By Kim Bellard
My friends, we are like explorers of yesterday standing on the edge of a known continent, looking at the fast ocean with the hope of finding new, intentional and better lands. It is true that we can have stripped the continent behind us, but certainly things will be better in the new lands.
In the metaphor I am thinking, the known continent is our ruin of a health system. Although all protests over the United States have the best medical attention in the world, that is manifestly false. We Don’t Live As Long, We have more chronic designs, We Kill Each Oerther and Perurselves at Alarm Rates, We Pay Way More, We Have Too So Many People That Can’t Afford Care Care, We have too Speprivate, and Speprivate, and We Spotly, and and Speprise, and Speprise, and Speprise, and Speprise, and Speprisat, and Speprisat, and Speprisat, and Speprive, all much on administration.
Us Do not trust The health system, us Do not think Its quality of attention is good, we have a Unfavorable opinion Or we think It fails us. The vast majority of us think it should be Fundamentally changed or completely rebuilt. That is what we want to flee, and it is not surprising why.
Through that metaphorical ocean, in distance, on the horizon, is 22NORTH DAKOTA Health System of the century. We hope, it will be like magic. It will be more equitable, more effective, more efficient, more proactive, less invasive, more affordable. We do not know exactly how it will look or how to work, but we have seen what we have, and we know it can be better, much better. We just need to get there.
This takes me to the next part of the metaphor. Recently I read a great appointment of the late nature writer, Barry López, from his Potostumo de Essayos book Fear the burning world fear. Mr. López regrets: “We are looking for the ships that we never build.”
The ships do not come to save us, to transport us to that idealized 22NORTH DAKOTA Health System of the century. Because we never built them. Us close I don’t have the courage to build them.
We never build a system to guarantee universal coverage. We trust a Hodpodge of coverage mechanisms, each of which is struggling with their own problems and even leaving about 25 million people with insurance, and that is before the 10-20 million that are preached to the Billulos of Loss “more complaining” with insufficient insurance.
We never build a system that was remotely equitable, as we never did for housing, education or employment. Money matters, ethnic origin, geography is important. The discrepancies in the availability of attention and the results appear clearly for each of them, and more.
We never build a system that rewards patients especially. We define doctors and hospitals, we don’t call them when they cool us lower quality or when they charged us too much. Now medical attention has gone from a “noble call” to a creator of jobs and wealth. TO recently New York Times analysis Found (among other things):
- Medical care is the largest employer in the country;
- In 1990, medical care was not the largest employer in any state; Now it is in 38 states;
- We spend more in medical care than on groceries or homes.
Choose your favorite objective: Private capital companies Buy medical care entities, for profit companies that extract profits from our attention (or “non -profit organizations” nominal that do the same), the stationary Corporatization of medical care. Add favorite Boogeymen such as health insurers, PBMS or Big Pharma. In one way or another, it is money, not us.
Adagio on great technology comes to mind: we are not the customer, we are the product (or, or, As I wrote beforeWe are simply NPC.).
We never build the systems to facilitate administration. So many codes, so many rules, so many types of insurance, so many silos, so many administrators. At this time, it has undoubtedly seen the growth chart of administrators versus doctors in our medical care system, and is aware that around a quarter of our dollar of medical care goes to the administration. It doesn’t have to be so, it shouldn’t be so, but Administrative swelling It’s getting worse, not better.
We never build the buyer systems track our health or risks to it.
From wastewater monitoring to disease/outbreak monitoring to the advertising impacts of recipe medications, medical devices, we trust haplhazard methods that leave us without effective warning systems. The various public health mechanisms we had in place were unfortunately without funds before Covid, they crashed (and were burned) Covid, and now they are diverting happily.
Everyone’s sausage, we never build a system to track what really works. Of course, there are studies controlled by gold standard that are supposed to do that, but very care is provided is not based on such studies, the impacts of such studies take years to impregnate real practice patterns in the EAGES ARENIVEE of Dtyde Arenivee Eallyte Eallyte Eallyte Eallyte -Iryte -Iryte -hallyte -hallly -thallly -Yt -FOFS AFFS TO THEFT THE THE THE THES OF THIT. We undergo attention, we pay that attention, without really knowing that it is the attention we should receive or from the person/institution that should give us.
What a shame and the system that allows all this.
Without building all those ships, we are not reaching the 22NORTH DAKOTA Wealth System we want and deserve.
Of course, there is a lot of exciting technology that will help do things. garlic More like a 22NORTH DAKOTA Health System of the century. Ai, robots, genetic edition, nanobots, smart cells, synthetic biology and more, all are exciting and will be useful in those 22NORTH DAKOTA Century Healthcare. But they won the consumption of 22NORTH DAKOTA Wealth System that we should obtain. They will take us to a more elegant and more spending version of the one we have.
You may have seen that a couple of weeks ago it was the 50Th Anniversary of the initial launch of Jaws. One of his most emblematic lines was the reaction of Brody’s boss when he first glimpsed the size of the shark that he and two companions were fooling down: “You will need a larger boat.”
When it comes to taking us to 22NORTH DAKOTA Medical Care System that we should want, we will also need a larger ship, and it is better that we begin to build it. now.
Kim is a former emarketing executive in an important blues plan, editor of The Late & larmente Tintura.ioAnd now regular THCB collaborator
