Free Marketeer's Healthcare Scheme Would be Chaos

After watching a hospital botch his late father's care, David Goldhill says he's figured out what's wrong with our healthcare system. Now he proposes eliminating all private health plans and Medicare.

5 comments on "Free Marketeer's Healthcare Scheme Would be Chaos"
Wayne Wasden (3/17/2013 at 4:06 AM)

Ms. Clark, You should be ashamed of yourself. Your liberal sermonizing has been placed in stark comparison to individual empowerment, accountability and responsibility. Mr. Goldhill has simply stated facts and the truth about how markets and human nature work. Last I looked market forces continue to work extremely well in the U.S. system, especially when they are not tinkered with or controlled by people who view themselves as wiser than the consumer. It is also a sad fact that this discussion for a significant change to a tried and successful way of doing business will never be elevated because of those who currently exercise control over market forces. And a single payer systems does not significantly alter the incentives so clearly dominating behavior. There is no more broken system than the U.S. Healthcare System with it's incentives clearly exposed and articulated by Mr. Goldhill. Ms. Clark, with all you clout and contacts, do all you can to move this discourse to a higher level. Bravo Mr. Goldhill
MayoVictim (3/6/2013 at 5:03 PM)

There's a simple solution to the US healthcare system. It is just to adopt a European style single payer system. The Europeans have better healthcare outcomes. It costs much less than the US system and when I lived and worked in the UK and Europe I never heard anyone in the medical industry complain about their remuneration. Of course the AMA and their handmaiden in congress have a done good job demonizing what they label as "socialized Medicine" but I can tell you that from my personal experience as a patient and worker in the healthcare industry it's way better than what we have in the US. I'll now wait for nonsense comments about waiting lists and death panels.
MBRose (3/1/2013 at 1:46 PM)

Bravo Mr. Goldhill! Perhaps by thinking far outside the box of 'standardized care' schemes and shaking up the illness healthcare system currently worshiped in this country, true life changing improvements might happen. Maybe the 'Tippong Point' has finally been reached and society will move forward in handing the power for self-care back to the individual and out of the hands of insurance companies and physicians, who have NOT improved outcomes or increased longevity and quality of life in decades...but have become some of the wealthiest and most powerful individuals and corporations in the process. Change, big change, never happens easily or smoothly. Yes there might be some missteps along the way. However it is time to do something differently...anything differently. We have followed this insanity for far too long, doing the same kinds of things over and over again, expecting improved outcomes and results. Isn't that the definition of insanity? Yet we have bought the bill of goods, hook, line, and sinker each and every time! I say bring on a bit of chaos and let real change begin to happen.
Cheryl (3/1/2013 at 9:05 AM)

As a member of the healthcare industry I can tell you first hand that providers figure out a way to get around the penalties and other things. As a business it's your job to maximize revenue and you don't keep your job very long providing compassionate patient centered care. For instance[INVALID]readmission penalties. Hospitals are increasingly using "observation" stays to avoid the rehospitalization issue. The determination is made without notification to patient or family and it's unintended consequence is to deny a patient access to their Medicare benefits post hospital stay. I agree with Mr. Goldhill. We as consumers of healthcare must become aware of the costs of our care and make informed choices. And we must help our elders make informed choices as well. I now put a sign in my room if I am hospitalized telling all staff that I want to see them wash their hands before they touch me or any of my equipment. HAI kills many people each year.
Deb (2/28/2013 at 5:09 PM)

Maybe chaos is what's needed. Reliance on a sick care / disease management notion of "healthcare" naturally means more expensive care and "results" that aren't often going to result in getting a person back to a state of well-being – that's simply not what pharmaceuticals and what MDs learn are designed to do. Yet this is the system we're lulled into believing will help us heal. Provide people a set amount of money to spend attending and tending to well-being – rather than waiting for some disease to show up on a lab report – is far less expensive, far more empowering for each individual, and better yet, focuses on well-being long before some disease sets in (most diseases are "created" by pharmaceutical companies to sell drugs to suppress and not heal). This means embracing medical sciences focused on well-being – Chinese, Ayurveda, Naturopathy and Homeopathy – earlier, when we start feeling "off," (which these sciences understand), not waiting to seek their 5,000 years of evidence and knowledge as a last ditch effort. Goldhill's suggestion of $5000/year goes a long way when focusing on well-being in this context. He's onto something. We all have major shifts to make in very entrenched ways of thinking and behaving, and these kinds of changes require chaos to break down existing structures and reinvent the new.


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