When 40% of American's do not have $400 to spend for an emergency, high deductibles = no health care.
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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.
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It’s possible but the industry chooses not to. Here are a few:
@SurgeryCenterOK@DPCNavigator@misterchambo - 1 more reply
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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 …
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It was passed during the GWB era if I recall correctly.
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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.
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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?
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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 …
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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.
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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...
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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.
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Quality became that way in my experience. It wasn't so much about pts as Medicare funds.
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can’t afford #casinohealthcare cc@DanMunro -
@nntaleb has the acronym. IYI Intellectuals Yet Idiots


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NNT had me @ “Phoenician wines”
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and
@barttels2 had me w her/his spirit animal.


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Before there were even emojis.
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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.
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