How can we ensure that world class medical facilities are received by people only when required with a reasonable cost?
Background Hospitals and Doctors who are supposed to serve the people, instead of accumulating wealth beyond need. However, the scenario is totally opposite. Our Health Care System is unjust because patients are discriminated based on their ability to pay. Some doctors will not see “No insurance / Self Pay ” or Medicaid patients, even though their degrees were issued by publicly funded medical and dental schools. Much of the medical research is supported with public tax money. Our health system is unjust because of huge profit taking. Forbes reports that two large Health Care Corporation CEO’s made $121 million and $57 million respectively in the last five years. While The Medical /Insurance Industry, and Pharmaceutical industries make billions in private profits,
http://pnhp.org/news/a-doctor-speaks-about-healthcare-big-business-and-justice/
Why hospitals have been commercialized? No Powerful leader, who can do the right things and put a stop to such heinous acts and explain the role which doctors, insurance companies and hospitals are supposed to do. This happens when all the powerful leaders and parties are getting funded by the healthcare industry to win elections.
Why Value system of Doctor's have fallen to an un-imaginable extent? Doctors have to pay huge amount to learn medicine and also they are only taught how to be profitable even after spending so much of money, otherwise the healthcare education system would not sustain themselves. Today anyone can become a doctor who has got good intellect and money - character and value systems of the person is not even thought even in dream by mistake as well. Even after people join medical science, they are hardly taught on their duty or moral obligations to the society. They are never educated to understand that they should not accumulate wealth beyond need. However, right opposite to that - Attractive offers are made showcasing the students how much money they can make, if they get enrolled in a particular stream of medicine.
Why Doctors don't get corrected even after seeing so many problems in the society and still are working only to accumulate huge wealth Society rewards and recognizes doctors who posses huge wealth(who travel in costly vehicles with big houses) and not to doctors who are doing service to the people without anticipating much out of them. Good doctors who are doing great service without even taking money are not even known to people, they do not even get any respect or reward either from the people nearby or society or government. In short - it is the problem of the people that we respect doctors who have forgotten their moral values and basics of their profession.
One Such Example - http://www.theweekendleader.com/Heroism/2355/doctor-poor.html
Why Medical students /Doctors / Insurance companies / Hospitals / other entities who are in this vicious circle cannot come out, quickly? Everyone is habituated to lead a luxurious life, with things which are not required. Also today everything runs with the money power. Even if the government wants to take stringent action, they will either not get the funds to fight elections or not get votes from the affected classes. Majority of people in politics and public administration are power hungry and very few people who want to serve the people cannot exercise much freedom as they know that even if they start doing the right things people do not have common sense to understand and help them back. People get influenced by unnecessary topics like religion, caste, reservation, subsidy, free offers, division by region, language, color, immediate personnel benefits ...and a lot more.
Why the media does not showcase the lifestyle/attitude/behavior of doctors against what should be ideal. How some of the good healthcare institutes/doctors are working to serve the people, in contrast to the people who are always thinking to accumulate wealth even after the patient is dead Media is always focused on topics which the public watch as they can earn only when the public is interested to see topics of interest which are impacting them. However, public today is more interested in junk topics which don't even add any value to them as well.
Finally, we want doctors to have a balanced life and to care for themselves and their families as well as for others. In sum, we want doctors to be happy and healthy, caring and competent, and good travel companions for people through the journey we call life. Unfortunately, we do not have a magic lamp, and there is no genie. We must use our own skills and endeavours to make the good doctors we want and need. It is an awesome responsibility.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1124230/
Good solutions should ensure that it fulfills as many conditions as possible in the best possible way
(1) Minimal cost for healthcare
(2) Doctor's and people in healthcare are able live with a good standard of living.
(3) Non commercialized healthcare system
(4) No differentiation in treatment to any one.
(5) People are not dependent on medical Insurance
(6) Provision for accidents and emergency cases to be treated without money.
(7) Capable of supporting natural disasters without any external support
(8) Doctors have basic moral responsibility to treat people without any greediness.
(9) Patients who are admitted for longer period get help to earn again
(10) Helps people to develop self confidence and motivation to be healthy and become better.
(11) Treats patients mentally while they are in hospital - added advantage to be in hospital
(12) People can learn something while they are sick - helps them to utilize the time in a productive way
(13) Generate more employment opportunities
(14) Helps people not to fall sick again for the same disease
(15) Reduces the need for any family member to be around during treatment
(16)
- KKrishna Heda @krishnaheda
Most of time we think for solutions in a traditional way, to solve our existing problems. However, in doing so .. we are more or less circling the same path and cannot Uolve further. Hence the below solutions are highly innovative in nature, and we should be open to move and act differently to solve our issues.
