American medicine spends like the Yankees when it's really the A's. The VA proved eConsults cut specialist waits from months to hours. The $50B RHTP can too.
Guy with a PO Box fishing for seed money for his fledgling (since 2016) enterprise architecture startup (Gazuntite, from Quivus Online Clinic - Chapter 7, RIP) - "... to connect primary care physicians with on-demand specialists and pharmacists. The company's technology-based service ..."
Website is a template. This guy's looking to milk federal funds.
Typical maha-report; Our author formed a joint venture with Prince Bander Bin Adbulla Bin Mohammed Al-Saud of Saudi Arabia. After the business relationship between Harrison and Prince Bander broke down, Harrison was removed from his position as CEO. One year later, Prince Bander filed a lawsuit against Harrison in Washington, DC alleging claims of mismanagement, incompetence, and corporate malfeasance while Harrison was serving as the CEO. John Harrison v. Quivus Sys., Inc., C.A. No. 12084-VCMR (Del. Ch.)
This sounds like a good idea. Even in cities, specialists can be difficult to get into and it often adds another unnecessary layer to get to the care.
I think in addition to this, we do have to look at the pay structure. We can’t have the same companies financially tied to insurance companies, hospitals/healthcare systems AND pharmaceuticals. It has to be broken up somehow. They are purposely driving up costs for profits.
This is a much better system than we currently have, however much more needs to be changed. I had a cottonwood seed fly into my eye while driving a tractor down the road. I got it out, but two weeks later it became infected. I tried to make an appointment with an optometrist. The person on the other end of the line, a secretary I believe, told me that I needed a referral from my primary doctor. Having studied holistic and alternative health, I am savvy about health and do not even have a primary doctor as all we would do is argue about nearly everything. I am 68 years old and do more physical work each day in the summer than the majority of people in their 20's.
Asking me to go to a general practitioner for primary care would be ridiculous. So what this amounts to in my opinion is extortion. I eventually went to the ER where they gave me an ointment that did absolutely nothing. Then they sent me to an optometrist two days later when it did not improve. Had I not argued about the bill, I would have paid more than five thousand dollars when the optometrist bill was about fifteen hundred. This is another reason that I ardently take care of my own health and avoid doctors.
Medical Care is NOT healthcare. Health Care is Prevention...so people don't need to spend! My father raised 5 children without spending money. We didn't go to the doctor and we didn't use drugs. We were never that ill. We enjoyed all the usual childhood diseases with time-off from school. . My father believed in fresh air, sunlight and a lot of exercise. One of my brothers needed stitches for accidents a couple times, but that was it. My dad was totally into fitness. We had almost every sporting good that existed. It is a good thing that there was not much money left over for food, , because he did not know much about nutrition.
Accountable care organizations (ACOs) can and should step in to coordinate the care of the patient with the PCP and specialists. In my ACO experience, we have coordinated care between the specialists and the PCPs but have never had them in the same room virtually. What is proposed here is brilliant. The right care is provided at the right time. The patient benefits from only having to attend one visit and records are immediately shared to access all of the patients' conditions.
But specialty care is not the principal driver of costs in health care. Those are insurance and pharma.
Nor is "reviewing the records" the whole enchilada, either. Stubbornly, some things only become apparent with a physical exam.
For the record, waits for cardiology in this region (biggest city in the state and surrounding suburbs) is 90 - 100 days. Wait for neurology is 100 -120 days.
Primary care is increasingly being replaced with NPs with online training and three-month preceptorships. (As opposed to three year residencies for family practice or internal medicine.)
The problem is far more complex than depicted here.
Yes, far more complex. NPs may be great for the routine (if there is such a thing) sick visit, but for disease management a MD is needed. Yet, increasingly, even in the specialist office, patients pay MD fees to be seen by a NP. It’s not getting better, it’s getting worse. I do agree that costs are mainly being increased by pharma and insurance (as well a hospitals).
This option makes perfect sense. It would reduce time to care and costs, not to mention access. As a retired RN, I’ve wondered why we don’t utilize our Primary Care Physicians more. They know the patient best and can coordinate care amongst different specialists. Specialists are more concerned with their treatments and often disregard how it may affect another specialist’s treatment. I remember when the PCP called for a consultation but treated the patient. This sounds similar.
Are we focusing on the correct endgame? From the 10,000 foot view. Back to basics. The only reason we have a "healthcare crisis" in America is because we have a "health crisis"... predominantly of the chronic degenerative disease aka lifestyle variety.
The "creating health" conversation is separate and distinct animal from the "healthcare delivery" narrative. Healthcare delivery in America - as evidenced by the pharmacological disease treatment specific approach taught in medical schools - has never been about creating health.
Because of the lack of motivation and inability of our political institutions (include Big Food & Big Pharma ) - yes, at at the leadership level - to address the "upstream" issues causing the "downstream" health crisis... we need a bold new innovative approach, strategies and implementations that focuses specifically in Creating Health while we simultaneously address Healthcare Reform.
