Read the article but still find it a waste of time to be analyzing this. Ok, so what if we all died at forty? Or thirty? Of course the world would be much different, but whatever is derived from this prediction doesn’t really amount to much.
“Doctor owned hospitals outperform others on quality measures.”
“They say physicians often direct the best-insured and more lucrative cases to their own facilities, while leaving the most severely ill patients to others.”
Yeah, I can see how physicians are part of the problem when their incentive is financial gain above all other moral/ethical incentive. The whole system is flawed and most doctors are just part of the system.
On owned hospitals:
“If you’re allowed to specialize in something you can do one thing great. If you want to specialize in four or five things, you can probably do them okay.”
There are two things at work here: comparative advantage and cherry-picking. The combination of hospital specialization and patient cherry-picking allows the hospital to keep up these high quality metrics. The real problem, however, is the perverse way that the system is designed. Hospitals wouldn’t be cherry-picking patients if it were not for the government’s absurd payment schedules and quality metrics.
How American parents are different: we’re obsessed with cognitive skills.
Interesting. As a foreigner, I have always had this idea about American parenting, and I’m glad to see I’m not all that wrong. Perhaps if they focused less on their children’s intelligence and more on being normal caring parents then they would find it “easier” and a “happier” process to raise their kids.
This is a very insightful article, and I really enjoyed it. It really makes you think a little harder what you can do differently as an individual and what you should stop doing. I think very few people actually sit down and think about what if they are not here tomorrow. People think they will all live till they are 90 or so and thus take their younger years for granted, like if there’s a tomorrow to fix what you do wrong today. If only people could learn to appreciate the opportunities they have today to make a positive impact in someone’s life and do something to solve even the most insignificant issue, things would be a lot better…not just in America but around the world.
Don’t expect to get rich. Concierge medicine is more about improving the care you provide, improving your relationships with patients, limiting distractions from your practice of medicine such as insurance hassles and simplifying your medical practice than it is about money.
This is GENIOUS!!! Is this the real thing? If so, this is music to my ears, and to everyone else who has struggled to have access to a physician. More committed physicians that care for their patients deeply enough to oversee any limitation insurance companies or regulations may bring to them, is a good first step. Thumbs up!
I have an idea for a movie… A society where everybody dies at age 60 unless they can demonstrate proof of financial responsibility to fund their retirement. The mechanism would be an ice flow.
In 2008, when I completed my doctoral dissertation on concierge medicine, I concluded it by saying we’d just have to wait and see whether this type of practice had staying power or would just be a footnote in the history of medicine.
It appears to be the former and, much to my surprise, I find myself a patient in such a practice.
“What if we all died at forty?”
Read the article but still find it a waste of time to be analyzing this. Ok, so what if we all died at forty? Or thirty? Of course the world would be much different, but whatever is derived from this prediction doesn’t really amount to much.
“Doctor owned hospitals outperform others on quality measures.”
“They say physicians often direct the best-insured and more lucrative cases to their own facilities, while leaving the most severely ill patients to others.”
Yeah, I can see how physicians are part of the problem when their incentive is financial gain above all other moral/ethical incentive. The whole system is flawed and most doctors are just part of the system.
@ American Parents Obsessed With Cognitive Skills
Well considering we are a competitive society where the assumption is that the smarter you are the more successful you will be, I am not surprised.
On owned hospitals:
“If you’re allowed to specialize in something you can do one thing great. If you want to specialize in four or five things, you can probably do them okay.”
There are two things at work here: comparative advantage and cherry-picking. The combination of hospital specialization and patient cherry-picking allows the hospital to keep up these high quality metrics. The real problem, however, is the perverse way that the system is designed. Hospitals wouldn’t be cherry-picking patients if it were not for the government’s absurd payment schedules and quality metrics.
@ If we all lived past 40?
If this was the case, we all would have less worries about the ballooning health care crisis.
And the ballooning welfare and entitlement expansion.
“What if we all died at forty?”
– What if we lived forever?
How American parents are different: we’re obsessed with cognitive skills.
Interesting. As a foreigner, I have always had this idea about American parenting, and I’m glad to see I’m not all that wrong. Perhaps if they focused less on their children’s intelligence and more on being normal caring parents then they would find it “easier” and a “happier” process to raise their kids.
What if we all died at forty?
This is a very insightful article, and I really enjoyed it. It really makes you think a little harder what you can do differently as an individual and what you should stop doing. I think very few people actually sit down and think about what if they are not here tomorrow. People think they will all live till they are 90 or so and thus take their younger years for granted, like if there’s a tomorrow to fix what you do wrong today. If only people could learn to appreciate the opportunities they have today to make a positive impact in someone’s life and do something to solve even the most insignificant issue, things would be a lot better…not just in America but around the world.
The economics of concierge medicine.
Don’t expect to get rich. Concierge medicine is more about improving the care you provide, improving your relationships with patients, limiting distractions from your practice of medicine such as insurance hassles and simplifying your medical practice than it is about money.
This is GENIOUS!!! Is this the real thing? If so, this is music to my ears, and to everyone else who has struggled to have access to a physician. More committed physicians that care for their patients deeply enough to oversee any limitation insurance companies or regulations may bring to them, is a good first step. Thumbs up!
What if we all died at forty?
Wasn’t this idea behind the movie, Logan’s Run? Or maybe it’s the rationale for people who snort cocaine on a daily basis
What if we all died at forty?
I have an idea for a movie… A society where everybody dies at age 60 unless they can demonstrate proof of financial responsibility to fund their retirement. The mechanism would be an ice flow.
In 2008, when I completed my doctoral dissertation on concierge medicine, I concluded it by saying we’d just have to wait and see whether this type of practice had staying power or would just be a footnote in the history of medicine.
It appears to be the former and, much to my surprise, I find myself a patient in such a practice.