ginwilly
Well-Known Member
I run a rehab department at our local hospital PT, so I'm slightly more qualified than pizza delivery guy but not much.Question ( Puppets no need to answer ) If AHC is not the answer, but one is most certainly needed. How do we fix our healthcare system?
mostly it's going to take a wholesale change on the mentality involved from everyone, patients, politicians and providers. We have evolved into a one sized fits all delivery system thanks to government regulations and the FDA's big pharma corruption. We are not all the same, our health care needs are not all the same. Unfortunately with things like core measures we become the same in the eyes of medicine. You present with X, text book says you should do Y, government says you MUST do Y so Y gets done. If you are in the minority that Y doesn't help, sorry, we only pay for Y because that's what the gov insists on.
China spends 10% of it's costs on care and 90% on preventative medicine. We are the opposite. I'm not saying we need to be exactly like China but we could benefit being closer to 50/50.
EMTALA tells professionals in the ER that they are too stupid to know what an emergency is but the politicians are not.... We have people that make 100 visits a year, NOBODY has 100 emergencies a year (ok, there may be 1 out there but come on), a trained medical professional should be able to say, you'll be fine, when you wake up tomorrow go see a doctor, we have real emergencies to attend to.
Medical courts. We have juvenille, federal, traffic, divorce etc. etc. Medical courts would speed up the cases that cause millions in unnecessary tests and procedures while every body cya during the lawsuits. This is a cost that's never figured in when they talk about medical lawsuit costs. This cost far outweighs the settlements, clogs up not only the court system but our clinics as doctors order more tests and pills. It amazes me how many patients get better after their suit is settled. I've treated patients that have been hurt on a job that they hate for years, they settle and I never see them again. We also see a pattern with medical professionals who are shaky at best much quicker. Weed out the bad seeds asap.
Fuck the FDA! right in the ass. They are every bit as bad and corrupt as the EPA if not more so. Anybody who works for the FDA and owns stock in drug companies should be in jail, let alone sit on their fucking boards. How have even let this happen? This is a no-brainer common sense thing that nobody I know has ever argued. It's harder to Undo in DC than it is Do.
that's just a few off the top of my head that save money without any effort at all.
I've got a bunch of typical free market solutions that would also help but I'm sure you don't count those or you wouldn't have asked your question. It's not like you haven't been hearing them for the last 3 years.