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Docs Told They Must Drive Health System Change (focus on "cost value" first, not the patient)
Medpage Today ^ | April 11, 2013 | David Pittman

Posted on 04/13/2013 9:00:44 AM PDT by Innovative

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It used to be focus on patient first, now "focus on cost value" ... "standardized processes"... and you know what that means...
1 posted on 04/13/2013 9:00:44 AM PDT by Innovative
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To: Innovative
"We need a big infrastructure to be able to deliver high-quality care going forward," Emanuel said. "I've consulted with my friends the Tooth Fairy and the Skittle Pooping Unicorn, and they assure me that this is possible."
2 posted on 04/13/2013 9:04:28 AM PDT by Mygirlsmom (Gosnell - Media ignores murder of thousands of UNDOCUMENTED humans - Democrats cheer)
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To: Innovative

So will the change thier oath? “ First .... do things cheaply. “


3 posted on 04/13/2013 9:04:47 AM PDT by al_c (http://www.blowoutcongress.com)
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To: Mygirlsmom

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.


4 posted on 04/13/2013 9:23:23 AM PDT by Sioux-san
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To: Mygirlsmom

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.

Hail progress!


5 posted on 04/13/2013 9:25:50 AM PDT by 9YearLurker
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To: Innovative

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!


6 posted on 04/13/2013 9:27:42 AM PDT by rktman (BACKGROUND CHECKS? YOU FIRST MR. PRESIDENT!(not that we'd get the truth!))
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To: Innovative
"We need a big infrastructure to be able to deliver high-quality care going forward"

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.

7 posted on 04/13/2013 9:32:46 AM PDT by ProtectOurFreedom
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To: Innovative

The old is new: WWII Army sick call, “Here’s your aspirin, next!”


8 posted on 04/13/2013 9:35:01 AM PDT by RicocheT (Eat the rich only if you're certain it's your last meal)
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To: All


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9 posted on 04/13/2013 9:40:46 AM PDT by musicman (Until I see the REAL Long Form Vault BC, he's just "PRES__ENT" Obama = Without "ID")
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To: Innovative
"We need a big infrastructure to be able to deliver high-quality care going forward," Emanuel said.

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.

10 posted on 04/13/2013 9:41:02 AM PDT by Sooth2222 ("Suppose you were an idiot. And suppose you were a member of congress. But I repeat myself." M.Twain)
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To: Innovative

Docs should say, “There were no doctors included in the writing of the legislation, why should we push it?”


11 posted on 04/13/2013 9:47:19 AM PDT by SuziQ
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To: Innovative

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.


12 posted on 04/13/2013 9:56:41 AM PDT by yldstrk (My heroes have always been cowboys)
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To: Innovative

Thomas Sowell:

“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.”


13 posted on 04/13/2013 9:57:51 AM PDT by Iron Munro (Welcome to Obama-Land - EVERYTHING NOT FORBIDDEN IS COMPULSORY)
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To: Mygirlsmom

“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.


14 posted on 04/13/2013 9:58:39 AM PDT by freeangel ( (free speech is only good until someone else doesn't like it)
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To: Innovative

What would you expect from Rahm Emanuel’s brother?


15 posted on 04/13/2013 10:10:05 AM PDT by facedown (Armed in the Heartland)
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To: Innovative

Too old, too sick, too bad...no treatment for you.


16 posted on 04/13/2013 10:17:42 AM PDT by The Great RJ
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To: Innovative

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.


17 posted on 04/13/2013 10:33:22 AM PDT by stanne
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To: al_c

They changed their oath when they embraced pro abortion.


18 posted on 04/13/2013 10:34:11 AM PDT by stanne
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To: rktman

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.


19 posted on 04/13/2013 10:36:22 AM PDT by stanne
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To: RicocheT

Pshaw! At that standard, and without improving its own standard, Army medical care will be the best in the nation in short time.


20 posted on 04/13/2013 10:38:07 AM PDT by stanne
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To: Innovative

Easy Kill Emmanuel. What a tool.


21 posted on 04/13/2013 10:38:58 AM PDT by Mamzelle
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To: stanne

Yup. And the results won’t be pretty. Feel bad for the youngsters as they’ll never have the level of care that used to exist. They just won’t know it.


22 posted on 04/13/2013 10:39:23 AM PDT by rktman (BACKGROUND CHECKS? YOU FIRST MR. PRESIDENT!(not that we'd get the truth!))
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To: SuziQ

If the income of doctors were doubled, the total healthcare cost would increase by less than 1%.

Those advocating the system do not intend to save money, but prefer to not provide healthcare or intentionally ignore the statistics, if not both.


