News Ticker

Healthcare in Crisis

Clearly, America is caught at a crossroads. We are now trapped between two ideological positions. Neither can find ground for compromise because as a nation the art of tolerance has been lost. Nowhere is this seen more than in the current debate over healthcare reform. This is why we often say, “The only thing that we, as Americans, tolerate today is intolerance!”

What is offered on this website are the identification of the fundamental problems and a set of proposals that encapsulate pragmatic solutions. Proposals that are consistent with the goals, objectives and principles that we have identified as key to acceptance of any resolution.

There are Solutions

Tolerance-RealCompromiseThere are solutions. The fixes will require quite a bit of work, much debate and a healthy dose of tolerance. In the end, we can find compromise that will yield a much simpler, stronger, efficient and appropriate healthcare system for Americans to get the care they need in crisis and, the care they want by choice.  It is the assured concept of an effective safety-net for all, tightly integrated with American’s need for choice, that holds the key.  Both simply cannot exist without integration, as they become predatory and consuming of each other.  They must exist in a manner that systemically provides certain controls, checks and balances. Price certainty, transparency, portability and effectiveness need to be codified as requirements of any healthcare marketplace.

At the same time, effective allocation of appropriate regulation, oversight and responsibility at the federal, state and individual level also need to be integrated into any system. Any solution must provide an effective safety net for all the helpless while filtering out the wasteful –

who inadvertently significantly increase costs and utilization of scarce resources – and the fraudsters – who purposely game the system in order to inappropriately receive disproportionate and unnecessary gain while also consuming available resources from those who desperately need them. Finally, the solution should at its safety net, basic care level, provide the same access, scope and treatment options for all, regardless of income or means, with no additional hidden costs, taxes, fees or shifting of costs from one system to the other.

Our Approach

whitepapers (2)The purpose of our efforts is to first clearly identify and explain the underlying problems in our healthcare system and then to offer pragmatic solutions to these issues. To this end we have developed a Whitepaper that explores the fundamental problems in detail and proposes a series of pragmatic solutions.

We are producing a series of five one page summaries that will address the fundamental problems and solutions. The first are are already available in the Summary Sheets area. We have designed these for you to be able to forward to people who need a quick description of the issue(s) and do not have time to read the whitepaper.

For a more in-depth look at the issues, we have developed a series of Articles, here we explain the initial misunderstandings we have about our healthcare system. (See Introduction to Our Real Healthcare System.) We explain why, and how, what we believe about the cost of healthcare is wrong.  (See The Plague of Myths: Healthcare Costs Too Much) We explain why our expectations of care are so far removed from the care we actually receive in The Plague of Myths: Healthcare, it’s Good for What Ails You!. We alo discuss how our obsession with living longer has significant ramifications for us in healthcare costs and species viability in The Plague of Myths: We Can, and Should Live Forever! We have a number of additional articles in development.

When it comes to America’s, so called, Healthcare System, one of the biggest reasons that most of the attempts to “fix” our healthcare system have consistently yielded more unintended consequences than benefits is that we are treating the symptoms of our disease not the disease itself. We have a number of misconceptions about our healthcare system and the first is that we believe that it is a system. It’s not! It never has been. What we think of as our healthcare system is nothing more than a disjointed, tangled collection of practices, methods, procedures, policies, laws and guidelines that have developed over the past 200 years.


We Believe It Is Up To Us All

We believe that the solutions proposed within this site will fit neatly into a comprehensive approach that Americans will be able to embrace. We do not expect everyone to like every solution proposed in the system but, we do believe in the end these solutions as they are designed fit closely together to solve for a marketplace that will provide Americans with an affordable, cost effective, efficient, fair and appropriate market, and safety net, to get the healthcare they need while preserving the options for a choice based system to get the care they want. This is not to be seen as “The Solution,” but as a series of solutions that are interconnected. These ideas are not inviolate and will surely change. To achieve the goal that we seek, will require a Franklin style compromise, either from a renewed interest in bipartisan, bicameral solutions in Washington DC or from the real power-base of America — the American People.

