saving health care
TRANSCRIPT
Saving Health Care, today(in 6 minutes)
FLICKR: QUIPASHI
THE HERITAGE FOUNDATION
We have a problem(costs are too high)
Doctors are fed up60% of general practice physicians surveyed said they would not recommend medicine as a career.
Up to 50% of primary care docs intend to cut back or quit.
Only 2% of medical students are considering going into primary care as internists.
Since 1997, 50% fewer newly graduated U.S. medical students chose primary care as a career
Many other problems(which I’ll get to)
THE GOVERNMENTCREATED THE PROBLEM (SURPRISE SURPRISE)
FLICKR: SILENCE99
The Status Quo
1)Employer-provided,
2)All-encompassing Health Insurance
1) Employer-provided Insurance
Leading To...
Less Diversity of Choice
Less Accountability to Action
Less Competition
2) All-encompassing Health Insurance
2) All-encompassing Health Insurance
...is not insurance...
2) All-encompassing Health Insurance
Car Insurance doesn’t pay for Gas
Flood Insurance doesn’t pay for Umbrellas
Life Insurance doesn’t pay for the flu
2) All-encompassing Health Insurance
Car Insurance doesn’t pay for Gas
Flood Insurance doesn’t pay for Umbrellas
Life Insurance doesn’t pay for the flu
THIS WOULD BE WASTEFUL
2) All-encompassing Health Insurance
"Insuring primary care is like insuring lunch. You know you're going to need it. You know you can afford it. Why on earth would you pay a third party to pay the restaurant on your behalf, adding overhead and taking a big chunk out of the money you pay?" - Nick Hanauer of 2nd Ave. Partners
Tremendous Inefficiency
“The insurance companies are blind, they have no idea what we’re doing, so what they want is paper. Lots of it, buckets of it, tons of it. [We] put out pounds of paper, to confound the people of the insurance world.” - Dr. Garrison Bliss
Tremendous Inefficiency
Terrible Incentives
“We’re not paid to do our job well. [...] Since we only get paid for visits, the effective and efficient doctors simply get paid less, because we don’t see you as often. For asthma, I get $200 to prevent your asthma, but I get $10,000 to treat it.” - Dr. Jay Parkinson
No judge of value
“The higher spending is due to the provision of unneeded and sometimes harmful care: hospitalizations that could have been avoided with better primary care; frivolous specialist consults; overuse of diagnostic tests.” - Elliott S. Fisher, Dartmouth Medical School
The Solution:HSA + HDHP + DPC
1) Health Savings Account- CASH FOR CARE
2) High-Deductible Health Plan - JUST IN CASE
3) Direct Primary Care - CARE FOR CASH
Tremendously Efficient
You’re the Customer
Instant Message
Phone Calls
House Calls
24-hour access
YES, THATS RIGHTHOUSE CALLS
FLICKR: GREYLOCH
Did I say Efficient?
You can save thousands per year, for a single patient
Dr. Jay Parkinson ran the numbers, and got
TOTAL SAVINGS over 10 years = $54,395.60
THE HERITAGE FOUNDATION
We can turn this slope aroundLower costs dramatically, for better care
Live healthierIn better contact with our physicians
FLICKR: CISTAL
All by embracing the marketIt’s about time, no?
All by embracing the marketIt’s about time, no?
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