Developing a sound strategy for fixing the healthcare crisis
For the past couple of weeks, I’ve been engaged in an interesting discussion on the Unity08 web site forum at www.unity08.com/node/1820. This grass-roots (bottom-up) political movement, which I recently discovered, “...is committed to presenting a third presidential ticket and platform – one that addresses the issues and challenges of the 21st Century – to the American voters in 2008.”
I’m not pushing a political agenda here, but do want to invite the readers of this blog to see what we’ve been discussing (and join in if you wish) as we attempt to develop a platform promoting a value-driven, evidence-based, consumer-centric universal healthcare system.
Here’s my introduction to the topic “Curing Healthcare: Developing a sound strategy for fixing the healthcare crisis”:
I'm thankful that healthcare consumers are finally becoming aware that our healthcare system is seriously ill. But few are aware how broken the system really is, how incredibly complex the problem is, the many shortcomings of the predominant solutions being proposed, and the strategies & tactics that hold real promise for fixing the system.The post above has led to discussions of important issues you may find interesting.
We see the U.S. healthcare system as being on the verge of collapse: Millions cannot afford health insurance; care quality is inferior compared to many other nations, while our costs are highest by far; there is little incentive to deliver cost-effective treatments and little knowledge of what constitutes high-value care; healthcare providers are squeezed financially and are unable to spend adequate time with their patients because arbitrary rules control costs without regard to quality of care; the insurance and payment models are seriously disturbed; emergency rooms are over-crowded; many of our veterans don't receive adequate care; competition between providers is misdirected; new health insurance plans put consumers at serious risk; medical malpractice suits are rampant and professional insurance is through the roof; and so on.
Bottom line is that our healthcare system is widely acclaimed for its technological hardware, yet ranks embarrassingly low in performance, access and fairness. Can it be reformed to benefit all stakeholders?
We believe the answer is yes.
My associates and I—who include doctors, nurses, counselors, patients, researchers, policy makers, economists, and others—have spent many years studying these problems and creating a sound blueprint for solving the healthcare crisis. The strategy we propose offers 20 useful tactics for changing broken healthcare policies and practices by focusing on such things as wellness, value creation (i.e., care quality improvement and cost control), consumer/patient empowerment, reforming current economic models, delivery of personalized medicine, interdisciplinary collaboration, conducting better research to develop practice guidelines and identify dangerous medications and procedures, changing the way providers compete, supporting first responders in emergencies, understanding the mind-body connection, understanding the benefits and risks of complementary and alternative approaches to care, and using innovative information technologies to aid decisions.
I'm going to be away for the next two weeks and look forward to resume blogging upon my return.
Be well till then ... Print this post



7 comments:
Thank you for posting and participating in Unity08. I look forward to fixing the country together!
Bob Roth
VP Online Marketing
Unity08.com
I am a big fan of free-market solutions to reform our current health care system. More competition and consumer-choices will drive down prices, encourage innovation, increase patient care and improve the quality. Consumers, however, do not have access to relevant tools that are necessary to help make informed, cost-effective choices for finding the best value.
As a consumer advocate, I am heading up a grass-roots initiative that relies on social networking to help consumers find the best value for routine health care services. The initiative is called, OutOfPocket.com, and includes a directory of true prices for common health care services based on actual visits by individual consumers. The contents of the directory are contributed by consumers to share with other consumers – and everyone is invited to participate, including the insured and insured, by anonymously posting prices they paid for routine health care services (such as MRIs, mammograms, x-rays, CT scans, vaccinations, office visits, dental and vision), along with their personal recommendations on the provider.
This tool benefits consumers directly and is solution that can be implemented immediately, without having to wait for legislation to pass, complicated programs to be initiated, or waiting for the country to decide how to reform our health care system. The site was launched last month and everyone is encouraged to participate. If enough consumers participate to share prices – consumers will have created a powerful tool to help make informed healthcare purchasing decisions and everyone benefits by exposing health care prices. Consumers save money by shopping for the best value and eliminating wasteful spending on overpriced services. This is one small step in helping to reform our current health care system. Check out the website and be sure to let me know what you think.
Bob -- I've longed desired to participate in a grass-roots political movement of integrity. Unity08 has great potential, imo.
There's an opportunity for all of us to work together to develop and present policies in healthcare, education, dealing with terrorism, dealing with the "war on drugs," and many more issues affecting our country (and the world). Our current political system is failing miserably in dealing with them in a way that benefits our society.
Being a relatively new organization, and a true departure from the political status quo, Unity08 has significant challenges to its success. But despite an uncertain future, I've thus far been encouraged by what's happening there.
ConsumerAdvocate,
I believe your approach to pricing transparency holds much promise for providing important pieces of information to consumers.
Thanks for link.
I agree with consumer advocate. The FDA and the government has allowed big pharma to have a monopoly on the US drug market and gouge consumers. Something must be done when our seniors are filling their prescriptions from foreign pharmacyies in order to afford their meds. Their are many good solutions to the problems we face that can be found right here on this blog.
I agree that free market will solve SOME problems. Other aspects need control. It is fascinating the polarization this brings up.Like we can't have both methods, that one is evil...
http://poemd.blogspot.com/2007/07/market-forces.html
Your blog repeatedly mentions "crisis" and dire situation of health care system. I believe the greatest risk is that people will stay happy enough to put up with the mess long enough...
I believe the cynicism the system currently engenders is the greatest cost. Sure, medical errors, inefficiencies, but the human spirit can be burdened only so much and it's self protection (cynicism) becomes a dysfunctional coping mechanism....
PoeMD,
Your comment and link to your blog not only reflect your profound understanding our healthcare system, but also of human nature in the midst of an overwhelming complex and irrational system!
I agree that a "controlled free market" model is possible whereby key aspects of care are regulated. Market forces in healthcare are ludicrous, as is methods of competition in a zero-sum paradigm.
I believe it's ignorance-driven wishful thinking and/or feelings of helpless on the part of many consumers that keeps them reasonably satisfied with they system today, unless, of course, they belong to the tens of millions without (adequate) health insurance and are not one of the hundreds of hundreds of thousands each year harmed by the delivery of inappropriate, ineffective or unsafe care. Educating the public about what's happening is essential before they will demand change.
And I assume the cynicism of which you speak reflects the feelings of many healthcare providers, especially primary care physicians and other underpaid and overworked clinicians adversely affected by maladaptive market forces, as well as many researchers who see their efforts inhibited by political nonsense.
A radical transformation of our current system in a positive direction, imo, would involve promoting wellness (through well-care services), and rewarding high-value (sick-care) treatment results (e.g., as per Porter & Teisberg’s “Value-Based Competition Model”) would begin shifting things in the right direction, imo.
I appreciate your thoughts.
Post a Comment