To recap parts 1-4, so far in this little series, I’ve just been laying some groundwork, pontificating sort of non-specifically about where I think the main problems lie with our health care system and where I think the direction of reform should go.
In a nutshell, I think the major problems boil down to a whole lot of interference with the traditional doctor-patient relationship from outside forces such as third party payers (government and insurance), bureaucratic regulating bodies, a civil liability system that seems to have been designed by Jackie Chiles, and other outside industries such as the pharmaceutical industry, compliance industries etc.
I have compared our health care system with our veterinary health care system and made the contention that the veterinary system is vastly superior in many areas primarily due to a relative lack of such interferences. I contend that it is because veterinarians operate in a nearly free market system where the relationship between the veterinarian and the patient/owner is a direct one, without third party payers or as much government, corporate, or civil liability interference and fears, veterinarians are much more responsive to the needs and demands of their clients and clients are much more responsible with the money when it is coming out of their own pocket. They are much less apt to make needless visits to the ER and demand expensive tests and medications when there is not some nebulous third party footing the bill.
I have also mentioned that within this relative laissez-faire environment there are also some problems that become apparent in the form of people’s too frequent inability or unwillingness to pursue appropriate medical intervention due to financial considerations.
With this post I intend to finally start delving in with some ideas for bringing all this stuff together to try to come up with some solutions for creating a plan for intelligent health care reform. Continue reading ‘A Plan for Intelligent Health Care Reform Part 5′
