This suggests the healthcare equivalent of 'shrinkflation'. Can't get away with changing the price because everybody notices, (especially when it's free). So leave the price the same and just offer less in return.https://twitter.com/EL4JC/status/946747420750368768 …
Presumably those extra sick people are coming from some group other than those you suggest we got better at healing? Otherwise, it could be seen as stretching the definition of healing.
-
-
“Survivorship” is an increasing issue.
-
It seems so. Helping somebody to survive is only step 1 in helping them to continue living, I guess?
-
Very much so. Important not to walk away at that point, imo.
-
Naturally. So are there particular new things we're now doing for patients which are contributing to this increasing group of sick people? Is it all about surviving heart attacks? Or is there more to the picture?
-
Across the board. For example my field was throat cancer patients. Many surviving, but never swallow again.
-
Interesting. I've no frame of reference for your field, but I wonder what role early diagnosis has played in some of these issues? Have you ever seen any of the Gilbert Welch material?https://twitter.com/C7RKY/status/931462246382886912 …
-
An issue in, eg, thyroid. These are mainly ~stage 3.
-
So are such pts really surviving longer, in your opinion? Or is it possible there's an inflationary effect on life expectancy because of early diagnosis?
- 2 more replies
New conversation -
-
-
Only way of stopping the ever increasing demand is to go back to time when more died earlier. Is that what you want? I doubt it.
-
Now that's just silly. My focus would be on what adds most value for patients from the already inordinate budget. And you won't like me for it, I know, but I'd lean towards in-house. Whole pharma setup would get special attention too, if I ruled the world. Alas...
-
What do you mean by in house
-
National, rather than private provider.
-
So you are not a great believer in the benefit of competition to drive quality and lower cost?
-
No, I'm afraid not. I'm a firm believer that if a service can be secured for a price that allows for profit, then by definition it can be secured at a cheaper price without that profit. And I also don't want anyone providing healthcare beyond the reach of FOI requests etc. tbh.
End of conversation
New conversation -
-
-
No. We stop someone dying of a heart attack but leave them alive and weakened needing further treatments in future. Eg.
Thanks. Twitter will use this to make your timeline better. UndoUndo
-
Loading seems to be taking a while.
Twitter may be over capacity or experiencing a momentary hiccup. Try again or visit Twitter Status for more information.