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re: Out of the Box Healthcare Ideas
Posted on 3/28/17 at 1:23 pm to onmymedicalgrind
Posted on 3/28/17 at 1:23 pm to onmymedicalgrind
quote:
Idk, whenever someone seems to propose a solution to our healthcare issue, they always begin at that assumption and then go from there. Sure it makes the discussion easier, but also makes it unrealistic.
We need to discuss in generalities because of the size of the system and, in general, better decision-making will result in healthier life styles which will result in lower health costs.
The problem is that this really isn't a healthcare issue; it's a poor decision-maker issue. We already have tons of programs available for free or extremely low costs preventive health care and the vast majority of people for whom its intended never use it.
2
Posted on 3/28/17 at 1:29 pm to Antonio Moss
quote:
We need to discuss in generalities because of the size of the system and, in general, better decision-making will result in healthier life styles which will result in lower health costs. The problem is that this really isn't a healthcare issue; it's a poor decision-maker issue. We already have tons of programs available for free or extremely low costs preventive health care and the vast majority of people for whom its intended never use it.
Yes, and I understand all that.
But these solutions obviously will neglect a certain segment of the population who aren't unhealthy primarily from poor decisions. Before just casting them aside during these discussions, it would help to have numbers on how many people we are leaving out (which to my knowledge I haven't see on here).
Posted on 3/28/17 at 1:51 pm to Antonio Moss
quote:
it's a poor decision-maker issue.
This is true.
In 2011, among those with the highest costs, only 11% were in their last year of life, and approximately 13% of the $1.6 trillion spent on personal health care costs in the United States was devoted to care of individuals in their last year of life.
Medicare spends an inordinate amount (I think >30%) on the last year of life, but that's more due to the population makeup than any sort of 'failing' we can 'fix'.
A better use of efforts would be to focus on chronic illnesses, outcomes, and limiting things like HACs and readmissions.
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