quotes/author/tim-kaine/) > [The permanent institutional expertise class is now no longer the legislators, it's the lobbyists who don't have term limits and are there forever.](https://sms4smile.com/quotes/tim-kaine/the-permanent-institutional-expertise-class-is-now-no-longer-the/) [Tim Kaine](https://sms4smile.com/quotes/author/tim-kaine/) > [You know, boy, America is a closely divided country.](https://sms4smile.com/quotes/tim-kaine/you-know-boy-america-is-a-closely-divided-country/) [Tim Kaine](https://sms4smile.com/quotes/author/tim-kaine/) > [If you don't know the difference between dictatorship and leadership then you got to go back to a fifth grade civics class.](https://sms4smile.com/quotes/tim-kaine/if-you-don-t-know-the-difference-between-dictatorship-and-leadership/) [Tim Kaine](https://sms4smile.com/quotes/author/tim-kaine/) > [I just want to serve people. I know it sounds like a simple cliche.](https://sms4smile.com/quotes/tim-kaine/i-just-want-to-serve-people-i-know-it-sounds-like-a-simple-cliche/) [Tim Kaine](https://sms4smile.com/quotes/author/tim-kaine/) > [I am deeply worried about Donald Trump on matters of national security. He doesn't know anything himself about it, and he has appointed a…](https://sms4smile.com/quotes/tim-kaine/i-am-deeply-worried-about-donald-trump-on-matters-of-national/) [Tim Kaine](https://sms4smile.com/quotes/author/tim-kaine/) > [I say we are climbing out of a ditch and we are climbing up.](https://sms4smile.com/quotes/tim-kaine/i-say-we-are-climbing-out-of-a-ditch-and-we-are-climbing-up/) [Tim Kaine](https://sms4smile.com/quotes/author/tim-kaine/) [Explore all 198 Tim Kaine quotes ](https://sms4smile.com/quotes/author/tim-kaine/) ## More Affordable quotes > [At LearnVest, we're working to make financial planning both accessible and affordable so that everyone has the opportunity to get on track financially.](https://sms4smile.com/quotes/alexa-von-tobel/at-learnvest-we-re-working-to-make-financial-planning-both-accessible/) [Alexa Von Tobel](https://sms4smile.com/quotes/author/alexa-von-tobel/) > [Along with a livable wage, many parents are desperate for quality affordable child care.](https://sms4smile.com/quotes/kirsten-gillibrand/along-with-a-livable-wage-many-parents-are-desperate-for-quality/) [Kirsten Gillibrand](https://sms4smile.com/quotes/author/kirsten-gillibrand/) > [Building great public schools and universities, a strong health care system, including keeping the Affordable Care Act, and then an economy that works well…](https://sms4smile.com/quotes/joaquin-castro/building-great-public-schools-and-universities-a-strong-health-care/) [Joaquin Castro](https://sms4smile.com/quotes/author/joaquin-castro/) > [ Senator \[Tom\] Cotton has campaigned on wanting to kill Obamacare. He voted to repeal the Affordable Care Act back in January, but he now… ](https://sms4smile.com/quotes/rachel-maddow/senator-tom-cotton-has-campaigned-on-wanting-to-kill-obamacare-he/) [Rachel Maddow](https://sms4smile.com/quotes/author/rachel-maddow/) > [To protect our country's economic future and the health and well being of all Americans, we must find a way to rein in out-of-control…](https://sms4smile.com/quotes/michael-bennet/to-protect-our-country-s-economic-future-and-the-health-and-well/) [Michael Bennet](https://sms4smile.com/quotes/author/michael-bennet/) > [To the millions of Americans whove attempted to use HealthCare.gov to shop and enroll in health-care coverage, I want to apologize to you that…](https://sms4smile.com/quotes/marilyn-tavenner/to-the-millions-of-americans-whove-attempted-to-use-healthcare-gov-to/) [Marilyn Tavenner](https://sms4smile.com/quotes/author/marilyn-tavenner/) > [ \[Tom Cotton\] has been an absolute champion of the idea of getting rid of Obamacare, scrapping the Affordable Care Act. ](https://sms4smile.com/quotes/rachel-maddow/tom-cotton-has-been-an-absolute-champion-of-the-idea-of-getting-rid/) [Rachel Maddow](https://sms4smile.com/quotes/author/rachel-maddow/) > [My biggest fear, that 27 percent of Americans under 65 have an existing health condition that, without the protections of the Affordable Care Act,…](https://sms4smile.com/quotes/atul-gawande/my-biggest-fear-that-27-percent-of-americans-under-65-have-an/) [Atul Gawande](https://sms4smile.com/quotes/author/atul-gawande/) > [The White House approved an exemption in Obamacare coverage for Congress and members of their staff. Members complained that the Affordable Care Act will…](https://sms4smile.com/quotes/jay-leno/the-white-house-approved-an-exemption-in-obamacare-coverage-for/) [Jay