Why do we have healthcare inflation in the United States? Because of price, not because of quality – because of prices. The ability of national systems to negotiate with drug companies, device makers, and hospitals has driven health care costs down. The effect of this is that other countries can afford to cover everyone, without high deductibles.
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There is good news and bad news about increasing coverage of health care. Here are the simple facts of Obama-care and where we should go next with our system.
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It is time to end direct to consumer advertising of prescription drugs by Big Pharma. It serves no purpose but to drive up drug costs to the US. It is also time to allow importation of “like” drugs from Canada and Europe.
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The way to provide health care delivery isn’t just to insure everyone, but to develop community based health care on relationships, trust, and listening. This has resulted in decreasing costs of healthcare and provided a model of healthcare in the world.
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Lap-Band’s website has started to remove surgeon’s names who have not provided the after-care and support that is needed for the weight loss operation. They also are starting an effort to direct patients who are having difficulty to surgeons who are interested in the band, and not just removing it.
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A hospital cafeteria should not peddle junk food. A hospital cafeteria should be a place of healing and rehabilitation. It is time to change how hospitals view their cafeteria – it should be viewed as a place to teach patients to be healthy by teaching them how t and what to cook.
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A lady who had too many medicines prescribed, and not enough time given by her physician. Taking time with patients is that – it takes time. In this case, the intervention saved this patient and the health care system dollars.
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Weight loss surgery is a business, and Allergan, who bought the Lap-Band, made about every wrong move a company could make.
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Governor Christie had his surgery done by a surgeon who knows and understands the benefit of aftercare. There is a clear, and published difference between those surgeons who know how to teach patients to use the band, and those who do not. The key: getting a band done by an experienced surgeon who is interested in lifestyle changes of the paitent.
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