Requiem for non-medical institutions

Published: May 26, 2023 9:59:59 AM

Modified Date: 2023/5/26 9:59:44 AM

Two recent news articles caught my attention. The first is about the creation of a “maternity desert”. Obstetric care is becoming more commonplace in these large parts of the United States as obstetric care is sorely lacking and the financial institutions shut down maternity services in rural hospitals when they don’t make enough money. I’m here.

In my second article, I explained that commercial companies such as CVS and Amazon are acquiring a number of primary care operations across the country. Add to this the ongoing privatization of Medicare through the Medicare Advantage Plan and, worse, the ACO-REACH plan (allowing non-medical companies to act as health insurers), and where is our healthcare “? You can clearly see that it is non-system. heading towards

Underinvestment in public health has dramatically under-prepared for the COVID-19 pandemic, costing hundreds of thousands of American lives. We will be just as unprepared for the next pandemic.

Although these topics may seem unrelated, they are not. All of this points to a total lack of planning other than increasing profits. No one planned our healthcare system. Like a New England farmhouse, we simply added new rooms when we needed them.

Our non-healthcare systems have evolved over time with the goal of increasing corporate profits. Health care currently costs an estimated $4.3 trillion annually, and in the absence of overall planning, private companies such as insurers, pharmaceutical companies and large hospital chains are expected to maximize that burden. We put our ingenuity into

We have also witnessed the more insidious effects of healthcare’s business transformation in more impersonal and short-term visits with healthcare providers.

A national primary care physician shortage is partly to blame, and there are also shortages of physician assistants and nurses, who fill much of the gap. This trend will undoubtedly continue, and we patients will become more and more pawns, and medical care will become a secondary objective.

If this is the future we want, we should just keep quiet. Changing this will be difficult, especially in the midst of political stagnation, but with each passing year the gains grow and the money-making gains become even more encouraging. A single-payer system, as it is now called “Improved Medicare for All,” is the only solution I see, but my optimism that Congress will act is fading. But the cost of our collective inaction is clear.

Dr. Christopher Frawley


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