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Old 04-01-2009, 11:10 AM   #1
eliza61

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Question How can we make health care better?

I saw a very interesting program last night on PBS called "sick around america" and got to wondering how can we improve our health care system.
http://www.pbs.org/wgbh/pages/frontl...aroundamerica/

I am not trying to start an argument about who did what, socialism or any other hot button topic.

Simply start a "wish list" so to speak. If you could design a new system or improve on the one we have what would you include.

I have 2 things that would effect health but are not really part of the health care industry.

1) I would love if we could bring back "gym" classes. My kids school have gym only once a week. I guess I'm pretty old fashion, I think maybe getting kids to run around every day would help with our child obesity problem.

2) Portion size I'm guilty of this. my portion sizes are probably more appropriate for a small elephant. How did we get so use to a pound of pasta being normal?
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Old 04-01-2009, 11:23 AM   #2
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Eliza, both your suggestions are very good!

Having worked in several different hospitals over the past 33 years, I think the concept of electronic records is really reasonable. We have many hospitals in Cleveland and the 3 biggest, Cleveland Clinic, University Hospitals and Metrohealth all have been using electronic records for quite a while. When you go to your appointment the doctor and nurses use a computer terminal to enter data and pull up records, xray results, past tests. It makes the appointment faster and more accurate. Any changes are made by the nurse or tech who does your vital signs. One group of offices, the doctors bring in their laptop, the others have desktops. Each time they enter their password at the beginning of the visit and lock it off at the end.

I wish there were not so many people against this method. You might be surprised at how many hospitals and offices use these methods.

I also would like to see everyone under the same system. Medicare, government employees, everyone. It would reduce the cost due to paperwork and billing to a large degree.
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Old 04-01-2009, 11:26 AM   #3
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Hey RN,
I think the biggest fear is the possibility of stolen information. I did see a tv report (on Oprah) saying that hospitals that started this decreased the number of medical mistakes by quite a lot especially medication errors. Dennis Quaids son almost died due to inaccurate dosage of a blood thinner so he also champions electronic records. The hospital where his son was at instituted the system and decreased their mistakes by almost 30%.
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Old 04-01-2009, 11:28 AM   #4
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I just wish there was a way everyone could have insurance.... that's it...
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Old 04-01-2009, 11:47 AM   #5
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Quote:
Originally Posted by eliza61 View Post
I


1) I would love if we could bring back "gym" classes. My kids school have gym only once a week. I guess I'm pretty old fashion, I think maybe getting kids to run around every day would help with our child obesity problem.

I know exactly what you are saying. I had "real" PE classes growing up and loved them but by HS, kids hated PE and would do anything to get out of participating in the actual class. My sister is now a HS PE teacher and trying to get the kids to do PE is almost a lost cause. She used to do elementary school and they loved it 9for the most part) but the HS kids, ugh. Let's just say she hates her job now. Plus, there is so much paperwork it is hard to conduct a class! Sad state of things.
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Old 04-01-2009, 11:51 AM   #6
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Originally Posted by raysnkaysmom View Post
I just wish there was a way everyone could have insurance.... that's it...
Amen!

I wish that health insurance weren't tied up with one's employment.
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Old 12-14-2012, 09:34 PM   #7
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Originally Posted by raysnkaysmom View Post
I just wish there was a way everyone could have insurance.... that's it...
I wish we could turn back the clock and undo insurance. Or at least insurance in todays sense.

If it weren't for insurance and people had to pay out of pocket for everything, a pair of Tylenol in a hospital wouldn't cost $75. Health insurance should have been like car insurance is, for emergencies, not for oil changes or fresh tires.

Alas when everyone (or most everyone) has the attitude "insurance will cover it" people don't shop around, they don't ask questions, they just hand over a card and turn off their brains.

So how do we fix the broken system we have?

Competition. Number one, let insurance companies sell across state lines. Car insurance rates were cut in half when this happened in that industry.

Continuing in competition, allow other health care professionals to handle things only MD's can right now. Ie. a RN writing Rx's for things like strep throat.

