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Don’t Expect Our Healthcare System to Change for the Better

Daniel Paull MD asserts that to the multibillion dollar conglomerates in health insurance, pharmaceuticals, and large hospital systems, things are fantastic. But is this an accurate reflection?

March 19, 2024

Do not expect our healthcare system to change for the better on its own. At least not anytime soon.

There is a lot of wishful thinking among physicians that things are really bad right now, and people will see that, and that things should get better.

I would argue that things will only get worse.

Right now, those that work in the healthcare system (physicians, nurses etc.) and those that utilize the healthcare system (patients), see how bad it is.

But to the multibillion dollar conglomerates in health insurance, pharmaceuticals, and large hospital systems, things are fantastic. They are making money hand over fist, as they seem to report near record profits year after year.

 

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Who do you think has all of the power in our healthcare system? If anything, those entities that are making ridiculous money will make even more ridiculous money.

That is why you should expect more of the same.

How about lobbying our legislators?

Good luck competing with those multibillion dollar companies with dedicated lobbyists and more money than you can imagine.

The real power of the providers and patients of our healthcare system is that without them, there is no healthcare system.

The route to real change starts in removing ourselves and our healthcare from the above mentioned entities to the best of our abilities.

All opinions published on SomeDocs-Mag are the author’s and do not reflect the official position of SoMeDocs, its staff, editors. SoMeDocs is a magazine built with the safety of free expression and diverse perspectives in mind. For more information, or to submit your own opinion, please see our submission guidelines or email opmed@doximity.com. Do you have a compelling personal story you’d like to see published on SoMeDocs? Find out what we’re looking for here and submit your writing, or send us a pitch.

All opinions published on SomeDocs-Mag are the author’s and do not reflect the official position of SoMeDocs, its staff, editors. SoMeDocs is a magazine built with the safety of free expression and diverse perspectives in mind. Do you have a compelling personal story you’d like to see published on SoMeDocs? Submit your own article now here.

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One Response

  1. “Removing” is the highlight word here.

    1. Start your own practice (duh!). YOU define how it works. YOU set the path to care. YOU make the decisions and live with the results.

    2. DO NOT accept insurance, and explain clearly why you don’t. Yes, this may limit your available patient base. Yes, this will turn some people away. However, if they know why they are being played as pawns in the game, maybe they’ll help you to move things forward toward a better future.

    Build a relationship with the patients. Help them with whatever they need to submit to insurance on their own. Show them that individualized care that’s not driven strictly by a clock and volume is better. Show them other ways to get the care they need at a better cost. Show them why it’s better to work with you without the support of the larger system and be clear about your pricing.

    3. Recommend/refer to other methods of care that may be more effective, but don’t fit the big healthcare model. Once people get used to the fact that they have to pay directly, they’ll stay used to it.

    We vote with our feet. By dropping the traditional model and forging new paths, we can help improve all around (I hope). Encourage your patients to do the same.

    Notice how most of this is tied to money? Hmmm. Interesting…

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