April 19th, 2010 by Davis Liu, M.D. in Better Health Network, Health Policy, Opinion
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In a recent Time magazine article, the author suggests, as many others have done in the past, that forcing patients to be more like customers and comparison shop will drive healthcare costs down. Nothing could be further from the truth.
The theory of consumer-driven healthcare goes like this: If there was more information about the costs of doctors, hospitals, imaging tests, and procedures, people would hunt around to find the best deal, stimulate competition, and drive pricing downward. Read more »
*This blog post was originally published at Saving Money and Surviving the Healthcare Crisis*
April 12th, 2010 by GruntDoc in Better Health Network, Health Policy, News, Opinion, Research
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Educating individuals about the costs of healthcare could save money and lead to a more efficient use of the healthcare system, report policy researchers at Tufts University School of Medicine and Boston University School of Public Health.
You mean that people, when faced with facts about cost (and their end of it), choose the less-costly option? When did this start? Oh, yeah — we do it all the time — except in medicine, where our costs will bankrupt the country.
*This blog post was originally published at GruntDoc*
April 10th, 2010 by Toni Brayer, M.D. in Better Health Network, Opinion, True Stories
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The cost of medical care is high because the human body is complicated and doctors and patients hate ambiguity. The cost is high because a missed diagnosis can lead to death and a large lawsuit. The cost is high because we have many specialists who view the human body in their own tiny pieces and they want to feel 100 percent correct about their piece. Let me give you a real-life example. Read more »
*This blog post was originally published at EverythingHealth*
April 5th, 2010 by KevinMD in Better Health Network, Health Policy, News, Opinion
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One of the points of contention in healthcare reform is whether it will do enough to control costs. Forget about the Congressional Budget Office’s optimistic outlook, as it discounts the Medicare “doc fix,” which, when factored in, will erase any supposed deficit reduction.
Reform doesn’t do very much to change the underlying structure of our health system, which continues to pay more for quantity of medical services, rather than shift the focus to value and quality.
Sharon Begley, writing in Newsweek, offers some sensible suggestions on what we can do control costs. Better incorporating the best clinical evidence into their medical decisions would help. She cites the continued, and possibly unnecessary, use of back surgery, knee surgery, vertebroplasties, and angioplasties, despite mounting evidence that they’re being overused. Read more »
*This blog post was originally published at KevinMD.com*
March 22nd, 2010 by Stanley Feld, M.D. in Better Health Network, Health Policy, Opinion
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By Stanley Feld MD, FACP, MACE
The traditional media is not discussing the economic consequences of President Obama’s healthcare reform program.
In these final days, traditional media is describing the horse race to the finish line for a deemed vote (“Slaughter rule”) vs. a partisan up and down vote on the Senate bill. The horse race is a distraction to avoid discussing the unintended consequences of the bill.
Congressman Paul Ryan is the Ranking Member of the House Budget Committee and senior member of the House Ways and Means Committee. His focus has been to bring fiscal discipline to federal spending. The House Ways and Means committee’s jurisdiction is tax policy, social security and healthcare. He has been addressing America’s long-term fiscal crisis and the dangers of explosive entitlement spending. Read more »
*This blog post was originally published at Repairing the Healthcare System*