Wednesday, December 29, 2010

Accountable Care Organizations


Anonymous said...

Obamacare is a crock. Here is Big Don's Health Care Reform (it's very simple):

1. No health care provider can be sued for any bad patient outcome. If you enlist such services, it's up to you to select competent provider (if you get the wrong diagnosis, treatment, or prescribed the wrong drug, or have the wrong leg amputated, or the surgeon was drunk/stoned, etc, etc, etc, tough shit). Patient assumes all the risks, the system is not perfect and there are no guarantees. Up to you to evaluate providers and make the best selections.

2. No pharmaceutical or medical appliance manufacturer can be sued if you used their product and experienced a bad outcome. It's up to you to be sufficiently pro-active in selecting how much of what substances to put in your mouth, or allow to be injected, or installed. No more "Call 1-800 if you took/used whatever and [had a bad outcome.]"

3. Providers, e.g.,ER's, can give palliative care only to patients who arrive drunk, stoned, wounded, until proof of insurance (or financial responsibility) is provided, and cannot be sued for any such decisions. This will become known as the Personal Responsibility Clause, it's up to you to carry proof of insurance documentation at all times and manage your own risky behaviors.

Now, the cost of health care will drop by around 50%, maybe even more...

[Yes, it needs a little cleaning up, but you get the basic idea...]

Have a nice day,
Big Don

討債 said...

Thank you, that was extremely valuable.

Submariner said...

Hey Big Don,

Sorry you feel that way about the Affordable Care Act. Many felt the same way when Medicare was first enacted. Older Americans have government run national health insurance, i.e. socialized medicine, and statistics bear out that they're quite satisfied.

Tort reform would be helpful and I support it. Experience at the state level (Texas) has shown that insurance premiums for providers and overall costs did not diminish after legal reform was instituted.

The last part is more symbolic or rhetorical than substantive. I believe and practice personal responsibility. Most of the people I see in that category, however, have insurance. Also what happens when someone is found in the street obtunded and appears drunk but really has a brain hemorrhage and unfortunately is without their wallet or insurance card?

What makes medical practice, unlike health insurance coverage, so noble is precisely this sense of duty to treat.