Archive for October, 2014

Medicine — As It Should Be

Like most, I consider the healthcare system in this country to be broken and getting worse.  It is not uncommon for a physician to see 30-40 patients per day and to have overall responsibility for a panel of 4000 or 5000 patients.  Why?  Because insurance companies reimburse based on volume, not efficiency or positive experiences.   Doctors must also comply with arcane rules and standards that may not translate into what is best for your health.  A large part of the problem is that the consumer of healthcare services has been separated from the payer of those services.  We seem to have forgotten that the true purpose of insurance is to protect against the relatively uncommon, unforeseen, expensive or catastrophic events.  That is how health insurance started out.  But we have now become accustomed to our health insurance covering everything, including routine primary and preventive care.  The solution is to reunite the payer and consumer of healthcare services.  This concept, referred to as concierge, membership, retainer, direct-pay or boutique medicine has been around for a while, but has become increasingly popular in recent years. Read the rest of this entry »

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