The first part of this essay discussed how we can empower and engage patients to make healthcare decisions with information and support from their healthcare team. This is our mission because the current system of healthcare delivery is broken.
We need to improve clinician and provider access to timely, accurate and complete claims data to better facilitate care, and recognize that the socioeconomic status of many patients creates challenges in providing care. We should adjust payments to providers as appropriate.
We need to create a system where we promote public and private investment in the transparent, evidence-based testing and scaling of new alternative payment models so that clinicians, other healthcare providers, and payers can learn how payment models work and how they evolve in the clinical setting.
Our current system is troubled. But we can create an efficient bridge between private and public sectors.
One-sided action is destined to failure
We cannot implement a performance-based reimbursement system if physicians and patients don’t have access to all options. Today they are earmarked and controlled by third-party gainers.
If we regulate healthcare, we must do it for every entity and person, otherwise, deregulation is a must, even if we must change the Constitution to accomplish that.
Our constitution is based on free-market values, but over the decades it has changed, as unrealistic amendments have been added that contradict what its original core values.
Here is one example of double standards in healthcare.
Should we be satisfied with a system where we look but don’t touch? Where we touch but don’t taste? Where we taste but don’t swallow? If decide to implement a single-payer system, Medicare for all or other types of national healthcare, then the population-based healthcare model is the way to go. We could institute full government control over every aspect of healthcare delivery — but is that what the majority of our citizens want?
In one of my recent articles, I talked about personalized medicine. It seems to be the future of healthcare, but the ideas of a single payer-system contradict many aspects of the personalization of healthcare.
Is that what we are looking for? More chaos, more of a swamp? We need to avoid the game of playing devil’s advocate. Too many solutions are just a cover over the same contaminated standing swamp.
We need to look at the big picture, get out of the woods and drain the swamp of healthcare. Among the steps we need to take are:
- Reform point-of-care delivery
- Reform telehealth
- Reform the practice model for physicians
- Create interoperability
- Create security
- Connect the dots in a synchronized way
- Embrace technology that works and is oriented around healthcare providers and patients
- Gradually transition to a system of personalized healthcare
If the government can’t regulate healthcare efficiently — because of limitations set by the constitution, or because of special-interest groups — then it must be deregulated.
We need to avoid the one-sided solution and lose our tunnel vision.
We need to develop a system made from the best of what our communities and our values are built on, not the best solutions offered by other people.
We cannot create healthcare without borders by twisting arms, raising more money than competitors or passing mandates. If all we can do is raise billions of dollars while losing trillions, failing to solve physicians burnout, continually raising premiums, copays, and deductibles and helping giant corporations profit instead of patients, then the system will be destined to fail.
Healthcare beyond borders is the organization that aims to build a better system, as we believe quality healthcare is a fundamental human right.