Big Corporations Already Disrupt Health Care


Today as more big corporations capture national attention as they enter the fray to "fix" health care, you will see more promotions by a wide range of corporations. Many of them brand spanking new and financed by those who already profit most, including their health care investments. These consultants, corporations, and "experts" are complicating not only the work of those who deliver the care, but also their lives. Micromanagement of costs and of quality are still considered to be "good" even though the evidence base indicates no improvements in cost saving or in outcomes.

Micromanagment of health care steals the dollars needed to support those who deliver the care and also steals time from their relationships with patients, team members, and family members. The same is true with micromanagement and measurement focus in education. Together these dollar diversions of tens of billions result in better for the few in higher concentrations and worse for most Americans.

Three are three United States populations - a small highest concentration population that can and does overspend and has the best insurance, a middle ground, and half of the nation with underspending, deficits of basic care, and most complex care needs. Cuts of dollars and complications of care delivery are the last thing needed where most Americans most need care.

The top concentration health care needs disruption - but this is prevented by those who profit most by the design.

The lowest concentration populations need a solution for Triple Threat for even a modest improvement in care. About 90% of local services are lowest paid generalist and general specialty services paid least by the US design and paid 15% less in these places - and now penalized more because of the care of more complex populations.

Innovative entities claim to be able to improve costs while also micromanaging quality improvement. They ignore the major consequences to those who deliver care, to basic services, and to most Americans who most need care. Cost cutting and higher costs of delivery are a particularly bad combination for basic health access for most Americans suffering from access declines for the past decades. The past decade in particular has indicated acceleration of burnout and worse - by designs that disrupt.

The big corporations are not about caring for most Americans. One could say that they never have been and likely never will be. They are also unlikely to positively disrupt care for most Americans. They have long been about their profits and profiting off of health care which has the most employees now with many more to come.

A great strategy for corporations is knocking out the competition. Small practices and small hospitals weakest in finances have long been run over - apparently with more to come. 

Corporations also do not care about environments and this is likely to be true for the environments of caregivers, delivery team members, and most Americans. There has been no Rachel Carson to expose the Silent Spring and indeed it appears that her work was only a slight delaying action. 

Corporations have clearly trashed the health care environment - especially basic services - especially care where most Americans need care.

Health care most needs disruption by a return to a focus on caregivers, care delivery, those who deliver care, and those who care. There is no sign of movement toward this most important disruption across decades of disruptions.

Comments

Post a Comment

Popular posts from this blog

Another Fine CMS You Have Gotten Us Into

Perhaps we are indeed back to the time of Another Fine Mess (Laurel and Hardy). In a mad rush to implement innovation and to save all possible costs, CMS is creating complications for people that it is most responsible to protect. As PBS and Ken Burns celebrate the legacy of The Roosevelts, it is tragic to see what has become of over a century of effort involving Social Security, Medicare, Medicaid, and health care equity. The United States has one of the most complex health designs and clearly the various designers often know not what they are doing to others. More cartoons and comedians would find this a ripe area for material if not for the suffering involved. Health and Human Services has a huge role across Social Security and US health care. CMS or the Centers for Medicare and Medicaid Services has a dominant role to play in the design of health care in the United States.  CMS can be progressive or regressive. Interestingly CMS has chosen to appear to be progressive and in
Read more

The Essential True Reform Restores Primary Care and Much More

The list of distractions from True Reform are impressive. For decades True Reform has been specifically avoided as primary care worsens within practices and from outside. The demise is most specifically about the financial design. Unless there is a focus on True Reform, there is little hope for Basic Health Access. This may not make as much sense to those outside of family medicine. Family physicians not familiar with AAFP may also be clueless. If you think that you can fix primary care with more technology, more rearrangements, more types of health professional graduates, or more expansions of training - think again. None of these have any hope of working without financial design changes - major changes. The following are various concepts that dominate the discussions at AAFP and primary care meetings and media releases of associations and foundations and institutions. Members, staff, media releases, programs, and personnel have been reviewed.  There is little about Tru
Read more

Innovation Is the Problem Not the Solution for Worsening Health

Image
Innovation is good. Innovation worship is not good. Innovation application without scientific testing or clinical trials is unethical regarding clinical interventions and should be just as prohibited with regard to health policy. Clinical trials can harm hundreds or thousands. Innovative policies can harm millions. It takes a reasonable understanding of health care, health care outcomes, social determinants, and the investments that most improve social determinants to understand the consequences arising from the innovative nightmares past, present, and future. If you review the information sources with a critical eye, you too may find that the innovative policy designs have been disruptive to care, have hurt health care where health care is most needed, have reduced access to care, and have resulted in distortions in the literature. Indeed what is accepted and published in journals seriously lacks consideration of alternative hypothesis, lacks inclusion of many pages of limitatio
Read more