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Politics : A US National Health Care System?
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To: i-node who wrote (6883)6/5/2009 12:45:49 PM
From: skinowski1 Recommendation  Read Replies (1) of 42652
 
save all this money by spending money on IT.

I like IT. It probably already saves money while improving quality. I think everyone should have an electronic med record in some form, probably best web based, which would encapsulate in brief all the relevant information. This can be reviewed and updated (in brief) every time there is a change. The patient would have access to it, and the info would be subject to ongoing updates and corrections.

Costs..... I would start with 2 things -

1) Tort reform - Replace malpractice with arbitration for the vast majority of incidents. Patients would still get compensated in appropriate cases, and providers - over time - would begin to breath easier - and stop spending so many billions on covering their collective arses.

2) Massive deregulation. I am yet to witness a situation when people in the community would not have a very adequate feel for the quality of care at their local hospital.

Hospitals are quite good at self monitoring and steering away from undesirable practices. The fact that they are micromanaged by HCFA, JCAH, State health departments and many other outfits causes, for the most part, massive waste. They must hire huge armies of people only in order to be able to comply. Cut regulatory expenses by 90%, and you'll save hundreds of billions -- I'll bet, without jeopardizing care.
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