kissick’s triangle cost access quality. do now: watch trailer 3m
TRANSCRIPT
Kissick’s Triangle
Cost
Access Quality
Think-Group-Share1. “We lead the world in healthcare because we believe in a system of
private medicine that encourages innovation and change.” –President Bush
2. “It’s absolutely excessive.” [referring to our healthcare in the U.S.]3. “Medicine has become a business.”4. “Physicians are reimbursed for doing things, we are not reimbursed
for talking people.”5. “The current medical system…. is designed to turn a profit. It’s
designed to meet the needs of the people in power.”6. “The United States doesn’t really have better care than other
Western democracies… it just has more care.”7. “They say their interested in quality and lower cost and providing
healthcare for everybody and I want you to have the same healthcare that I have as a Congressmen… I want to know what that is?” 15m
Guiding Questions:
• 7:23: What is America good & not so good at when it comes to health care?
• 17:05: Explain the analogy: “Medicine in the US today is like…..”• 19:18: What other analogy is used for insurance companies?• 40:00 & 41:24: Should medicine work as a competitive market?
Why could this be harmful? Beneficial?• 50:12 – How did the face of medicine change over the 20th
century?• 51:41 – What is one reason, according to Dr. Berwick, for the
outrageous expense of our healthcare today?• 1:15:25 – What is the conflict that doctors today face?
25m
SCENES/THEMES
• Scene 1: Not the Best, only the Most Expensive• Scene 2: Rescue Care vs. Primary Care• Scene 3: Assembly-line Medicine• Scene 4: A Third of Healthcare Dollars Wasted• Scene 5: Effective, Evidence-based Care• Scene 6: The Rise of the Medical-Industrial Complex• Scene 7: When “Care” Becomes “Barbaric”• Scene 8: The Doctor-Patient Partnership• Scene 9: Healthcare Reform Starts with Us