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8 min reading time
My friend, Mobisante CEO Sailesh Chutani tells this story:
“I recently had my annual physical (which I missed the last 4 years).
The doctor looked at my age and came up with a list of tests. So I asked what these tests cost.
Like 16 million Americans, I am on a Health Savings Account plan with the first $5,000 coming out of pocket so I have started to care about costs. (That was not the case 6 years ago when I had a gold-plated employer-offered plan where I had zero deductible!)
I asked if specific test results would change any treatment and whether cheaper but comparable alternatives exist.
We shrank the list of tests needed from six to two.”
Today’s questions for the group:
• As patients, have you ever refused a medical test due to cost?
• As manufacturers, have you seen a correlation between higher deductibles and lower procedure volumes? If so, what have you done about it?
Discussions Worth Catching
Should We Focus on the Biggest Killers? (78 comments)
The next revision of ISO:13485
When does a subassembly become a part or vice versa?
Solutions for Medical Device Software?
How do you submit a combination product for 510k?
Bicycle as Med Device?
Make it a great week.
P.S. Have you visited http://MedicalDevicesGroup.net for our library of webinars, resources, events, and more?
At the very least, I think you should be prepared to inform anyone you are going to encourage to live “properly” of all the likely consequences of that behavior. To do otherwise would be like enrolling a subject into a clinical trial of a product that is expected to have a particular benefit, and informing them only of the benefit, but not of any anticipated side effects. No…more like enrolling them into a clinical trial without having even tried to determine potential side effects.
Burrell (Bo) Clawson
Jus minimizing chronic illnesses will cause a dramatic reduction in healthcare spending. I recall a hospital CEO from Boston saying ‘I go to sleep at night worrying about the 50% of my hospital’s costs going to take care of just the 5% of the worst chronic illness cases.’
I stand in awe of the very high web site quality of goodrx.com.. the comparison approach is awesome..
I think the searching part – and threading down into the service is complex to do…
If you need an operation – then COMPARE LOCAL HOSPITALs… what is their success and failure rate?
The number of “comparison” apps is pretty vast…..
Already -there are two “teledoc” companies I know of.. $40 for a visit.. instead of “sometime next month – $90 to $160″… Teledocs deal in NOW – not LATER.. and that matters too…
Burrell (Bo) Clawson
The most recent national articles on Alzheimer’s research noted the reduction in symptoms when people with Alzheimers ride a bicycle.
When we look at the percentage of overweight and particularly obese people in the population, what it does is implicate the whole US education system as being seriously deficient in teaching our entire nation about how to live properly.
Failure to educate citizens seems to be behind a large number of issues in the US.
Is there a clue here?
The police didn’t actually come to protect you and your friends; they came to apprehend a criminal. That is how they protect the community, and why the community pays for police protection with tax dollars. If you wanted someone to protect you and your friends, you would need to hire private security and pay for it yourself.
Communicable diseases do affect the community, but that’s a public health issue, not a healthcare issue. That is why the community supports public health agencies with tax dollars. Their mission is to protect the community, not individuals, from the impact of communicable diseases. Having worked in the public health sector, I can tell you that it is not that uncommon for the interests of the public health to conflict with the interests of the individual.
If you want to be protected from financial ruin in the event that you wind up in the ICU, you need to have health insurance to pay for your healthcare, and you need to pay for it yourself. If you rely on someone else to pay for it, then you can rely on it to protect someone else’s interests, not yours.
Burrell (Bo) Clawson
As for doctors organizing to “come up with something that really works to promote health within individual people and provide efficient and meaningful care when that health falters,” it’s been done already, with predictable results:
The system is not competent even at the level of scheduling appointments. If I do manage to make an appointment, I will then be given the healthcare that providers want to give me, rather than the healthcare that I want. Because only the latter has any value to me, all healthcare has become “too expensive” for me.
I have also turned my back on health, which has become The National Neurosis, and very unhealthy in its own right.
Police and fire protection are intended to protect the community more than to protect you, which is why the community pays for them. How that works with the police should be obvious. Fire protection is as much or more about saving the entire neighborhood as it is about saving the one building in which the fire started.
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