Healthcare Reform

DD1D526C-043A-452C-9493-AE7E8CDF2B08Healthcare Reform

Today I read an article about how the high cost of our healthcare relative to other countries primarily results from the higher cost of pharmaceuticals, insurance companies and administrations. Certainly I feel validated in my long-standing beliefs. But the complexities of our system, considering the expectations and entitlements coupled with liability fears, make solutions seemingly impossible. Earlier this week, one patient who was prominent in the community, expected special treatment because of his social status. Another patient who is totally noncompliant with medical advice expected special treatment because of his sense of entitlement. Adding to the problem, the medical system has prioritized patient satisfaction over quality and allows patients to make poor decisions with little resistance from the physician because of the fear of low patient satisfaction survey scores, which adversely affect reimbursement. Many of us physicians with great ideas are squelched because we represent good patient care over this bureaucracy; and, in case there is any question, WE are not in charge anymore.

Abuse of Physicians

8D29106B-EC59-4CA6-B48F-EDDE2C7DE24BAbuse of Physicians
For years I have been preaching that we physicians do not have basic human rights. Finally there is an article by Dr. Wible, “Not ‘Burnout,’ Not Moral Injury—Human Rights Violations,” which validates some of my beliefs. Our society through the legal system has rapidly increased the burdens on physicians; which, in other people, would be considered basic human rights violations. Our media has switched in my lifetime from reporting mostly positive views of physicians to mostly negative ones. As a result, the real healthcare crisis, in my opinion, centers around the diminution of physician oversight. Most physicians who speak to the public are extremely biased as they are either hired by the government, hospitals, or insurance companies. All of this abuse is possible I believe because our legal system has set the stage with laws that restrict us from our basic human rights.

Layers

EDA347EC-1A39-4ECE-A549-BCFBA50F0FDFLayers
When I think of layers, I generally think of the peeling off of layers of clothing or layers of skin. But today I read an amazing article (Physicians aren’t ‘burning out.’ They’re suffering from moral injury by Drs. Talbot and Dean) on the moral injury of physicians by a broken healthcare system. In my medical mind which has many years of experience, I believe the authors are exactly correct with their assessment. As this kind of honest information about physicians hits the media, I feel the first layers of this massive medical bureaucratic quagmire begin to peel—a glimmer of hope.