Monday, August 8, 2011

Mission: Healing August 8, 2011

PGY 39, Day 39
This is my latest post (today) to the American College of Physician Executives discussion on why physician leaders are not leading healthcare reform.
Here you go ... Dr. Mike
PS. We need some patients to join us in this effort!

Dear Doctor H...:
I understand your point of view, but disagree with your conclusion(s). This is a crisis ... and CRISIS = OPPORTUNITY.
If we take advantage of this chaos, put our personal needs aside, stop bickering, put the patients first and develop a united front with the patients, we can drive this whole thing in the right direction.
Millions of $$$ have been put up for development of COOPERATIVE insurance models. We could take advantage of this opportunity by realigning ourselves with our sworn obligation to the patients (The Hippocratic Oath), and joining together with patients to create some smart DOCTOR-PATIENT COOPERATIVES that will favorably compete with the junk that is avaiable out there. Patient needs are great and growing and the money is available, but we are stuck on trying to do things with the old models that don't work and waste too much money on profits, bandaids, categorical programs, low priority items, and bureaucracy. I figure we can reduce waste by 30 - 50% by eliminating the third parties ... the reason for a DOCTOR-PATIENT COOPERATIVE.
My position? It is better to try something new that might fail (or something more like the old thing that worked) than to give up. While most seem to be comforted by wringing their hands in misery, I saw at least three voices in this conversation that appear to echo my opinion. If those of us who agree can get together on this, we can take the next steps that are necessary to move from talk to action. Interested parties are welcome to contact me.
Dr. Mike
Michael F. Mascia, MD, MPH
dr.mike@ihealsolutions.com

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