23 posted on 04/13/2013 10:41:23 AM PDT by Cvengr (Adversity in life and death is inevitable. Thru faith in Christ, stress is optional.)
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To: rktman

The young will do very well to eat right, and manage their health. Unfortunately they’re, as it is now, going to be forced to pay for those who refuse to do so.


24 posted on 04/13/2013 10:44:45 AM PDT by stanne
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To: Innovative
"focus on "cost value" first, not the patient"

Also known as the Veterinary Standard of Care....
25 posted on 04/13/2013 1:19:03 PM PDT by indthkr
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To: Sioux-san
We don’t need a big infrastucture if .....

Depends on what the meaning of "we" is .... The Machine "needs" it, we patients and taxpayers don't. Which last is irrelevant to political creatures like Dr. Emmanuel.

26 posted on 04/13/2013 1:21:44 PM PDT by lentulusgracchus
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To: stanne
Unfortunately they’re, as it is now, going to be forced to pay for those who refuse to do so.

What, "death to Healthcare resisters!"? Is that what you're selling?

PROSECUTOR: "He failed to manage his health!"

JUDGE: "Motion for directed verdict of 'guilty' is granted. The Convict is hereby sentenced to death!"

That'll make Rahm Emmanuel smile ..... all those elderly Republicans ..... "Dead, dead, dead!!!" </ off screaming Rahm the Slayer>

27 posted on 04/13/2013 1:25:57 PM PDT by lentulusgracchus
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To: freeangel
Hasn’t ANYONE in government heard of the KISS system?

Yes. It's poison, they hate it and avoid it like the plague.

28 posted on 04/13/2013 1:27:47 PM PDT by lentulusgracchus
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To: lentulusgracchus

That’s what they want.

No. It’s a nightmare science fiction deal.

People will be wise to avoid the medical system and take control of their own health.

It’s going to be discouraging to have to pay for others’ medical care, as Chief Justice Roberts has allowed the regime to order.


29 posted on 04/13/2013 1:37:07 PM PDT by stanne
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To: Innovative

The totalitarian government will decide who is worthy of first class government “provided” healthcare and who gets the pill, ie, death panels. This was the real intent of CommieCare to begin with.


30 posted on 04/13/2013 1:43:17 PM PDT by Jim Robinson (Resistance to tyrants is obedience to God!!n)
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Freepers, your Contributions make every difference!
Please keep ‘em coming! Thank you all very much!

31 posted on 04/13/2013 1:43:25 PM PDT by RedMDer (May we always be happy and may our enemies always know it. - Sarah Palin, 10-18-2010)
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To: stanne
It’s a nightmare science fiction deal.

"Soylent Green is people" ..... famous old movie line.

Yeah, these guys are "scientific" .... like Dr. Mengele and Dr. Todt. They mean to get even the squeal out of their pigs, and use that for something, too.

32 posted on 04/13/2013 1:46:34 PM PDT by lentulusgracchus
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To: lentulusgracchus

Just stay away.


33 posted on 04/13/2013 1:52:33 PM PDT by stanne
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To: Innovative
CommieCare ™, brought to you courtesy Obama, Reid, Pelosi & Marxists R US Inc., aided and abetted by useful idiots Mitt Romney (RomneyCare precedent), cowardly Chief Justice Benedict Arnold Roberts and the full cast of toothless, spineless, hornless, godless, unprincipled GOP-e turncoat RINO herd.
34 posted on 04/13/2013 1:58:20 PM PDT by Jim Robinson (Resistance to tyrants is obedience to God!!n)
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To: Innovative

bump


35 posted on 04/13/2013 2:00:43 PM PDT by lowbridge
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To: Innovative

Emanuel, IIRC, is Rahm’s brother.

Screw the big government solution to healthcare. We need to repeal Obamugabecare big time.


36 posted on 04/13/2013 2:01:07 PM PDT by SoFloFreeper
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To: Innovative

Emanuel, IIRC, is Rahm’s brother.

Screw the big government solution to healthcare. We need to repeal Obamugabecare big time.


37 posted on 04/13/2013 2:01:33 PM PDT by SoFloFreeper
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To: Innovative

This mentally diseased libturd is advocating that physicians should take over the administration of Obamacare.

In my business I worked daily with physicians and can tell you they are, by and large, brilliant when it comes to medicine and largely ignorant when it comes to business or administration.

Which makes a lot of sense: They are doctors, not MBAs.

Emanuel, Bronson, Berwick and others are blovating from their ivory towers and haven’t a clue about how to run a healthcare business. If they did, they would be.


38 posted on 04/13/2013 2:03:03 PM PDT by upchuck (To the faceless, jack-booted government bureaucrat who just scanned this post: SCREW YOU!)
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To: Innovative

Cost Value - Rationing. All Democrats served everyone else go to the back of the line, after the illegal immigrants.


