The past century is riddled with interventions wresting control away from physicians and centralizing it in the hands of the federal government and large firms. Rather than addressing policy issues as they arise, reviewing the healthcare system in historical context can reframe the discussion, revealing its foundational problems.
While in medical school it is easy to become siloed in studying for exam after exam and lose sight of the goal we are working toward, tirelessly striving to build the intellectual foundation we will need to treat our patients. But our careers will be so much more than the individual interactions we have with our patients.
[Ed. Note: On March 21, 2017, The Indiana Star ran an article by Dr. Richard Feldman on healthcare economics. Dr. Feldman is an Indianapolis family physician and former Indiana health commissioner.] Dr. Richard Feldman’s article “Feldman: Economics Principles Don’t Apply to Healthcare” speaks to the frustrations many of us experience regarding healthcare; like high prices, high […]
The Western Health Care Leadership Academy Conference in San Diego provided an amazing review and discussion of health care policy. While everyone was unified in the goal of make health care more affordable while protecting physician quality of life, diverse opinions were represented regarding how to reach that end.
We need all 320 million Americans asking “irrational” questions about healthcare. Questions that challenge the assumptions of the system like, “Why do I get more time with my hairdresser than my doctor?”
Health care is the ultimate test of libertarian principles. As Bryan Caplan, economics professor at George Mason University, wrote in a 2012 blog post, we are often asked, “What if a poor person gets sick, doesn’t have insurance, and can’t get friends, family, or charity to pay for treatment?”
By Nicholas Pandelidis, MD Nicholas Pandelidis, MD is an orthopedic surgeon with special training and expertise in the surgical and non-surgical treatment of back and neck disorders. Dr. Pandelidis’s practice is dedicated exclusively to spine care and orthopedics. He has been practicing medicine in the York, PA area for over twenty years. Part 1: Problems […]
“Everything which might cause doubt about the wisdom of the government or create discontent will be kept from the people. The basis of unfavorable comparisons with elsewhere, the knowledge of possible alternatives to the course actually taken, information which might suggest failure on the part of the government to live up to its promises or to take advantage of opportunities to improve conditions—all will be suppressed. There is consequently no field where the systematic control of information will not be practiced and uniformity of views not enforced.” ~Friedrich Hayek, The Road to Serfdom
To be fair, the conference was titled “…Health Law Year in P/Review.” Given our lack of market influence in healthcare prior to the ACA, and even less of it now, a review of the past year and a preview of the current year should not involve a discussion of the actual root causes of our healthcare system’s issues. Sarcasm aside, these are issues that people must begin having serious discussions about. Rather than accepting the status quo and searching only for top down approaches to regulating healthcare, a critical analysis as to the cause of rising prices and lack of access should be undertaken, after which thoughtful policies aimed at mitigating costs could actually be implemented. We need people to have access to care, not insurance. Perhaps Abigail Moncrieff was correct in asserting that Obamacare has anchored what is acceptable as policy, and perhaps this itself is the problem.
In a humble conference room in St. Louis, medical student attendees heard eight speakers from diverse backgrounds enlighten them about the promise of healthcare freedom and protecting the patient-doctor relationship, and showed them—as future doctors—how they can be excited again about a positive future in medicine.