Wednesday, September 12, 2012

Health Care Wastes 750 Billion : More Gov Control?

A truism : the private sector will always provide the best results given the opportunity to do so. Government will never provide the best solutions much less opportunity for success.

Health Care System Wastes $750 Billion a Year
Source: "Report: Health Care System Wastes $750B a Year," CBS News, September 6, 2012. "Transformation of Health System Needed to Improve Care and Reduce Costs," Institute of Medicine,

September 11, 2012
The U.S. health care system squanders $750 billion a year, roughly 30 cents of every medical dollar, through unneeded care, byzantine paperwork, fraud and other waste according to a report by the Institute of Medicine, says CBS News.

The report highlights inefficiencies in the current health care system and the need to quickly address them.

•$210 billion goes toward unnecessary services
•$130 billion goes toward inefficient delivery of care.
•$190 billion goes toward excessive administrative costs.
•$105 billion goes toward inflated prices.
•Prevention failures make up $55 billion.
•And finally, fraud accounts for $75 billion.
•To put this in perspective, eliminating the $750 billion in inefficiencies is equivalent to more than 10 years of Medicare cuts in Obama's health care law.

Both presidential candidates agree that something needs to be done about the rising health care costs. Obama's plan would rely on a board to cut payments to service providers. In addition, he would reward payments to doctors based on results and not volume. Romney, on the other hand, would limit the amount of money future retirees can get from the government medical insurance, allowing the private market to find efficient solutions.

The report made 10 recommendations that policymakers should examine in an effort to eliminate inefficiencies in the nation's health care system. Some of recommendations include:

•Payment reforms to reward quality instead of reimbursing after each procedure.
•Improving coordination among different service providers.
•Using technology to reinforce clinical decisions and educate patients to become better consumers.

The most important message from the report was to accelerate payment reforms, which would increase accountability from hospitals and other medical groups. This would also allow doctors to collaborate with peers about the best way to provide care.



1 comment:

Julia Schopick said...

I am delighted that this IOM report is causing such a huge amount of discussion about the runaway COSTS of healthcare. I am glad it also includes suggestions for how to improve the situation.

One point that is rarely made in discussions about the spiraling cost of healthcare is the fact that there are, indeed, many treatments out there that are really effective AND inexpensive, in addition to having very few side effects. Yet, because these treatments are not yet the "standard of care," and more specifically, are not manufactured by large pharmaceutical companies, doctors don't routinely prescribe them. But thankfully, because of patient successes with these treatments, more and more doctors are beginning to prescribe them.

I believe that these treatments could play a huge role in saving healthcare.

In my book, HONEST MEDICINE: Effective, Time-Tested, Inexpensive Treatments for Life-Threatening Diseases, I highlight examples of treatments like these.

One of the treatments I write about in my book is Low Dose Naltrexone (LDN), used off-label for 25 years by many doctors for autoimmune diseases, such as MS, Lupus, Rheumatoid arthritis, Crohn’s disease, etc. LDN costs $40 a month (maximum) through compounding pharmacies. (Naltrexone was approved in the mid-1980s by the FDA for another purpose—drug and alcohol addiction—at TEN TIMES THE DOSE that doctors are now using it off-label for autoimmune diseases.)

On the other hand, the most commonly prescribed MS medications cost $2000-$4000 a month and have horrible side effects.

I would like to see treatments like these (I call them “patient evidence-based” treatments) considered more often by doctors. In addition to helping thousands of patients who are not being helped now, they could save our healthcare system a huge amount of money.


Thanks so much.
Julia Schopick
HonestMedicine.com