Leno](https://sms4smile.com/quotes/author/jay-leno/) > [The people who are working, paying their taxes are put into the system so that affordable housing could be built in neighborhoods that they…](https://sms4smile.com/quotes/eric-bolling/the-people-who-are-working-paying-their-taxes-are-put-into-the-system/) [Eric Bolling](https://sms4smile.com/quotes/author/eric-bolling/) > [There's a major underlying idea as you grow up that you need to just save your money and get that affordable housing at the…](https://sms4smile.com/quotes/conor-oberst/there-s-a-major-underlying-idea-as-you-grow-up-that-you-need-to-just/) [Conor Oberst](https://sms4smile.com/quotes/author/conor-oberst/) > [Whatever it is that you're successful at, that has to be the No. 1 goal. In my case, it's accessibility. So all of my…](https://sms4smile.com/quotes/rachael-ray/whatever-it-is-that-you-re-successful-at-that-has-to-be-the-no-1-goal/) [Rachael Ray](https://sms4smile.com/quotes/author/rachael-ray/) > [The smart way to improve broadband is not to junk the existing network but to make the most of it. It’s to let a…](https://sms4smile.com/quotes/tony-abbott/the-smart-way-to-improve-broadband-is-not-to-junk-the-existing/) [Tony Abbott](https://sms4smile.com/quotes/author/tony-abbott/) > [So much for Obama's promise of 'quality, affordable health care.'](https://sms4smile.com/quotes/deroy-murdock/so-much-for-obama-s-promise-of-quality-affordable-health-care/) [Deroy Murdock](https://sms4smile.com/quotes/author/deroy-murdock/) > [The Affordable Care Act has been designed to provide health security by driving competition, lowering premiums, and protecting families.](https://sms4smile.com/quotes/charles-b-rangel/the-affordable-care-act-has-been-designed-to-provide-health-security/) [Charles B. Rangel](https://sms4smile.com/quotes/author/charles-b-rangel/) [Browse all 436 Affordable quotes ](https://sms4smile.com/quotes/about/affordable/) ```json { "@context": "https://schema.org", "@graph": [ { "@type": "Quotation", "text": "Nations that pay for outcomes and health actually spend a lower percentage of GDP, and they have better outcomes. And so the Affordable Care Act is starting to make that migration, but we've got to keep down that path, and we'll improve outcomes and reduce cost.", "creator": { "@type": "Person", "name": "Tim Kaine" }, "isPartOf": { "@id": "https://sms4smile.com/quotes/#website" }, "url": "https://sms4smile.com/quotes/tim-kaine/nations-that-pay-for-outcomes-and-health-actually-spend-a-lower/", "about": { "@type": "Thing", "name": "Affordable" }, "@id": "https://sms4smile.com/quotes/tim-kaine/nations-that-pay-for-outcomes-and-health-actually-spend-a-lower/#quotation", "image": { "@type": "ImageObject", "@id": "https://sms4smile.com/quotes/i/b42/tim-kaine-1918_affordable_nations-that-pay-for-outcomes-and-health_2041047.jpg", "contentUrl": "https://sms4smile.com/quotes/i/b42/tim-kaine-1918_affordable_nations-that-pay-for-outcomes-and-health_2041047.jpg", "url": "https://sms4smile.com/quotes/i/b42/tim-kaine-1918_affordable_nations-that-pay-for-outcomes-and-health_2041047.jpg", "width": 1080, "height": 1080, "caption": "“Nations that pay for outcomes and health actually spend a lower percentage of GDP, and they have better…” — Tim Kaine", "creditText": "SMS4Smile Quotes", "creator": { "@id": "https://sms4smile.com/quotes/#organization" } } }, { "@type": "BreadcrumbList", "itemListElement": [ { "@type": "ListItem", "position": 1, "name": "Home", "item": "https://sms4smile.com/" }, { "@type": "ListItem", "position": 2, "name": "Quotes", "item": "https://sms4smile.com/quotes/" }, { "@type": "ListItem", "position": 3, "name": "Tim Kaine", "item": "https://sms4smile.com/quotes/author/tim-kaine/" }, { "@type": "ListItem", "position": 4, "name": "Nations that pay for outcomes and...", "item": "https://sms4smile.com/quotes/tim-kaine/nations-that-pay-for-outcomes-and-health-actually-spend-a-lower/" } ], "@id": "https://sms4smile.com/quotes/tim-kaine/nations-that-pay-for-outcomes-and-health-actually-spend-a-lower/#breadcrumb" }, { "@type": "WebSite", "@id": "https://sms4smile.com/quotes/#website", "name": "SMS4Smile Quotes", "url": "https://sms4smile.com/quotes/", "publisher": { "@id": "https://sms4smile.com/quotes/#organization" } }, { "@type": "Organization", "@id": "https://sms4smile.com/quotes/#organization", "name": "SMS4Smile Quotes", "url": "https://sms4smile.com/quotes/", "logo": { "@type": "ImageObject", "url": "https://sms4smile.com/quotes/wp-content/themes/sq/assets/icons/icon-512.png", "width": 512, "height": 512 } } ] } ```