Ten Principles For Affordable Healthcare Reform

This is the fifth of an ten part installment about ten principles that can be followed to create a true reform of the American healthcare structure that will be of little relative cost to the taxpayer. The previous four are readily available on the website and I hope you to subscribe to the blogs so you can receive them in a timely manner.

 

Ten Principles For Affordable Healthcare Reform


6. Medicine must be practiced in a manner and in a place that is consistent with economic efficiencies, evidence based outcomes and the needs of the specific community that it serves.

In healthcare delivery, quantitative must be balanced by qualitative. Specific community needs and the culture of that particular community must have equal, and in certain cases, greater value than the numeric and economic efficiencies that must be addressed.

The hospitals where we work and the processes that we as physicians, nurses and other providers utilize, must be rebuilt and redesigned and executed consistent with available technology while utilizing the human capital necessary to achieve the best medical outcomes measured as a function of their cost over time. Our outcomes must be measurable, scalable and reproducible to achieve the greatest medical results per healthcare dollar spent. The left hand should always know what the right hand is doing. Computerization, if it truly can be integrated, should be fully utilized to maximize the outcomes of cost-efficiency, optimal clinical outcomes and a fully integrated database to allow for continuous improvement in what we do and how we do it.

We can now perform most of the procedures done in a large community hospital in smaller facilities at a significant reduction of fixed costs. These procedures can be done more efficiently as well. The infection rates can also be lower if the small ambulatory hospitals strictly follow CDC and CMS guidelines. When you couple these savings with insurance bundling for the commonest surgical procedures (rolling up the numerous different billing codes used to invoice a surgical or a medical procedure into just one code covering all relevant costs) the savings would run into the hundreds of billions. The current American hospital is inefficient and over-built for today’s medical the needs. Anyone who has had to walk the endless corridors of hospitals that have been repetitively updated since the 1950s or 1960s or 1970s to try and find the right place to go knows what I mean.

 

7. All members of Congress, their dependents and all federal employees must live under the same healthcare rules that they themselves impose upon others.

Prior to the passage of the new healthcare law, Congress was shamed into changing its content as they as they sought to exclude themselves, their families and their staffs from the provisions of the law. Fortunately, someone read the Bill before it was passed, discovered this arrogance and deceit and Congress had no choice but to then include those they sought to exclude.

There is no point in commenting upon this vile act of chicanery other than to say it is consistent with the new rules of public behavior; that is, if you can get away with it then you can do it! What it does show, other than the law’s provisions are such that those who passed it looked to exclude themselves, is that if you live by the sword, then you die by the sword. If you impose policy and rules upon those from whom you derive power, then you too need to follow those rules. You too need skin in the game and this would also include your pension plan as well. Maybe then, just maybe, congressmen and senators will actually read the bills they pass and impose on us. Now, maybe, we will no longer be spoken down to and dismissed by informing us that we will know what will be in the Bill when the bill is passed.

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9 Responses to “Ten Principles For Affordable Healthcare Reform”

  1. Thanks once more for the article post.Thanks Again. Awesome.

    • Dr. Brooks says:

      Glad you enjoyed it! I am always thinking about better ways to improve the system.

      As you enjoy the blogs, please tell your friends about the radio site and the blog site as well. Would you also do us the honor of asking your friends (as well as you) to subscribe to the blogs by clicking the RSS logo on the front page of the website? It would be greatly appreciated and know that I will always endeavor to produce incisive and timely pieces on issues that affect the Nation’s Health!

      We would appreciate you downloading the podcasts if you missed the program and also your liking us on Facebook @ Health of the Nation Remember, you can also can catch our broadcasts live on Sundays at 5PM to 6 PM Central on 570 AM, KLIF by going to the website and clicking on the Streaming bar.

      Thank you again for the time you took to read the blog and to comment.

      Mitchell Brooks, M.D.

  2. I don’t even know how I ended up here, but I thought this post was great. I don’t know who you are but definitely you’re going to a famous blogger if you aren’t already ;) Cheers!

  3. Tyler Mayben says:

    Usually I don’t read article on blogs, but I would like to say that this write-up very forced me to try and do so! Your writing style has been amazed me. Thanks, very nice article.

    • Dr. Brooks says:

      Thanks but I hope the content amazed you moreso!

      As you enjoy the blogs, please tell more of your friends about the radio site and especially the blog site as well. Would you also do us the honor of asking your friends (as well as you) to subscribe to the blogs by clicking the RSS logo on the front page of the website? It would be greatly appreciated and know that I will always endeavor to produce incisive and timely pieces on issues that affect the Nation’s Health!

      We would appreciate you downloading the podcasts if you missed the program and also your liking us on Facebook @ Health of the Nation Remember, you can also can catch our broadcasts live on Sundays at 5PM to 6 PM Central on 570 AM, KLIF by going to the website and clicking on the Streaming bar.

      Thank you again for the time you took to read the blog and to comment.

      Mitchell Brooks, M.D.

  4. Hmm it seems like your website ate my first comment (it was extremely long) so I guess I’ll just sum it up what I wrote and say, I’m thoroughly enjoying your blog. I as well am an aspiring blog blogger but I’m still new to the whole thing. Do you have any points for beginner blog writers? I’d really appreciate it.

    • Dr. Brooks says:

      Keep on writing and keep on reading. More you read the more you eye discerns a sense of style you will adapt and the more your vocabulary expands.
      As you enjoy the blogs, please tell more of your friends about the radio site and especially the blog site as well. Would you also do us the honor of asking your friends (as well as you) to subscribe to the blogs by clicking the RSS logo on the front page of the website? It would be greatly appreciated and know that I will always endeavor to produce incisive and timely pieces on issues that affect the Nation’s Health!

      We would appreciate you downloading the podcasts if you missed the program and also your liking us on Facebook @ Health of the Nation Remember, you can also can catch our broadcasts live on Sundays at 5PM to 6 PM Central on 570 AM, KLIF by going to the website and clicking on the Streaming bar.

      Thank you again for the time you took to read the blog and to comment.

      Mitchell Brooks, M.D.

  5. Fiona Ekins says:

    I like what you guys are up also. Such clever work and reporting! Keep up the excellent works guys I have incorporated you guys to my blogroll. I think it’ll improve the value of my site :) .

    • Dr. Brooks says:

      Thank you so much. Appreciate your adding us to your roll.

      As you enjoy the blogs, please tell more of your friends about the radio site and especially the blog site as well. Would you also do us the honor of asking your friends (as well as you) to subscribe to the blogs by clicking the RSS logo on the front page of the website? It would be greatly appreciated and know that I will always endeavor to produce incisive and timely pieces on issues that affect the Nation’s Health!

      We would appreciate you downloading the podcasts if you missed the program and also your liking us on Facebook @ Health of the Nation Remember, you can also can catch our broadcasts live on Sundays at 5PM to 6 PM Central on 570 AM, KLIF by going to the website and clicking on the Streaming bar.

      Thank you again for the time you took to read the blog and to comment.

      Mitchell Brooks, M.D.

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