A giant share of fitness services prices are similar to those of hospital care (33%) clinical facilities (20%) giantr establishments. And a primary source of income for hospitals is surgeries, backed by number one care physicians, who refer (competitively) internally.
The result: nearly 20 cents of every dollar of your payout check, as a consumer of fitness services, enters this overrated system, cynically called through many commercial medical complexes.
In the early days of the pandemic, patients had to postpone elective surgeries and discharge much of their number one care through telehealth, reducing revenue and money from the commercial medical complex to the song by $51 billion a month. This reduces cash to an already over-inflated physical infrastructure of beautiful high-tech (often empty) buildings for which you pay.
But in fact, the way we gained physical attention a year ago is not sustainable anyway, which costs us more than anywhere else in the world: 18% of our GDP. It’s time to demolish the commercial medical complex and rebuild physical care in the United States.
COVID-19 has accelerated the evolution of fitness care delivery in the United States, but depending on this a bipartisan solution will be required, because “Medicare for All” and “Repeal and Replacement” are not viable solutions.
Surprisingly, a mix of what Democrats and Republicans are already proposing if it was cleverly incorporated into what I call purple would fix the provision of fitness services in America.
The obstacles to this solution are the political department and the strong lobbying that controls either party: the commercial medical complex (hospital associations, insurance corporations and others). The solution does not allow giant governments or giant companies to manage things, but it empowers individual patients. consumers in a flexible market of small competing personal suppliers.
In the future, we have our medical records so that we can move where we need to receive care, and we will receive much of that care through telemedicine, in which we feed our medical data with portable technologies and the diagnostic verification knowledge we obtain. whereever we choose, it will charge us less and empower us.
The pandemic has accelerated this trend, in part by temporarily removing regulatory barriers to allow professionals to pay attention across state borders and use the Internet creatively, which is prohibited through overly restrictive HIPAA regulations.
Ultimately, this consumerization of health care will provide greater care at a lower cost by empowering others to stay away from paternalistic medicine, which has become an anti-competitive medicine that enriches the commercial medical complex.
Are these entrenched interests too difficult to be suppressed?Perhaps not, thanks to tough fitness market participants like Walmart and Walgreens to consume fitness care, or a fundamental consumer-led fitness revolution through self-sufficient consumers or a global pandemic. that simply breaks our existing bloated and dysfunctional system.
If we want to rebuild in a way that this fundamental revolution in health care happens, what do our politicians want?What is the purple solution?
First, politicians want to avoid discussions and focus only on how we pay too much for this attention. The Affordable Care Act was just about how we paid. The commercial medical complex will have to be extremely happy that all politicians are talking about how to pay. them — not how the costs.
Secondly, we want to adopt portions of the Republican platform that focus on value transparency and festival in competitive markets, where patients can acquire the most productive care, perhaps paying with fitness savings accounts, as in Singapore, where fitness care prices account for only 2. 5% of GDP. Competitive markets are the only way to control prices and quality, it’s just an economic fact.
Evidence that it works in health care in the US is that it is not the only one in the world to do so. But it’s not the first time It is very solid, either for number one care or for elective surgeries, which are less expensive and sometimes offer the same quality or higher quality when paid in cash rather than through insurance. artificially inflated due to the movement of the costs and administrative costs of giant suppliers. We also want to restructure supplier approvals and HIPAA regulations to enable greater teleattitude and empower consumers.
Thirdly, we want to host parts of the Democratic platform, we want some kind of universal fitness care for everyone, at least at the fundamental point, and disconnect fitness care from employment (which virtually no other country in the world has done). privately, with insurers competing competitively for other degrees of insurance.
There also deserves some form of government-sponsored insurance, such as the FDIC for banks, to protect businesses and Americans from very rare but financially devastating claims of more than $1 million. If you remove them from the threat group, insurance premiums would be reduced. More affordable.
It is vital to note that any universal attention deserves to allow the acquisition of more degrees of policy and allow Americans, if they wish, to use direct payment and pay out-of-pocket for the care they want. with the exception of Canada, which is possibly why another 63,000 people a year leave the country to look for remedies elsewhere when waiting times are excessive.
Finally, the Federal Trade Commission further implements antitrust legislation that allows giant suppliers to create quasi-monopolies that force small doctors and supplier teams to close their doors.
The solution is there, it exists, and either aspect looks, they just want to suck and settle for a commitment. What the needs of the party would produce poor physical attention for the United States, however, the hybrid or purple solution will empower American Healthcare Customers and gain credit for tough and exciting fitness innovations.
We want to allow consumers to get attention through direct payment, anywhere they want, by using money in their HSA accounts, and we also want everyone to have a universal safety net. more expensive and catastrophic occasions so that lax markets can continue to adapt care delivery and control costs.
I expect political engagement before the 2020 election, but I hope that after the election, whoever the president is, he will seek the purple solution.
Of course, the commercial medical complex must be treated, unless COVID-19 weakens it so much that it can no longer block these mandatory reforms. If that’s the case, that would be a smart thing.
Daniel Sem is a professor at Concordia University in Wisconsin, director of the Rx Think Tank and “Purple Solutions: A Bipartisan Roadmap to Better Healthcare in America”.