Hi Chris, On Apr 19, 2012, at 8:17 AM, Chris Hahn wrote:
> Ernie, > > I think a transition to your spaceflight-model for medicine is already in > progress in the health vs. pathology realm of medicine. I agree that the trends are moving in that direction. However, there is enormous cultural and financial ballast associated with modern medicine that will be difficult to displace. > Patients come into their doctors’ offices every day armed with their own > Internet-based research. The doctor-as-counselor helps the patient sort the > options based on expert training, to provide additional information, and then > to encourage them to stop smoking, lose weight, etc. > > Some patients will succeed, others will fail. Here is the hitch, doctors who > help their patients succeed will not be rewarded for success because that > patient will not be coming back to the doctor for needed procedures. Why? > Because that patient will be healthy. The current system rewards failure > because failure results in more procedures and office visits. > > The medical home model is designed to better compensate primary care > physicians for success. I hope it works, but I am skeptical about it working > enough to adequately balance things. My best bet is that this model will first take place in the extremes -- developing countries and remote high-tech locations (e.g., Antartica). Then it will "reverse migrate" back to developed countries like ours. The good news is that our Health Care system is so messed up and anarchic that the U.S. has a good chance of adopting these techniques before the socialized countries of the West... E > > Chris > > ------------------------------------------ > Christopher P. Hahn, Ph.D. > Constructive Agreement, LLC > [email protected] > P.O. Box 39, Bozeman, MT 59771 > (406) 522-4143 (406) 556-7116 fax > ------------------------------------------ > > > From: [email protected] > [mailto:[email protected]] On Behalf Of Dr. Ernie Prabhakar > Sent: Thursday, April 19, 2012 6:36 AM > To: [email protected] > Cc: <[email protected]> > Subject: Re: [RC] Washington Stuck Fighting Wrong Health-Care Battle - > Bloomberg > > Hi Chris, > > Sent from my iPhone > > On Apr 18, 2012, at 20:32, "Chris Hahn" <[email protected]> wrote: > > What we can hope for is a relative shift in compensation for family practice > doctors. Lip service has been paid to this, but I am skeptical. > > I don't buy it. The pay disparity is merely a symptom of the anachronism of > the medical system as a curator of scarce knowledge. > > If we were designing a medical system for, say, a 40-year spaceflight, we > would totally rely on information technology to do the heavy lifting of data > management and rote procedures. People would become counsellors, researchers, > or technicians. Perhaps all three, but as stewards of a data-centric process > focused on managing health (not disease) -- much like positive psychology. > > I don't know how we will get there, but we will start destroying the present > sometime this decade.... > > E > > Connie’s group is now a “medical home” provider. Supposedly, that his a good > thing. > > Chris > -- > Centroids: The Center of the Radical Centrist Community > <[email protected]> > Google Group: http://groups.google.com/group/RadicalCentrism > Radical Centrism website and blog: http://RadicalCentrism.org > > -- > Centroids: The Center of the Radical Centrist Community > <[email protected]> > Google Group: http://groups.google.com/group/RadicalCentrism > Radical Centrism website and blog: http://RadicalCentrism.org -- Centroids: The Center of the Radical Centrist Community <[email protected]> Google Group: http://groups.google.com/group/RadicalCentrism Radical Centrism website and blog: http://RadicalCentrism.org