(-2) Medical colleges will to move into non-profit model with very frugal way of management. This will reduce the cost of becoming the doctor significantly and also the cost of education will be covered by the education fund as per the suggestion offered in the below link.
https://uolve7.talkyard.net/-41/why-worlds-best-education-is-very-costly-and-still-cannot-embed-right-values-and-help-people-to-be-e
To be eligible for admissions for any doctors degree, the student will not only be required to have the intellect(by passing the exam) but also should be able to showcase a practical project work/certificate where they have helped the needy people without any money/earnings. The candidate will be screened to check all the documents and will be asked to sign and acknowledge that they are going to spend their life to serve people without any intent to hoard money for selfish purposes and agree to live a very simple and modest life, which should be an example for others to follow. This will help to get the right people in the healthcare industry and avoid people who want to run businesses and make profits while treating people.(-1) All hospitals have to move into a non profit model with standardized practices, treatment, fees, uniform and cost(No 5 star hospital concept). Expenses of running a hospital with same number of treatments will be compared with other hospitals - to quickly find best practices and get the same replicated across all the hospitals. Hospital names will also be standardized by using alpha numeric numbering system, similar to our vehicle registration number.
Post treatment, patients will be able to provide ratings on various services offered by the hospital/doctor and will be visible to everyone online. This will help the doctors and hospitals to maintain highest standards to get continued patients for treatment.
(0) ) Doctors and people who are in healthcare will not be required to pay any taxes and will have zero deductions on all the credits received . They will be required to be certified by the hospitals and also will be verified by an independent body. However, All Doctors/nurses and people in medical care will have an upper limit of earnings in a month and post which all the amount will go into medical care fund. In case, if the earnings are very less in any month - their names will be highlighted for hospitals to take their services. In Villages instead of constructing clinics, we will have doctor on call service. Doctors which are not utilized can be channelized here. However, the feedback received from the patients will play a important role for them to get opportunities to serve the people. Close family members of doctors will be under scrutiny when they receive money without any reason and any such discrepancies made by the doctor with the help of family members will lead to penalty and can result in black listing ( Doctors taking money from pharma companies to prescribe only specific drugs or commission from the pharma shops)
(1) Patients will not pay the amount immediately for their treatment. The amount will be paid by the societies accumulated funds for medical care. However, post the treatment automatic deduction of a certain(x) percentage of amount on all credit's in all the accounts will start on every amount received by the patient, post crossing the basic income slab. Regular medicines will have to be brought by the patients by themselves. All patients will be expected to pay the entire amount of bill during their lifetime. Proceeds from the property sold by the patient after (or just before the treatment) will, first be credited to meet the outstanding medical bills. In case of death, the first share of the property will go to pay the bill of the hospitals and medical expenses. (excepting from any event related to accident or any natural disaster). In case of non recovery of funds - nearest blood relation will be requested to pay the pending amount to ensure that the system runs smoothly(the payment is not mandatory).
Provision for other earning members of the family to tag themselves to pay for the treatment, when their close family members (Mother, father, sister, aunt, uncle) who are not earning. This helps people to earn more karma points apart from money which will have more value in the society)
Refer point 2 in the solution - https://uolve7.talkyard.net/-40/digital-payments-offer-so-many-benefits-still-we-are-not-able-to-adapt-to-it-how-can-we-ensure-100-dThis method will ensure that unnecessary expense of any other person not living well is not borne by the society and the person selects the cheapest mode of treatment. (Currently, a person to cure a simple ailment is getting admitted in a 5 star hospital and also does not worry about the number of days of stay in the hospital as the same is covered by the insurance) Currently, people with all the wrong habits take up medical insurance to pay for the medical expenses. It is the societies money which is going to pay up all the medical expense of a person, who did not live a proper life is not actually fair. This also makes the person think to live a healthy lifestyle.
In order to create such a medical fund, one time charge of taking ~1% on all the credits in all the accounts for one year. In next, subsequent years only the deficit amount which was not recovered from the people will be charged proportionately basis the income of people above a specific limit.
(2) All pharmaceutical companies or any company which manufactures medicines will be required to pay 5% of taxes and this will go into the medical fund and used to treat people. Currently, this was used for some other purpose. Tax payers will know that their money is used for a noble cause. (Also the taxes are very high for many pharma companies, this will help them to reduce the prices)
(3) Treatment to cure people who have got injured in road accidents will be borne by the vehicle insurance amount paid by people. Currently most of the companies are making huge profit and are not using the profits for the service of the people.
