This is an exceptional podcast because it should get people to think. Americans are reported to pay twice as much per capita for their healthcare as the next most expensive model in a developed country. And yet our outcomes are not so very good. The problem is of course, for-profit, fee-for-service medicine. We have some of the most over-priced pharmaceuticals in the world. I have known a number of physicians in procedure-abundant specialties who retired multimillionaires in their 40s and early 50s. Students leave medical school with enormous debt burdens. Burnout among healthcare providers is an enormous problem.
How could we improve things? A rethought Medicare for all. Train more prevention-oriented Primary Care providers and I am including Physician Assistants and Nurse Practitioners here. Upgrade Urgent Care Centers to be able to deal with some emergencies. Put docs on realistic, but still generous salaries but track their outcomes. The value of a great Surgeon is that they know when to operate, but also know when not to. (and how to get the patient out of trouble when the unexpected occurs). Docs who have to work nights and weekends should be better rewarded than docs who only work 9-5 on weekdays. All docs should be using Medical Practice Guidelines for the top 20 diagnoses and they should be built into EMRs. With a properly thought-out Medicare for all, the Government would use the 340 million recipients as a bargaining chip to negotiate appropriate prices on medications. Medical, PA, and ARNP, and Nurse training should be covered by the system - not the student. Private Equity Companies need to be barred from owning Healthcare Providers. This list could go on and on, but It makes my point. Our system is corrupted by the profit motive and special interest so that it ill serves many Americans.
This is an exceptional podcast because it should get people to think. Americans are reported to pay twice as much per capita for their healthcare as the next most expensive model in a developed country. And yet our outcomes are not so very good. The problem is of course, for-profit, fee-for-service medicine. We have some of the most over-priced pharmaceuticals in the world. I have known a number of physicians in procedure-abundant specialties who retired multimillionaires in their 40s and early 50s. Students leave medical school with enormous debt burdens. Burnout among healthcare providers is an enormous problem.
How could we improve things? A rethought Medicare for all. Train more prevention-oriented Primary Care providers and I am including Physician Assistants and Nurse Practitioners here. Upgrade Urgent Care Centers to be able to deal with some emergencies. Put docs on realistic, but still generous salaries but track their outcomes. The value of a great Surgeon is that they know when to operate, but also know when not to. (and how to get the patient out of trouble when the unexpected occurs). Docs who have to work nights and weekends should be better rewarded than docs who only work 9-5 on weekdays. All docs should be using Medical Practice Guidelines for the top 20 diagnoses and they should be built into EMRs. With a properly thought-out Medicare for all, the Government would use the 340 million recipients as a bargaining chip to negotiate appropriate prices on medications. Medical, PA, and ARNP, and Nurse training should be covered by the system - not the student. Private Equity Companies need to be barred from owning Healthcare Providers. This list could go on and on, but It makes my point. Our system is corrupted by the profit motive and special interest so that it ill serves many Americans.
Can you publish transcripts of these podcasts.? It would be greatly appreciated.