Allow charities back into health care. Eliminate massive red tape and paperwork so more of the health care dollars go to treating patients and not complying with yet another useless bureaucratic rule with no basis in common sense.

Allow competition for pharmaceuticals by reducing costs for bringing products to market. It would let the little guys compete again and it would lead to better and more choices for consumers and MD's.

As it stands, the big companies have a virtual monopoly because no one else can afford to comply with current FDA regulations.

Until we address these cost issues, we can't fix it, and NOTHING that those in washington are suggesting will do anything to improve access, costs or care.

It's a terrible situation.
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Old 12-14-2012, 09:48 PM   #8
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Quote:
Originally Posted by MolonLabe View Post
I wish we could turn back the clock and undo insurance. Or at least insurance in todays sense.

If it weren't for insurance and people had to pay out of pocket for everything, a pair of Tylenol in a hospital wouldn't cost $75. Health insurance should have been like car insurance is, for emergencies, not for oil changes or fresh tires.

Alas when everyone (or most everyone) has the attitude "insurance will cover it" people don't shop around, they don't ask questions, they just hand over a card and turn off their brains.

So how do we fix the broken system we have?

Competition. Number one, let insurance companies sell across state lines. Car insurance rates were cut in half when this happened in that industry.

Continuing in competition, allow other health care professionals to handle things only MD's can right now. Ie. a RN writing Rx's for things like strep throat.

Allow charities back into health care. Eliminate massive red tape and paperwork so more of the health care dollars go to treating patients and not complying with yet another useless bureaucratic rule with no basis in common sense.

Allow competition for pharmaceuticals by reducing costs for bringing products to market. It would let the little guys compete again and it would lead to better and more choices for consumers and MD's.

As it stands, the big companies have a virtual monopoly because no one else can afford to comply with current FDA regulations.

Until we address these cost issues, we can't fix it, and NOTHING that those in washington are suggesting will do anything to improve access, costs or care.

It's a terrible situation.
Shame on you. You make sense.
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Old 04-08-2013, 12:39 PM   #9
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Quote:
Originally Posted by MolonLabe View Post
I wish we could turn back the clock and undo insurance. Or at least insurance in todays sense.

If it weren't for insurance and people had to pay out of pocket for everything, a pair of Tylenol in a hospital wouldn't cost $75. Health insurance should have been like car insurance is, for emergencies, not for oil changes or fresh tires.

Alas when everyone (or most everyone) has the attitude "insurance will cover it" people don't shop around, they don't ask questions, they just hand over a card and turn off their brains.

So how do we fix the broken system we have?

Competition. Number one, let insurance companies sell across state lines. Car insurance rates were cut in half when this happened in that industry.

Continuing in competition, allow other health care professionals to handle things only MD's can right now. Ie. a RN writing Rx's for things like strep throat.

Allow charities back into health care. Eliminate massive red tape and paperwork so more of the health care dollars go to treating patients and not complying with yet another useless bureaucratic rule with no basis in common sense.

Allow competition for pharmaceuticals by reducing costs for bringing products to market. It would let the little guys compete again and it would lead to better and more choices for consumers and MD's.

As it stands, the big companies have a virtual monopoly because no one else can afford to comply with current FDA regulations.

Until we address these cost issues, we can't fix it, and NOTHING that those in washington are suggesting will do anything to improve access, costs or care.

It's a terrible situation.
In general I agree, but I wonder what would be considered routine maintenance and what an emergency?
Because diabetes treatment or seissure control meds or blood pressure meds do not sound like "emergent" care, but they are expensive conditions to treat month in and month out for a lifetime.
DD requires monthly injections that are about $500 a shot for the non FDA approved option. If this med ever stops being effective or the doctors/insurance company refuse to allow it, the only other option is the FDA approved version at $2,000 a shot. It's certainly not an emergency life threatening situation, but it's not something she can go without either.
We've got a good handle on treatment for many medical conditions today that were not available a generation ago, but many are not quick fixes and require lengthy or lifelong treatment.
I'm just wondering how these would play out in health insurance based on emergency medical care only?? Is there an allowance for situations like that?
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Old 04-01-2009, 11:55 AM   #10
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I saw that TOO!!!! That was a very good special and very depressing and real I am afraid.