(4) Expenses to treat people during natural calamities will be paid from fund and the same will be charged to all people in the next year. This ensures that no additional amount is collected, currently people pay insurance amount and the same is not utilized to treat people during natural calamities and only makes the insurance companies go richer.
(5) In all the hospitals patients will be given tips on how to live a healthy life style, how to stay positive and be motivated in the form of audio visuals. Patients will be shown motivational videos on how people have recovered from similar diseases quickly. Where people have undergone significant surgery employment assistance programs will also be provided by having tie ups with companies/industries/NGO's
In hospitals - people from a specific background or industry will be shown the best practices and tips to earn in a better way. This will help people in hospitals to spend their time in a much better way.
(6) Patients can get health tips and advise basis the treatment on the digital devices. All the health records can be stored in the digital format to provide suggestions to patients. Also refer the below solution of having digital next generation watch to make digital payments, which will also help citizens to avoid visiting hospitals.
https://uolve7.talkyard.net/-40/digital-payments-offer-so-many-benefits-still-we-are-not-able-to-adapt-to-it-how-can-we-ensure-100-d(7) Time taken to treat the disease/ailment will be compared against the standard benchmark. Doctors will be required to provide reasons for the delay in treatment by providing artifacts.
(8) All hospitals will follow "go green" by using reusable and recyclable materials to ensure that it has got minimal impact on environment. All hospitals will start functioning on zero paper use, unless patients requires printed copy.
(9) All treatments and medications provided will be sampled and checked by people who are learning medicine and also by experienced doctors - they will seek clarifications from the doctors treating the patients where ever required. This is currently done by the doctors or people hired by insurance companies to validate the claims. (The same people can be used here with similar packages, so that there is no loss of employment). The need for such people will grow as it will be for the entire population.
(10) Medical funds will also be used to upgrade and construct hospitals and standardize the services everywhere.
- KIn reply tokrishnaheda⬆:Krishna Heda @krishnaheda
प्राण (Pran)
Most of the time we think of solutions in a traditional way, to solve our existing problems. However, in doing so .. we are more or less circling the same path and cannot Uolve further. Hence the below solutions are highly innovative in nature, and we should be open to move and act differently to solve our issues.
(-2) Medical colleges will move into non-profit model with a very frugal way of management. This will reduce the cost of becoming the doctor significantly and also the cost of education will be covered by the education fund as per the suggestion offered in the below link. Why Worlds best education is very costly and still cannot embed right values and help people to be ego free? To be eligible for admissions for any doctor's degree, the student will not only be required to have the intellect(bypassing the exam) but also should be able to showcase a practical project work/certificate where they have helped the needy people without any money/earnings. The candidate will be screened to check all the documents and will be asked to sign and acknowledge that they are going to spend their life to serve people without any intent to hoard money for selfish purposes and agree to live a very simple and modest life, which should be an example for others to follow. This will help to get the right people in the healthcare industry and avoid people who want to run businesses and make profits while treating people.(-1) All hospitals have to move into a non-profit model with standardized practices, treatment, fees, uniform and cost(No 5 star hospital concept). Expenses of running a hospital with same number of treatments will be compared with other hospitals - to quickly find best practices and get the same replicated across all the hospitals. Hospital names will also be standardized by using alpha numeric numbering system, similar to our vehicle registration number. Post-treatment, patients will be able to provide ratings on various services offered by the hospital/doctor and will be visible to everyone online. This will help the doctors and hospitals to maintain the highest standards to get continued patients for treatment.
(0) ) In case, if the earnings of Doctors/nurses are very less in any month - their names will be highlighted for hospitals to take their services. In Villages instead of constructing clinics, we will have a doctor on-call service. Doctors which are not utilized can be channelized here. However, the feedback received from the patients will play an important role for them to get opportunities to serve the people. Close family members of doctors will be under scrutiny when they receive money without any reason and any such discrepancies made by the doctor with the help of family members will lead to penalty and can result in blacklisting ( Doctors taking money from pharma companies to prescribe only specific drugs or commission from the pharma shops)
(1) Patients will not pay the amount immediately for their treatment. The amount will be paid by the accumulated funds for medical care. However, post the treatment automatic deduction of a certain(x) percentage of amount on all credit's in all the accounts will start on every amount received by the patient, post crossing the basic income slab in the month. Regular medicines will have to be brought by the patients by themselves after treatment( if the patient is not able to buy medicines, his income and earnings will be checked and basis that free medicines will be provided). All patients will be expected to pay the entire amount of bill during their lifetime. Proceeds from the property sold by the patient after (or just before the treatment) will, first be credited to meet the outstanding medical bills. In case of death, the first share of the property will go to pay the bill of the hospitals and medical expenses. (excepting from any event related to accident or any natural disaster). In case of non-recovery of funds - the nearest blood relation will be requested to pay the pending amount to ensure that the system runs smoothly(the payment is not mandatory).
