American Healthcare continues to go backward

[OrangeFan69]

America gets such little bang for the buck in healthcare.

If either political party committed to subpoenas for Healthcare, Pharma and Insurance CEOs and held their feet to their fire and caused change they could run on that for multiple election cycles. It's unfortunate that very few politicians have the political gumption to do the right thing.

It's part of the reason people like Bernie Sanders. He calls out the BS

 

[RxCowboy]

America gets such little bang for the buck in healthcare.

If either political party committed to subpoenas for Healthcare, Pharma and Insurance CEOs and held their feet to their fire and caused change they could run on that for multiple election cycles. It's unfortunate that very few politicians have the political gumption to do the right thing.

It's part of the reason people like Bernie Sanders. He calls out the BS

It depends entirely on what you mean by “bang for the buck”. On the high end we are still the world innovators. When someone needs innovative, highest end healthcare they still look to the United States to provide it. It’s providing primary care and preventive care where we fail, well, and getting people to live basic healthy lives… public health.

Most people toddle along in their basic unhealthy lives not accessing basic primary and preventative care because they can’t afford it and/or they don’t believe in it until they have a catastrophic health event. Then they access really expensive care, which they also can’t afford, when much less expensive care might have prevented the catastrophic event. I’ve spent my whole career trying to prevent the catastrophic events.

It’s not just the system though. My “specialty” is cardiovascular risk reduction. I just underwent my annual review. One of my performance measures is percentage of diabetics and patients with 10 year cardiovascular risk greater than 7.5% on statins. But here in Nothern Michigan there is a strong anti-statin, statins reduce the risk of heart attack (and stroke to a lesser extent), bias and it is a performance measure that my supervisor admits is impossible for me to achieve because of that. It is societal. Look at the MAHA movement and the antivaxxers. These people are actually anti things that reduce healthcare costs.

Congress might be able to call some pharma and insurance CEOs to the carpet, but what can they do about anti-statin and anti-vax in Northern Michigan?

 

[steross]

America gets such little bang for the buck in healthcare.

If either political party committed to subpoenas for Healthcare, Pharma and Insurance CEOs and held their feet to their fire and caused change they could run on that for multiple election cycles. It's unfortunate that very few politicians have the political gumption to do the right thing.

It's part of the reason people like Bernie Sanders. He calls out the BS

The CEOs would simply point to the fact that they are fully following the laws that congress has made. The congress has made the laws that overwhelmingly favor them due to lobbying.

To fix this, congress will be required to go against their own personal best interest and for the American people. So far, it is better for them to scream "Socialism" or "they want to take your Medicare" rather than fix anything.