Saturday, March 30, 2013

Health Care Reform - Will Dr Obama Be Able to Cure the US Health System?

Let's pretend that The president is actually Dr Barack obama, and that his job should be to diagnose and treat the us Health System. What is he going to find, how will he treat it, and what will represent outcome?

The process of diagnosis is pretty straight forward. Everyone acknowledges that the system is broken and that excellent of agreed on associated with this disorder. Firstly the particular body is far too expensive, consuming almost twice as many dollars per capita as governing bodies in other Western areas. And this expense is also poorly focused. Over thirty per cent of our health dollars are invested in administrative non-patient care fees (such as insurance companies profits, and excessive administrative rates for providers). We also spend double the amount of on medications as fix Western countries, and your reimbursement practices inappropriately special piece rate medicine, nearly doctors who perform surgery, (such as surgeons and radiologists) against undertaking prevention and treatments chronic illness (such as primary care physicians). Of course the employment of 47 million uninsured is a disgrace and a huge problem, as is the relatively poor quality of overall care provided nationally invest in spent. And finally the actual system is very intermittent, with excellence provided relatively cheaply within a areas, and the opposite in many others. All this occurs in the setting of relatively little investment plus electronic medical records and modern marketing, which could certainly improve the system.

So what wants to Dr Obama do? Things that are his treatment plan? If he addresses those problems above, then course of action becomes clearer. It is absolutely necessary to introduce a national public insurance strategy, both to insure next the currently uninsured, and to provide competition web based excessive number of health insurance companies so they are reduce their rates, improve their cover, and provide better value services. It is likely that this process will lead to a large amount of insurance companies going bankrupt, and that is important, because there are just too many at present, and it might be more rational for us all have fewer larger medical care insurance operations. At the same time cost pharmaceuticals has to be addressed - there should be a nationally negotiated formulary for them core essential drugs that are paid via public purse.

At duration the payment structure for providers requires to be changed, and more emphasis professional services for chronic medical and health factors and prevention, and less for interventional medicine, whilst encouraging, as is proceeding, the use of electronic medical record systems and other health i . t initiatives. A single dramatic enhancement belly if he insisted on the roll-out of a national health identifier number since this would greatly enhance ale providers to exchange health information as appropriate, and would greatly aid billing and administrative tasks.

Many other things have to happen, of course, but will Dr Obama and his team go with this task? We come with a bloated and unproductive health system, and in a such system there are winners and losers. Details in today's health system are insurance companies, the pharmaceutical industry, and quitting providers who are helpful to receiving excessively high cash flow for interventional services. The losers are patients, and the country. When looked through broadly, the diagnosis and caring for our health system will be relatively straightforward, but it requires to be accepted that today's "winners" to not ever necessarily remain like this long term, and that it'll be a number of losers as we change the system. Let's just prayer Dr Obama, and his multidisciplinary health planning team in Congress, are able to carry on the reforms the US health system these represent the the patient is put aside the loser.



Peter Yellowlees MD has recently published "Your Health scenario Information Age - how you and your doctor can use website to work together". The situation available at www. informationagehealth. net www. InformationAgeHealth. com and plenty of online bookstores.

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