Skip to comments.Docs Told They Must Drive Health System Change (focus on "cost value" first, not the patient)
Posted on 04/13/2013 9:00:44 AM PDT by Innovative
Doctors are the only people who can drive the change in healthcare delivery that's needed to save the country from a financial crisis, a health policy expert said here.
Emanuel highlighted six elements that must underline payment and delivery reform efforts:
-- Focus on cost value
-- Focus on the patient
-- Standardize processes
"We need a big infrastructure to be able to deliver high-quality care going forward," Emanuel said.
(Excerpt) Read more at medpagetoday.com ...
So will the change thier oath? “ First .... do things cheaply. “
No, this is full on real Moose poop. We don’t need a big infrastucture if both the Government and the Big Employers got out of providing so-called medical insurance. If the individual states and cities want to develop programs for their poor CITIZENS (note, no illegal/undocumented trespassers need apply), that’s fine with me. I wouldn’t live anywhere that was giving away the farm like NYC and Chicago, etc. All of us, regardless of age, should be able to buy our own insurance that meets our needs. Costs would drop precipitously because insurance would take its rightful place as a “risk” based product. Notice how the discussion interchangeably uses the words COST and PRICE. Big difference. Hospitals have long been charging way more than they ever recover in actual payments from insurance companies. If you don’t have insurance, you get charged the full price. It’s really quite a racket.
But this is just the first sixth of our economy. We won’t have real efficiency until housing and food and exercise (recreation) have a very large infrastructure as well. Arguably, government, transportation and education already have very large infrastrctures of their own.
While talking to my dermo a couple of weeks ago, I was told that since they are being forced to upgrade/digitize just about everything there would be less hours available for actually seeing and treating patients. Appointments would be more scarce and patient time would be shorter. Sounds like a good idear to me. NOT!
In other words..."Dear Mr. Washington Health Care Bureaucrat: May I please, please, PLEASE have this operation to save my life?"
My small infrastructure local clinic and university hospital have done perfectly well for decades.
I hate these bastards and what they are doing.
The old is new: WWII Army sick call, “Here’s your aspirin, next!”
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It's that "big infrastructure" that's created the mess we're in. It started with WW2 wage controls adding health insurance as an employment benefit, the 1965 Title XVIII of the Social Security Act (Medicare) supercharged it and now Obamacare has it flying into the mountain at full speed and on afterburners.
If you ever want to see a higher quality product at a lower cost, you'd need a smaller infrastructure, with less government control.
Docs should say, “There were no doctors included in the writing of the legislation, why should we push it?”
If I had to run my practice like that, there would be a lot of unhappy clients. It’s not about the money you know. If you are running a bank, yes, a medical or legal practice, it’s about the client with the problem.
“It is amazing that people who think we cannot afford to pay for doctors, hospitals, and medication somehow think that we can afford to pay for doctors, hospitals, medication and a government bureaucracy to administer it.”
“We need a big infrastructure to be able to deliver high-quality care going forward,”
This is such a load of crap. Hasn’t ANYONE in government heard of the KISS system? Adding on to the government infrastructure every day is what’s gotten us where we are today. These twits want to push us over the edge.
What would you expect from Rahm Emanuel’s brother?
Too old, too sick, too bad...no treatment for you.
Not in a very long time has the medical system focused on patient first.
And that’s one reason the cost of medical care has gone way out of control, much like the trend in college tuition.
Our medical system is sick. It thrives on sick people and it takes money form insurance companies and the gov’t in medicare.
And that is why a destructive force can move in and take it over.
Actually, what used to be, and what was, not ‘better’ but complimentary, was people taking responsibility for their health.
The wise will want to do this and to help their families do so.
The AMA embraced abortion rights. It will fall as will all other systems that embrace killing innocents.
The best route is to take care of one’s health, avoid the medical system have catastrophic insurance if possible and find mds that will cooperate.
They changed their oath when they embraced pro abortion.
That’s just the beginning. No one’s checking and reporting on the decline in med students. who would go into medicine?
No, there will be a scarcity in medical care that will bear many results.
Pshaw! At that standard, and without improving its own standard, Army medical care will be the best in the nation in short time.
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