Possibility Thinking: Health Reform 2026: The Wellness Initiative
It's good to make the current system more efficient and save lives, time, and money, BUT it's still allopathic medicine. Primary care is the perfect place for root cause / lifestyle medicine. Re Rural Health Transformation Funding ... notice that the title says health not healthcare. My state gets $226 million a year thru 2031. I so hope we put some of our $$ on HEALTH transformation.
Is it callous to ask whether NO healthcare is better than ANY healthcare? Whether SOME healthcare is better than ALL healthcare? Whether, in short, the man in the story with "complex kidney disease and heart failure" was better off with treatment and, more difficult, whether society as a whole is better off paying to treat him? Lord, I can hear the chorus assault me and my death machine now, some committed to never allowing anyone to die and ascend to heaven and others committed to the proposition that whatever is available to a rich man must be made available to every comrad walking our streets. Yes, healthcare insurance bureaucracies, professional inefficiencies, and pharmaceutical mis-interventions are costing us our future, but what about the War on Death we're currently engaged in? A few big cures in the past couple of centuries (infant illnesses and infections come to mind) and our country is now ready to take on God's creation; we won WWII and now we're going to win every conflict we enter, including simultaneous kidney disease and hearth failure. The slippery slope of health costs can't be contained with smiley-face stickers; there will always be someone thinking he or she deserves more and we're back to the drawing board, trying to squeeze more money from policy-holders or taxpayers (with the threat that one day THEY will need the money) or trying to pinch more services out of healthcare pennies, usually by abandoning other services. What is my positive take-away for government? Limits. There's a basic level of service, beyond which you pay out of pocket. You will see how quickly hospitals and medical practices stop being the prey of investors and return to a simpler model. (By the way, the model words for food and food stamps, housing and its discontents, and education; trying to provide all things to all people is the loser's game we've played for a long time, frequently under duress.)
Sorry, But I am confused. Are you looking to a government program to solve this?
Guy with a PO Box fishing for seed money for his fledgling (since 2016) enterprise architecture startup (Gazuntite, from Quivus Online Clinic - Chapter 7, RIP) - "... to connect primary care physicians with on-demand specialists and pharmacists. The company's technology-based service ..."
Website is a template. This guy's looking to milk federal funds.
Typical maha-report; Our author formed a joint venture with Prince Bander Bin Adbulla Bin Mohammed Al-Saud of Saudi Arabia. After the business relationship between Harrison and Prince Bander broke down, Harrison was removed from his position as CEO. One year later, Prince Bander filed a lawsuit against Harrison in Washington, DC alleging claims of mismanagement, incompetence, and corporate malfeasance while Harrison was serving as the CEO. John Harrison v. Quivus Sys., Inc., C.A. No. 12084-VCMR (Del. Ch.)
https://www.delawarelitigation.com/files/2016/09/HARRISON-V.-QUIVUS-TRANSCRIPT-U0163158xAD8F3.pdf
https://ecf.dcb.uscourts.gov/cgi-bin/show_public_doc?2017-00119-58
Clearly MAHA has gone seriously sideways. This the latest...
This sounds like a good idea. Even in cities, specialists can be difficult to get into and it often adds another unnecessary layer to get to the care.
I think in addition to this, we do have to look at the pay structure. We can’t have the same companies financially tied to insurance companies, hospitals/healthcare systems AND pharmaceuticals. It has to be broken up somehow. They are purposely driving up costs for profits.
This is a much better system than we currently have, however much more needs to be changed. I had a cottonwood seed fly into my eye while driving a tractor down the road. I got it out, but two weeks later it became infected. I tried to make an appointment with an optometrist. The person on the other end of the line, a secretary I believe, told me that I needed a referral from my primary doctor. Having studied holistic and alternative health, I am savvy about health and do not even have a primary doctor as all we would do is argue about nearly everything. I am 68 years old and do more physical work each day in the summer than the majority of people in their 20's.
Asking me to go to a general practitioner for primary care would be ridiculous. So what this amounts to in my opinion is extortion. I eventually went to the ER where they gave me an ointment that did absolutely nothing. Then they sent me to an optometrist two days later when it did not improve. Had I not argued about the bill, I would have paid more than five thousand dollars when the optometrist bill was about fifteen hundred. This is another reason that I ardently take care of my own health and avoid doctors.
Medical Care is NOT healthcare. Health Care is Prevention...so people don't need to spend! My father raised 5 children without spending money. We didn't go to the doctor and we didn't use drugs. We were never that ill. We enjoyed all the usual childhood diseases with time-off from school. . My father believed in fresh air, sunlight and a lot of exercise. One of my brothers needed stitches for accidents a couple times, but that was it. My dad was totally into fitness. We had almost every sporting good that existed. It is a good thing that there was not much money left over for food, , because he did not know much about nutrition.
Tough crowd here today........
usual trolls. ;)
Accountable care organizations (ACOs) can and should step in to coordinate the care of the patient with the PCP and specialists. In my ACO experience, we have coordinated care between the specialists and the PCPs but have never had them in the same room virtually. What is proposed here is brilliant. The right care is provided at the right time. The patient benefits from only having to attend one visit and records are immediately shared to access all of the patients' conditions.
