[FoRK] The biggest bottlenecks seem to be politics with respect to healthcare. was Re: User-friendliness and fascism

Bill Stoddard wgstoddard at gmail.com
Thu Jun 16 17:38:06 PDT 2011


On 4/11/11 4:54 PM, J. Andrew Rogers wrote:
> On Apr 11, 2011, at 9:58 AM, Gregory Alan Bolcer wrote:
>> I think it's funny your author is talking about a technology problem, but then instantly jumps to the political world.  Not everything is a political problem.
>
> The biggest bottlenecks seem to be politics with respect to healthcare. One of the things I have learned dabbling in healthcare analytics is that while the profession loves medical technology they loathe technology that would make the healthcare process more efficient.
>
> It is pure self-interest wrapped up in a dozen rationalizations. At one end of the spectrum, detailed analysis that optimizes away much of what healthcare professionals do and measures real value delivered -- as is done in most competitive industries --threatens the high wages of the field in a multitude of ways. The average doctor in the US earns more than the average CEO and they would like to keep it that way. At the other end of the spectrum, research shows that it exposes far more underperformance, poor policy, incompetence, and malpractice than anyone in the healthcare profession is comfortable with. Not only does it tarnish political factions with not insignificant clout while raising many questions but it also raises the specter of endless lawsuits if systems are put into place that would allow that to be easily discovered via routine analysis.
>
> The fragmented byzantine healthcare process is an intentional result, largely created by the healthcare professionals themselves. A streamlined, efficient healthcare system is damaging to too many entrenched interests that long ago captured any political apparatus that might force them to change. This is not a US phenomenon, it is true in most of the industrialized world.
>

This thread.  Significant insight. Read. Understand. Grok.

The tentacles extend deep into the drug and hospital industries as well.

Bill
>
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