HEALTH CARE SHOULD MAKE MORE SENSE
My wish list that would make it so
Health care is what goes on between you and your doctor and the results that come out of these consultations. Your doctor diagnoses and advises. A doctor’s customer is you.
Healthcare is an industry; a payment system that has become huge and complex; a $7 trillion- industry, not focused on health care. The healthcare industry customers are insurance companies, pharmaceutical companies and the HR department of companies. Not you.
Here lies the problem. Caring for patients is
central to everything, yet the size of the healthcare industry has
caused public discourse and policy makers to focus on premiums and
reimbursements, not patient care and wellness. You, as the consumer of
services, are left in the crossfire.
Now, My Wish List— Back to BasicsFor doctors, relief from the insurance time-confines of one-size-fits-all visits
doctors more time to do their job, which is spending time with
patients. For example, complex subjects like obesity and diabetes
require a reinforced change in habit. Shortchanging time on these
problems results in ever-growing long-term health costs. Allow doctors
the time to do a thorough enough job, in the beginning, to solve the
problem upfront. For insurance companies, coverage for preexisting conditions
whatever conditions require medical assistance—that is what insurance
is for. This is a basic moral concept, and the United States can choose
to afford to do so.
We are all under threat of insufficient health insurance, and constantly at the mercy of lawmakers. So…No special deal for lawmakers
Policymakers need to live by what they legislate. Period.Get rid of the “OUT OF NETWORK” concept and negotiated rates
your job, and you are likely to have to change your doctor if your new
employer has a different insurance company than your current plan.
Worse, even without a job change, should you go to an in-network
hospital and, unknown to you,
are seen by an out-of-network doctor, you could be billed for thousands of dollars even though you have insurance.
The healthcare industry customers are
insurance companies, pharmaceutical companies and
the HR department of companies.
sadder still, a hospital will usually bill uninsured patients at a
higher rate than those insured because insurance companies have
negotiated favorable rates for their customers. It has nothing to do
with the cost of your visit.
Spend money more wisely. There is enough out there.
We pay a lot of dollars for our health care, but, like our tax system, we lose track of how much we really do pay.
taxes, we all pay federal/state income taxes, sales tax, real estate
tax, and then there is gasoline tax, hotel tax, licenses… to the point
where we really have no idea how much we pay in taxes overall.
care is the same: Premiums, high deductibles, out of pocket/copay,
caps, and out-of-network costs. These payments go toward the
administrative structure that comprises 40 percent of all health care
spending. Put this 40 percent of the money into making people better
A true hidden cost: Not getting care on a timely basis so that health conditions worsen and cost more to fix.
then there is this: You could have a person sitting next to you who
cannot afford to go to the doctor yet is infected with the Coronavirus.
right and we will have the resources for higher-quality, effective
services for everyone. Less delay, less pain, and, with transparency
regarding costs, less financial stress.
Make health care easier. Allow patients to be informed customers again and let doctors focus on what they do best.
But for now:
The best strategy when dealing with our healthcare system is don’t get sick…. Really?
Along with a career in innovative technology, John was a Trustee in the Johns Hopkins Health System for 15 years and earned a master’s degree in Computer Science from the Johns Hopkins Applied Physics Lab. This combination of experience and education allows a broad perspective on healthcare, software and how the transfer of software platforms between industries have had a transformational impact. He believes the healthcare industry can, and should, be next.