Hats off to John C. Goodman again! His work in leading the effort for market-based healthcare reform over the past 4 decades, and highlighting the government’s role in the dysfunctional mess we labor in, is second to none.
This Forbes article lays out a most concise and accurate rendering of what healthcare has become and why…and what to do about it.
If you’re tired of the hearing healthcare pundits wax feverishly about their favorite villains and how more regulations are the answer; or if you’re just a novice starting to explore the Healthcare conundrum, Dr. Goodman’s work is required reading. I recommend starting here and then circling back to some of his earlier work. The book “PRICELESS” is a recommended next step!
“The fastest growing specialty in healthcare is scribes to feed the EHR: only in healthcare can we computerize and add FTEs.”
The last point above is the visible tip of an iceberg-sized social conundrum. The natural reward for healthy behavior is good health, of course, and what matters more than that? If adult individuals don’t care enough about their health to work on it, who is supposed to care on their behalf? Employers care up to a point, because health impacts productivity. The government cares, if you assume that the government is the unlimited payer of last resort. How much employers/government should do to change behavior of adults who won’t take responsibility for their health is an issue that we will wrestle with for a long time.
Digital technology offers a river of new data with potential clinical value, but much of it is not usable. Doctors say that 85% of their patients simply do not comply with medical advice. Patients are increasingly cranky: they know more, demand more transparency, and are less satisfied. Expectations of doctors’ ability to deliver value are rising. Rising doctor frustration makes sense to me.
One problem for both pharma and insurers is that patients do not trust them, despite their huge efforts at engaging digital heath. “So the worst part about that is those groups are the ones providing the largest amount of health information and consumers don’t trust them at all,” Deloitte physician Harry Greenspun told MobiHealthNews.
Deliotte’s research shows that few patients would trust apps controlled by either pharma or health insurers. This poses a challenge for entrepreneurs looking to partner. Dr. Greenspun continues: “So one of the most interesting things we’re seeing in health is partnerships with pharma and payers and with other organizations to get that info, and get those apps in a method they can believe in, and trust.”
Without that trust, the potential of mobile medical apps will go unfulfilled. How entrepreneurs and established firms establish that trust may be the biggest challenge of consumer-driven digital health.
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