In a recent issue of the New England Journal of Medicine
(09/26/12), the current candidates for president enunciated their
approaches to treating the ailing U.S. healthcare system. Are these
would-be "doctors" for what ails the medical system practicing good medicine on patient Healthcare, or are they guilty of malpractice?
Good doctors follow four principles of good medical practice.
The root causes of these symptoms are listed below.
Good doctors follow four principles of good medical practice.
- Treat causes, not symptoms
- Evidence-based decision-making
- Quantify long-term costs (and risks) as well as benefits
- Partnership with patient
The root causes of these symptoms are listed below.
a)
Disconnection of consumer (patient) from supplier (provider) and of
consumer from control of his/her money. The latter is called the moral
hazard.
b) Rewarding outcomes we do not want. This is called perverse incentives.
c) Failure to have hard evidence before making decisions.
d) A parasite called bureaucracy.
e) A medical malpractice system based on criminal law.
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