Worth watching imo.
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Old 04-01-2009, 01:35 PM   #11
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The person receiving treatment needs to have some vested interest in the cost. This will prevent someone from going to the ER for an runny nose. If you have to pay x% of the initial visit you will go to the GP for a runny nose, since the cost is less.

If you chose not to do preventative treatment, prenatal care, etc and then you get a huge bill that could have been diagnosed or prevented and not gotten the expensive treatment, you pay way more than the person who did the preventative care and needed that treatment.
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Old 04-01-2009, 02:32 PM   #12
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Stop making insurance dependent upon employment and pay for it just like you do auto or homeowners insurance and mandate that rates not be higher for non-employee group plans.

Get the government out of it as much as possible.

Keep decisions in the hands of the doctors and not an insurance administrator behind a desk 1,000 miles away deciding what treatment can and cannot be used.

Overhaul the justice system to better deal with frivolous lawsuits that drive up costs for everyone. Legitimate lawsuits are one thing, but so many just seem out of hand these days. If we stop thinking that a billion dollars is no big deal then we'll stop throwing cash around like we have unlimited funds and perhaps start trimming a little fat!

Stronger focus on preventative care rather than accute care, like with dentistry. There is a reason insurance usually covers 100% of two cleanings/check-ups each year - it saves a lot more money in the long run.
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Old 04-01-2009, 02:38 PM   #13
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I watched it too, great show!

I was a little scared about the woman w/cataracts driving though!!
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Old 04-01-2009, 04:07 PM   #14
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Originally Posted by Golf4food View Post
Stop making insurance dependent upon employment and pay for it just like you do auto or homeowners insurance and mandate that rates not be higher for non-employee group plans.

Get the government out of it as much as possible.

Keep decisions in the hands of the doctors and not an insurance administrator behind a desk 1,000 miles away deciding what treatment can and cannot be used.

Overhaul the justice system to better deal with frivolous lawsuits that drive up costs for everyone. Legitimate lawsuits are one thing, but so many just seem out of hand these days. If we stop thinking that a billion dollars is no big deal then we'll stop throwing cash around like we have unlimited funds and perhaps start trimming a little fat!

Stronger focus on preventative care rather than accute care, like with dentistry. There is a reason insurance usually covers 100% of two cleanings/check-ups each year - it saves a lot more money in the long run.
You should run for Presdient next time!
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Old 12-14-2012, 01:48 AM   #15
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Quote:
Originally Posted by wall*e2008 View Post
The person receiving treatment needs to have some vested interest in the cost. This will prevent someone from going to the ER for an runny nose. If you have to pay x% of the initial visit you will go to the GP for a runny nose, since the cost is less.

If you chose not to do preventative treatment, prenatal care, etc and then you get a huge bill that could have been diagnosed or prevented and not gotten the expensive treatment, you pay way more than the person who did the preventative care and needed that treatment.
This I agree with 100%. A few months ago I took my mom into the er on a Sunday afternoon with chest pains. It was like a party. There were people cutting up and laughing. The people they were there with-the patients were acting up too. They could have waited until the next day to see the GP. The patients had a runny nose.
People use the er as a primary doctor visit.

Quote:
Originally Posted by Golf4food View Post
Stop making insurance dependent upon employment and pay for it just like you do auto or homeowners insurance and mandate that rates not be higher for non-employee group plans.

Get the government out of it as much as possible.

Keep decisions in the hands of the doctors and not an insurance administrator behind a desk 1,000 miles away deciding what treatment can and cannot be used.

Overhaul the justice system to better deal with frivolous lawsuits that drive up costs for everyone. Legitimate lawsuits are one thing, but so many just seem out of hand these days. If we stop thinking that a billion dollars is no big deal then we'll stop throwing cash around like we have unlimited funds and perhaps start trimming a little fat!

Stronger focus on preventative care rather than acute care, like with dentistry. There is a reason insurance usually covers 100% of two cleanings/check-ups each year - it saves a lot more money in the long run.
In our state if a lawyer brings a frivolous suit, they're reprimanded and fined.

I agree with everything in your post.
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