Basic Health Access

Health Access Results Can Be Multiplied By Earliest Investments and Specific Health Access Focus. A Continuation of the Current Design Will Fail Most Americans. A common mistake is believing that you can impact the end points (college tracks, medical school influences, loan repayments). When you are talking about national outcomes and improvements, the end points are far too late as they are dependent upon "the matrix of relationships" as Deming often noted. Previous life experiences shape subsequent encounters and situations. Health care is one of the ultimate examples of complexity - and even the best research fails to consider the numerous pre-existing influences that shape health outcomes. Birth to Higher Education Pipeline Failure Prevention of higher education and medical school from the start. The United States is dead last in child well being. This acts to prevent most American children from higher education and a path to medicine (Unicef Report Card ...

(And other 3 letter acronyms representing failure for the past three decades) A nation divided continues to either promote ACA or protest it. Regardless of pro or con, many barriers to care remain as with health care designs 1983 to 2014 and beyond. This post was stimulated by a recent family medicine piece reviewed situations facing practices in Sugar Land and Arlington in Texas. It is true that all practices face the challenge of patients who do not understand how insurance works. But there are substantial health access barriers that remain and ACA may actually complicate health access for those in need of care. Focus must be returned to the substantial health access failures with minimal distractions. It is frustrating to see illustrations of practices in wealthier areas such as Sugar Land Texas. At these locations FM competes with a wide range of other providers for patients with insurance coverage better than ACA, Medicaid, and Medicare. It is not a surprise to see fam...