What about people who may be 'genetically pre-disposed' for certain diseases, such as cancer. Should they be penalized because of their genetic makeup?
On Sun, Jun 21, 2009 at 2:56 PM, Gruss Gott <[email protected]> wrote: > > > Dana wrote: > > fair enough. But based on my experience (perhaps skewed by it) they > > start with a protocol and then if they see a lot of patients with a > > given condition, may satrt to consider how to improve it. But the > > protocol and the consensus are important. > > > > That's not true. Consider that there are 3 events in health care, > ignoring who pays for them: > > (1.) Preventative "maintenance": good lifestyle choices (incl job), > routine check ups, metrics-based monitoring. > In general this going to determine your relative disease burden, and > thus your cost to the system. Any system that doesn't include > penalties for bad choices (and incentives for good ones) is going to > VERY expensive. > > > (2.) Care methodology once ill or with symptoms. > Are tests ordered? If you have chest pains are they from that new > workout routine or do we jump right into $200k worth of tests? > > "...by reimbursing providers for the effectiveness of treatment and > not just the volume of tests and office visits costs can be > controlled without cutting the quality or availability of care." > > "The Dartmouth researchers also identified incentives in the current > fee-for-service payment system that can create big differences in cost > with little difference in outcomes. For example, a hospital that buys > the latest imaging technology has to look for ways to keep the machine > busy to pay for it. If the hospital does not buy the machine, it risks > losing business to a neighboring hospital." > http://www.msnbc.msn.com/id/31427909/ns/business-personal_finance/ > > > (3.) Behavior post treatment. Do you follow doctor's orders? Do you > take your medicine? Do you change bad habits? > http://www.wwtdd.com/2009/06/christina-applegate-is-easily-relaxe > > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~| Want to reach the ColdFusion community with something they want? Let them know on the House of Fusion mailing lists Archive: http://www.houseoffusion.com/groups/cf-community/message.cfm/messageid:298726 Subscription: http://www.houseoffusion.com/groups/cf-community/subscribe.cfm Unsubscribe: http://www.houseoffusion.com/cf_lists/unsubscribe.cfm?user=11502.10531.5
