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Atul_Gawande's profile
Atul Gawande
Atul Gawande
Atul Gawande
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@Atul_Gawande

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Atul GawandeVerified account

@Atul_Gawande

Surgeon, Writer, Researcher, Dilettante. https://www.ariadnelabs.org/  http://www.lifebox.org/ 

atulgawande.com
Joined January 2011

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    Atul Gawande‏Verified account @Atul_Gawande Jun 27

    Skin-in-the-game isn't working. Average deductibles for employer health plans tripled, and most patients can't afford to do anything except forgo care and treatment. @businesshttps://bloom.bg/2IwcLN0 

    8:47 AM - 27 Jun 2018
    • 376 Retweets
    • 630 Likes
    • RachelDarlingNaranjo_DPM Makai Macdonald Rajiv Nunna antoninotrapani Shannon Gillespie HealthcareHighways Rachna Shah Maria bell hctransformed
    65 replies 376 retweets 630 likes
      1. Liberal "Didn't Want The Embrace" Lab‏ @LiberalLab Jun 27
        Replying to @annbittinger @Atul_Gawande @business

        When 40% of American's do not have $400 to spend for an emergency, high deductibles = no health care.

        0 replies 0 retweets 4 likes
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      1. New conversation
      2. Ari Caroline‏ @aricaroline Jun 27
        Replying to @Atul_Gawande @chrissyfarr @business

        Ludicrous to think it would work. Patients have no clue as to the value of any given diagnostic/treatment and neither do physicians! Functional market incentives require transparent cost and value measures. That’s impossible with current state of US healthcare data.

        2 replies 0 retweets 7 likes
      3. Derek Winn‏ @BBGDerek Jun 27
        Replying to @aricaroline @Atul_Gawande and

        It’s possible but the industry chooses not to. Here are a few: @SurgeryCenterOK @DPCNavigator @misterchambo

        1 reply 2 retweets 8 likes
      4. 1 more reply
      1. New conversation
      2. Budd Shenkin‏ @BuddShenkin Jun 27
        Replying to @Atul_Gawande @business

        HDHP's were an idea whose time should never have come. My policy statement written for the AAP shows why:http://pediatrics.aappublications.org/content/133/5/e1461.full.pdf+html …

        1 reply 0 retweets 3 likes
      3. Liberal "Didn't Want The Embrace" Lab‏ @LiberalLab Jun 27
        Replying to @BuddShenkin @Atul_Gawande @business

        It was passed during the GWB era if I recall correctly.

        1 reply 0 retweets 0 likes
      4. Budd Shenkin‏ @BuddShenkin Jun 27
        Replying to @LiberalLab @Atul_Gawande @business

        Yup. It gives up on professionals fixing the system and asks for consumes of care, which we know as patients, to do it instead. Can't work. Better to unite primary and patient as a team searching the marketplace for referrals and hospitals, promote competition there.

        2 replies 1 retweet 5 likes
      5. Liberal "Didn't Want The Embrace" Lab‏ @LiberalLab Jun 27
        Replying to @BuddShenkin @Atul_Gawande @business

        What do you think about medicaid reimbursing/paying for outcomes rather than procedures? I understand that was bending the cost curve? Does it? Has that been abandoned by this administration?

        3 replies 0 retweets 1 like
      6. Budd Shenkin‏ @BuddShenkin Jun 27
        Replying to @LiberalLab @Atul_Gawande @business

        IMHO - very aspirational. This is an administrative fix in a way. I'd prefer to see full information, transparent med records, competing smaller units. Improvement is a process, and competition (with prospect of making a bundle) is a stimulus. http://buddshenkin.blogspot.com/2017/06/policy-for-emerging-organizational.html …

        0 replies 1 retweet 3 likes
      7. End of conversation
      1. New conversation
      2. George Dawson‏ @dawso007 Jun 27
        Replying to @Atul_Gawande @business

        American health care companies have no skin in the game when Americans are paying a trillion dollars more than the Swiss for less quality health care. The idea that highly paid America companies are producing quality health care is more advertising than fact.

        1 reply 3 retweets 6 likes
      3. Gregor Mendel‏ @GregortheMendel Jun 27
        Replying to @dawso007 @Atul_Gawande @business

        That is a good part of the reason I left health care after 15 years as in-house counsel. I loved the faculty and the science, but couldn't abide the bs it's all built upon. The looks I'd get when I asked where the numbers on the chargemaster came from...

        1 reply 0 retweets 1 like
      4. George Dawson‏ @dawso007 Jun 27
        Replying to @GregortheMendel @Atul_Gawande @business

        It's all Hollywood accounting. Clinical science on a daily basis has been drained from the field. No time when MDs spend 50% of the time generating useless paperwork and billing statements. There used to be clinical conferences. I saw them turned into business meetings.

        1 reply 0 retweets 1 like
      5. Gregor Mendel‏ @GregortheMendel Jun 27
        Replying to @dawso007 @Atul_Gawande @business

        Quality became that way in my experience. It wasn't so much about pts as Medicare funds.

        0 replies 0 retweets 1 like
      6. End of conversation
      1. New conversation
      2. Nick Adkins‏ @nickisnpdx Jun 27
        Replying to @Atul_Gawande @business

        🙋‍♂️can’t afford #casinohealthcare cc @DanMunro

        1 reply 1 retweet 3 likes
      3. barttels‏ @barttels2 Jun 27
        Replying to @nickisnpdx @DanMunro and

        @nntaleb has the acronym. IYI Intellectuals Yet Idiots 🎯🎯🎯

        1 reply 0 retweets 0 likes
      4. Nick Adkins‏ @nickisnpdx Jun 27
        Replying to @barttels2 @DanMunro and

        NNT had me @ “Phoenician wines”

        1 reply 0 retweets 1 like
      5. Nick Adkins‏ @nickisnpdx Jun 27
        Replying to @nickisnpdx @barttels2 and

        and @barttels2 had me w her/his spirit animal. 🐭🍕🚇

        1 reply 0 retweets 1 like
      6. barttels‏ @barttels2 Jun 27
        Replying to @nickisnpdx @DanMunro and

        😘 Before there were even emojis.

        0 replies 0 retweets 1 like
      7. End of conversation
      1. Raj‏ @RajMoman Jun 27
        Replying to @Atul_Gawande @business

        We live in an era of patients who can’t afford health care and health insurance CEOs getting $10-100 million dollar bonuses. It’s outrageous.

        0 replies 0 retweets 8 likes
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