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re: Fixing Healthcare

Posted on 12/26/17 at 9:53 am to
Posted by ABearsFanNMS
Formerly of tLandmass now in Texas
Member since Oct 2014
17495 posts
Posted on 12/26/17 at 9:53 am to
quote:

The one thing you left off, which is also the main cause of higher costs, is healthcare reform. Obamacare did nothing to address healthcare, it just shuffled around how it was paid.


So how do we address healthcare reform? The United States is the incubator for rest of the world when it comes to healthcare innovation. However, regulator issues add huge expenses to the pharmaceutical and Med Device industry. Plus you have predatory companies buying patents and jacking up pricing to reap profits (disclaimer: I am Med Device Clinical Management but my company generally doesn’t do these crazy pricing strategies).

Then you have insurance companies raping the “average Joe’s” and turning a profit. They are a business and should earn a profit but they are making money hand over fist (much higher than Med Device). Why not have regulatory reform, go back to the old system, roll pre-existing conditions into Medicare/Medicaid and create “Charity Clinics” as I suggested above?
Posted by ThinePreparedAni
In a sea of cognitive dissonance
Member since Mar 2013
11091 posts
Posted on 12/26/17 at 10:13 am to
quote:

So how do we address healthcare reform?


Acknowledge that it is futile to continue to figure out ways to fund delivery systems for “sick” care (all paths lead to bankrupting the country).

No “policy” will fix that.

Instead, a paradigm shift is required to address the root of the problem (establishing health by choices made /exposures by the individual)

Prior TD thread giving actionable examples

Technology can also be used in clever ways:

NY Times

quote:

Tackling Weight Loss and Diabetes With Video Chats



quote:

Instead, Ms. Collier and her husband entered a study sponsored by a company called Virta Health, one of a new crop of high-tech companies that have designed programs aimed at helping people prevent or even reverse their diabetes.

On the program, patients video-chat with a remote Virta doctor, who consults with their primary care doctor, reviews their blood tests and medical history, and makes diet and drug recommendations. While studies show that a variety of different diets can benefit people with Type 2 diabetes


quote:

“People with diabetes have to manage their diabetes 24 hours a day, seven days a week, 365 days a year,” he said, but most Type 2 diabetics see a doctor four times a year at most. In between those visits, they are largely left on their own — and many end up struggling with their diets, their blood sugar and other complicated aspects of their care.

“When you think of the amount of time they actually spend in a health care professional’s office getting counseling and support, it’s negligible. “Developing remote care models is going to be the key if we’re going to have some sort of impact on improving glucose control for the millions of people with diabetes,” he said. “It’s a much more scalable model than seeing people in a doctor’s office.”





This is a major driver of chronic disease (and events that lead to abuse of acute care services = $$$$)
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