This will also ensure that people are more careful about their health and take precautionary measures. Currently, people have become careless as they have insurance cover to protect them.
Provision for other earning members of the family to tag themselves to pay for the treatment, when their close family members (Mother, father, sister, aunt, uncle) who are not earning. This helps people to earn more karma points apart from money which will have more value in the society)The प्राण (Pran) innovative medical care and life insurance service for people who cannot pay will be charged to people basis the excess expenses incurred after revenue/collection every month with an automated intelligent algorithm set based on earnings of people. We will look at integrating all the insurance companies across the world to create synergies and provide great value to everyone with minimal costing without impacting the employees of the insurance companies who are working.
This method will ensure that unnecessary expense of any other person not living well is not borne by the society and the person selects the cheapest mode of treatment. (Currently, a person to cure a simple ailment is getting admitted in a 5 star hospital and also does not worry about the number of days of stay in the hospital as the same is covered by the insurance) Currently, people with all the wrong habits take up medical insurance to pay for the medical expenses. It is the societies money which is going to pay up all the medical expense of a person, who did not live a proper life is not actually fair. This also makes the person think to live a healthy lifestyle.
(2) All pharmaceutical companies or any company which manufactures medicines will be required to pay 5% of taxes and this will go into the medical fund and used to treat people. Currently, this was used for some other purpose. Tax payers will know that their money is used for a noble cause. (Also the taxes are very high for many pharma companies, this will help them to reduce the prices) Advertisement of generic drugs that are available at an fraction of the prize will be marketed for people to save money. The tax amount will be used in doing research for better natural medicines, to ensure that people do not charge exorbitant prices for medicines.
(3) Treatment to cure people who have got injured in road accidents will be borne by the vehicle insurance amount paid by people. Currently, most of the companies are making huge profit and are not using the profits for the service of the people.
(4) Expenses to treat people during natural calamities will be paid from fund and the same will be charged to all people in the next year. This ensures that no additional amount is collected, currently, people pay insurance amount and the same is not utilized to treat people during natural calamities and only makes the insurance companies go richer.
(5) In all the hospitals patients will be given tips on how to live a healthy lifestyle, how to stay positive and be motivated in the form of audiovisuals. Patients will be shown motivational videos on how people have recovered from similar diseases quickly. Where people have undergone significant surgery employment assistance programs will also be provided by having tie-ups with companies/industries/NGO's
In hospitals - people from a specific background or industry will be shown the best practices and tips to earn in a better way. This will help people in hospitals to spend their time in a much better way.
(6) Patients can get health tips and advice basis the treatment on the digital devices. All the health records can be stored in the digital format to provide suggestions to patients. Also refer the below solution of having digital next-generation watch to make digital payments, which will also help citizens to avoid visiting hospitals. Digital payments offer so many benefits, still we are not able to adapt to it. How can we ensure 100% digital payments?
(7) Time taken to treat the disease/ailment will be compared against the standard benchmark. Doctors will be required to provide reasons for the delay in treatment by providing artifacts.
(8) All hospitals will follow "go green" by using reusable and recyclable materials to ensure that it has got minimal impact on the environment. All hospitals will start functioning on zero paper use, unless patients requires printed copy.
(9) All treatments and medications provided will be sampled and checked by people who are learning medicine, insurance employees and also by experienced doctors - they will seek clarifications from the doctors treating the patients where ever required. This is currently done by the doctors or people hired by insurance companies to validate the claims. (The same people can be used here with similar packages, so that there is no loss of employment). The need for such people will grow as it will be for the entire population.
(10) Medical funds will also be used to upgrade and construct hospitals and standardize the services everywhere.
(11) On the death of any citizen, the family members/nominee will be paid a standard amount of 1 lakh (after the age of 1 year) to meet the immediate funeral and other expenses and help to ensure that the nominee and the dependent get employment opportunities. This will ensure that every citizen will also have a basic minimum life cover to support their family in case of any emergency and ensure that the funeral is done properly.
In order to create such a medical fund, one-time charge of taking ~1% on all the credits in all the accounts for one year. Next, subsequent years only the deficit amount which was not recovered from the people will be charged proportionately basis the income of people above a specific limit.
- MIn reply tokrishnaheda⬆:manish puniya @manish1991
This is really a thoughtful question! It is difficult to balance the strength with access to world -class healthcare. Strengthening preventive care, investing in public health systems, and using insurance in a way can ensure that people get quality treatment only when necessary - without it it became a major financial burden.
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