The World according to DocBrain

Wednesday, January 16, 2008

A better system?

DocBrain has flamed on about the current problems in health care. However, a criticism without a solution is just hot air. So, here is a solution to the health care crisis.

The Health Co-op

Just as farmers gather together in groups and sell directly to groups of individuals, so a health care co-op would work.

Health care providers, hospitals, and pharma companies would form a group to sell health care to families and individuals. No governmental agencies or insurance commissions with arcane and multitudinous rules and regulations. No friction from middle men trying to limit access to evaluation and management options to ensure their own hefty profit. Within the group, there would be free exchange of information, including off label but effective use of medications, now prohibited by federal law. The system would provide a specific reimbursement schedule for harm as part of the contract, eliminating the need for malpractice suits. Patients would be encouraged to try to find ways to help the providers improve delivery and services. Providers would not have to micromanage documents and instead would be able to focus on providing excellent care, with individualized assessments geared to optimize individual care rather than group regulatory compliance. Any excess funds would go back to the families and individuals as dividends or rebates. Co-ops could cooperate with each other across the country providing a network of coverage. The cost of such a program would be much less than the current system, making insurance more affordable to the poor. Profits would go back to the health care system, either in research and development of new products and drugs, or to local providers and hospitals to update and improve local services. All providers would have to have their health care provided by the co-op, leading to self interest in having an excellent system.

Of course, getting the government to release its power-hungry fingers would pose a major problem, but one that, over time, voters could do something about.

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