Monday, November 1, 2010

Is this really the age of healthcare reform?

While suggestions and solutions about how to fix healthcare vary, what is clear is that the election is not resulting in new ideas only rhetoric and fear of change for the purpose of swaying votes. It is about the people or is it about the party?

What is also clear is that the strategy to decide how to reform healthcare in our communities is based on money. Hasn't that strategy already demonstrated how faulty it is? It is not to say that money should not be a consideration. It is to say that money should not be the leading criteria.

For example many doctors grappling with how to shape their practices in the coming decade tend to decide based upon the ability to earn more money first and infrastructure second. When considering whether to become an accountable care organization in the next 14 months most physicians speak about the end result of gaining more income.

History will tell you time and again the failures of approaching growth in that specific manner. Yet like countless of other fads we've seen in the past 20 years, the hype is driving action rather than reality. Becoming an accountable care organization is a good idea that requires a great deal of thought least of which should be about the shared savings physicians may or may not enjoy.

Until we are willing to change our viewpoints about what's really important and in what order of importance, healthcare reform will not succeed well whether under Republican, Democrat, Independent, Libertarian, Social, or Green rule. Is it about the people or is it about the doctor? Is it about the people or is it about the party? Is it about the people or is it about money? As patients we need to do the same. Is it about the care and the cost of it or is it about the value of it and how you define value of care?

Perhaps healthcare should be approached like a business model with a social responsibility. It encompasses so much more than how to make more money or how to save it. Using the 6P method established by Kris Rajan of CoGrow Inc, a practice would have a better chance at long term success.

You can find the 6P model in the book "The Blatant Truth About Owning A Medical Practice".

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