39 posted on 04/13/2013 2:15:04 PM PDT by hondact200 (Candor dat viribos alas (sincerity gives wings to strength) and Nil desperandum (never despair))
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To: stanne

in one large med school,
only 4 student matched to family or general practice.

it is good that the thousands of criminal
illegals were released by DHS to fill the gap. [/s]


40 posted on 04/13/2013 2:34:30 PM PDT by Diogenesis (De Oppresso Liber)
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To: Innovative

Two words: Death Panels.


41 posted on 04/13/2013 3:11:55 PM PDT by 2ndDivisionVet (I'll raise $2million for Sarah Palin's presidential run. What'll you do?)
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To: stanne
“That’s just the beginning. No one’s checking and reporting on the decline in med students. who would go into medicine?”

Just as well, they are mostly Liberal $hitbirds like Bambi, coming out of Liberal $hitbird schools. See what they did to Dr. Ben Carson for evidence over at John Hopkins.

42 posted on 04/13/2013 3:49:01 PM PDT by DAC21
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To: Sioux-san
All of us, regardless of age, should be able to buy our own insurance that meets our needs.

True but what frustrates me is that actually many of us did not have to pay the full cost since employers provided it as a benefit of employment. That is now going away since the feds have screwed things up.

It is ludicrous for the feds to be lecturing anyone about keeping costs down when the cost of government is skyrocketing and the cost of health care and health care insurance is skyrocketing due to government interference.

43 posted on 04/13/2013 4:52:49 PM PDT by plain talk
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To: Innovative

Here comes “free healthcare” where the patient comes last. You’re gonna love it! Thanks Barry!!!


44 posted on 04/13/2013 5:04:05 PM PDT by FlingWingFlyer (Dude! Where's my Bill of Rights?)
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To: Innovative

Ultimately they need to let the patient decide what is value of cost is. The only thing doctors need to do is educate the patent on the value of each product & service vs alternatives.

Doctors may not want to be in this position. If they don’t they could alternatively sell the whole package. Charge the patent a standard rates(Like their own insurance plan) and decide themselves what they need to figure out what’s going on. (This may be the way to go.)
Another way is to just sell their individual service and let the patent contract with whatever else they need. In other-words the doctor acts as a consultant.

Beyond solving compact medical problems among specialist I don’t see the need for doctors to collectivize, that just reduces the possibility of competition further.


45 posted on 04/13/2013 5:13:52 PM PDT by Monorprise (`)
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To: freeangel

Yea that seemed a bit nutty to me as well. along with the Standardized practices one.

If your going to see a doctor then he should proceed based upon symptoms. In any-event the cost of his individual services are not the driving factor in the cost of healthcare. The driving force in the cost of healthcare is everything else namely insurance Government & otherwise which removes price selection from the system.

Without price selection all aspects of the service can cost almost as much as they want and so their costs have no where to go but up as fast as they can.


46 posted on 04/13/2013 5:22:16 PM PDT by Monorprise (`)
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To: upchuck

You make an interesting point, though. It sounds like the lib’s may already be trying to shift the load, that is, the blame to the doctors for this albatross (aka obamacare).


47 posted on 04/13/2013 6:09:39 PM PDT by virgil
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To: Jim Robinson
"The totalitarian government will decide who is worthy of first class government "provided" healthcare and who gets the pill, ie, death panels. This was the real intent of CommieCare to begin with."

You summed it up perfectly! That is indeed the bottom line.

48 posted on 04/13/2013 6:35:46 PM PDT by Innovative ("Winning isn't everything, it's the only thing." -- Vince Lombardi)
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To: Diogenesis

Oy! I’m afraid to look.


49 posted on 04/13/2013 6:56:21 PM PDT by stanne
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To: Innovative; Fred Nerks; TigersEye

Docs Told They Must Drive Health System Change >>>>>>>>>>>>>>>>>>>>>>>

Yeah Right.

Since when do doctors want to give away all their professional freedom and billing power to a liberal fascist system of faulty health care and death panels?

Look what happened in Canada. Now doctors there are nothing but vicarious civil servants paid by the government, with salary caps and dictatorial guidelines on service, designed to minimize cost, and Canadian health care comprises 55% of the federal governments budget in Canada. This linmits even the size of the Canadian Armed forces to a paltry 100, 000 individuals, so that the nation cannot even preserve its sovereignty from the Russians in the North.

I am sure US doctors what the same/S


50 posted on 04/13/2013 7:15:04 PM PDT by Candor7 (Obama fascism article:(http://www.americanthinker.com/2009/05/barack_obama_the_quintessentia_1.html))
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