If You Want Change, There Are Steps You Can Take to Get It!

We all can play a role in solving this dilemma. It starts with getting the word out, getting others to read the ideas that will be flowing onto these pages in the next few days, weeks and months. If you want to help make this change, then get your friends, neighbors, associates, family, and political representatives to be on the same page. Ask them to come to this site and read the articles or the more detailed draft version of the whitepaper available on the menu above. Much work has been done but, there is still much work to be done. This whitepaper is still a draft in the open comment period. It will be further modified based on feedback and additional work that is currently underway.


6 Comments on Welcome to Healthcare 2.0

  1. Great work Tom. This book should be a standard applied to every health care entity in America!

  2. Vagina penis

  3. There is a simpler solution. A small 1% healthcare tax on
    everyone’s income. We don’t sign up for anything! We all
    have instant healthcare. Limits on what doctors and
    hospitals can charge for any procedure, anywhere.
    Then in addition……healthcare plans can be offered to
    anyone that wants additional coverage.
    There needs to be federal oversight of each state. A
    committee if you will. Checks and balances put into place
    of course. We need to simplify healthcare. Instead we are
    making it too complicated. And far too much fraud by
    hospitals for overcharges. Hospitals keep a patient in the
    emergency room for a minum of 6 to 8 hours regardless
    of the emergency! They make excuses about not having a
    room ready. No one needs 6 to 8 hours to get a room ready!
    Charging $20 for an aspirin! $20 for a bandaide!
    This is the type of fraud that causes insurance prices to
    skyrocket! And the doctors, hospitals and insurance
    agencies are “in it” together to keep costs up!
    They are all corrupt!

  4. I did an analysis of a single payer system while in graduate school and 1% isn’t enough to finance health care, but a 3% payroll tax increase would. And yes, it would get rid of layers of complexity to clinicians and customers. I have published a healthcare column focusing on education consumers and identifying health system failures since 2007.As the writer above identified, overcharging is a problem because our system, based on Medicare is a reimbursement-of-actual-charges one, which needs to change. Here is what I have identified in the healthcare system for consumer empowerment, published last year by Rowman and Littlefield.

  5. The problem with both of these solutions is the answer is not merely providing more money to the government. We can afford our healthcare if we know what we should expect for care and describe what is appropriate care for treatment. Most importantly to educate ourselves on the difference between needed care to stay alive and continue to work to support self, family and society and wanted care to get the things that we are willing to make discrete choices to obtain.

    No one system focused on only providing entitled care to all will be economically viable unless there are extreme limits on the extent of care provided — see any of the existing government provided models. Remember these models do not report what is paid outside of the government system as we do — often as high as 60% more cost than reported in private pay systems. Nor does our method of counting our costs remotely yield the real number of what our costs actually are — inflating our cost numbers by over one-third.

    We need a system to deliver three specific areas of care: effective, efficient, accessible and affordable care, so called Life Care, Choice driven discrete value based care, so called Quality of Life Care, and an effective safety net that provides life care efficiently and effectively without converting an active care Participant back to a mere Patient. And to make sure this works with proper checks and balances we need to have an overarching Single point of Administrations system, that includes: full coordination of care and benefits across all available sources, single point of access, for all care and benefits, true patient centered care via virtual care groups, and appropriate roles and services for the four legs of the care stool: Participants, Facilitators, Providers and Sponsors.

    What we need to do is to lay the rhetoric and recrimination aside and focus beyond the ACA, Obamacare, and begin to fix the fundamentals.

    Hopefully you have read some of the material on this site and have already become familiar with these tenants. Thank you for your comments!

  6. Have you ever thought about writing an ebook or guest authoring on other websites?

    I have a blog based upon on the same ideas you discuss and would love to have you share
    some stories/information. I know my subscribers would appreciate your
    work. If you’re even remotely interested, feel free to shoot
    me an e mail.

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