That's great. It really is.
But specialty care is not the principal driver of costs in health care. Those are insurance and pharma.
Nor is "reviewing the records" the whole enchilada, either. Stubbornly, some things only become apparent with a physical exam.
For the record, waits for cardiology in this region (biggest city in the state and surrounding suburbs) is 90 - 100 days. Wait for neurology is 100 -120 days.
Primary care is increasingly being replaced with NPs with online training and three-month preceptorships. (As opposed to three year residencies for family practice or internal medicine.)
The problem is far more complex than depicted here.
Yes, far more complex. NPs may be great for the routine (if there is such a thing) sick visit, but for disease management a MD is needed. Yet, increasingly, even in the specialist office, patients pay MD fees to be seen by a NP. It’s not getting better, it’s getting worse. I do agree that costs are mainly being increased by pharma and insurance (as well a hospitals).
This option makes perfect sense. It would reduce time to care and costs, not to mention access. As a retired RN, I’ve wondered why we don’t utilize our Primary Care Physicians more. They know the patient best and can coordinate care amongst different specialists. Specialists are more concerned with their treatments and often disregard how it may affect another specialist’s treatment. I remember when the PCP called for a consultation but treated the patient. This sounds similar.
Being a specialist now comes with work from home in addition to megabucks. What's not to like?
Are we focusing on the correct endgame? From the 10,000 foot view. Back to basics. The only reason we have a "healthcare crisis" in America is because we have a "health crisis"... predominantly of the chronic degenerative disease aka lifestyle variety.
The "creating health" conversation is separate and distinct animal from the "healthcare delivery" narrative. Healthcare delivery in America - as evidenced by the pharmacological disease treatment specific approach taught in medical schools - has never been about creating health.
Because of the lack of motivation and inability of our political institutions (include Big Food & Big Pharma ) - yes, at at the leadership level - to address the "upstream" issues causing the "downstream" health crisis... we need a bold new innovative approach, strategies and implementations that focuses specifically in Creating Health while we simultaneously address Healthcare Reform.
Possibility Thinking: Health Reform 2026: The Wellness Initiative
Overview @ www.HealthReform2026.org
Executive Summary @ https://tinyurl.com/58zkrsrp
Birthed from original 2009 Position Paper @ https://tinyurl.com/2dv3p7bj
Jump in on the conversation and forward these links, along with your thoughts, to your federal and state legislators.
your wellness OG, Go Big or Go Home
It's good to make the current system more efficient and save lives, time, and money, BUT it's still allopathic medicine. Primary care is the perfect place for root cause / lifestyle medicine. Re Rural Health Transformation Funding ... notice that the title says health not healthcare. My state gets $226 million a year thru 2031. I so hope we put some of our $$ on HEALTH transformation.
Diagnosed as having "complex kidney disease and heart failure". Sounds like a common covid jab injury.
This is the US sick care system, the most expensive and least effective in the world, hard at work.
The proposal outlined above seeks to cement that in place.
This is excellent news! As a retired RN, I’m so glad to be out of the system. They do everything based on income & best for the patient!
Stop pasting links to your irrelevant orange worship
Is it callous to ask whether NO healthcare is better than ANY healthcare? Whether SOME healthcare is better than ALL healthcare? Whether, in short, the man in the story with "complex kidney disease and heart failure" was better off with treatment and, more difficult, whether society as a whole is better off paying to treat him? Lord, I can hear the chorus assault me and my death machine now, some committed to never allowing anyone to die and ascend to heaven and others committed to the proposition that whatever is available to a rich man must be made available to every comrad walking our streets. Yes, healthcare insurance bureaucracies, professional inefficiencies, and pharmaceutical mis-interventions are costing us our future, but what about the War on Death we're currently engaged in? A few big cures in the past couple of centuries (infant illnesses and infections come to mind) and our country is now ready to take on God's creation; we won WWII and now we're going to win every conflict we enter, including simultaneous kidney disease and hearth failure. The slippery slope of health costs can't be contained with smiley-face stickers; there will always be someone thinking he or she deserves more and we're back to the drawing board, trying to squeeze more money from policy-holders or taxpayers (with the threat that one day THEY will need the money) or trying to pinch more services out of healthcare pennies, usually by abandoning other services. What is my positive take-away for government? Limits. There's a basic level of service, beyond which you pay out of pocket. You will see how quickly hospitals and medical practices stop being the prey of investors and return to a simpler model. (By the way, the model words for food and food stamps, housing and its discontents, and education; trying to provide all things to all people is the loser's game we've played for a long time, frequently under duress.)
A "complex" kidney dis-ease and heart failure, complete with masked monkeys.
Brilliant messaging to "Make" America healthy. Who decides to publish this garbage??
If you don’t like what you see, tune to another station!
Brilliant, Dix, what else ya got??