Healthcare Reform - Letter To President Elect Barack Obama
Healthcare Reform - Letter to President Elect Barack Obama
The President Elect is welcoming comments from the general public via his website at Change.gov. I'm positive he and his transitional team have had plenty of ideas, hopefully constructive and useful, since his historical win.
When it comes to healthcare, I personally believe that the public does not wish to do all the research in uncovering the simplest doctors, hospitals, or health insurance plans anymore than they want to research the foremost financially solvent bank or safest restaurant to eat in. Nevertheless I wrote my book Stay Healthy, Live Longer, Pay Wisely - Making Intelligent Selections in America's Healthcare System precisely as a result of that is how the healthcare business and employers, who purchase the insurance, feel that the system as an entire can improve. At least if that's the expectation, offer the general public the abilities and data to create the proper decision.
My comments to the President Elect highlight a very different system of reform, which already exists and is a uniquely Yankee resolution to the healthcare crisis.
To President Elect Obama:
Healthcare is currently provided by hospitals and doctors each working separately in little fiefdoms which worked well two centuries ago when patients died of acute diseases and infections. Today patients are busier than ever, caring for aging oldsters, and addressing chronic illnesses, that were never faced by generations ago. The public already gets a variety of selections in monetary services, shopper electronics, air transportation, and dining, which are often provided by well-run, highly regarded, centered organizations. Why not healthcare? Americans don't wish the amount of responsibility of researching doctors, hospitals, or health plans anymore than they would like to review the protection records of airlines, DUI reports of pilots, or the maintenance records or airworthiness of the aircraft they're concerning to induce on. Equally with healthcare what they expect and want may be a patient friendly healthcare system to worry for them after they get ill.
The good news is that a uniquely American answer already exists and can deliver on this promise. Research has shown that the vertically integrated healthcare organization Kaiser Permanente consistently outperformed university and community hospitals in decreasing risk of heart disease by thirty percent. Alternative studies have shown that the VA healthcare system with its salaried doctors provided better care to its diabetics than doctors within the fee for service community. Other organized healthcare organizations like Geisinger Health Arrange and Harvard Pilgrim Health have conjointly shown superior outcomes than the fragmented uncoordinated doctors and hospitals around them.
Healthcare will never be low-cost, but we will get a lot of for our dollars. The Dartmouth Atlas of Care found that even though there wasn't a giant difference in health outcomes, the value of caring for Medicare recipients within the last 2 years of life varied widely from $93,000 per patient at UCLA, $85,000 at John Hopkins, and $seventy eight,000 at Massachusetts General, to the bottom at $53,000 at Mayo Clinic. The "savings" from the foremost expensive programs could be moved to produce better access or quality care to those who need it, however it will not modification the full medical value expenditures.
Our healthcare crisis will only be solved if the entire industry reorganizes into systems that are aligned to focus on the top product, great healthcare delivery, rather than the piecemeal mom and pop cottage industry that currently exist. This can be far more durable than it sounds and will need leadership from among healthcare to get it done furthermore federal leadership on changing the payment structure to encourage quality rather than volume.
If as a country we have a tendency to fail to solve this crisis, our economy will simply worsen because the workforce will become increasingly unhealthy as a lot of people find healthcare unaffordable and consequently can be unable to work or be competitive in an exceedingly international marketplace. This is a contest we have a tendency to cannot afford to lose.
by: BISS
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