Does Technology Improve Healthcare or Access?

Does Technology Improve Healthcare or Access?

This article  (1) stirs my mind. By itself, it is food for thought about the future of American healthcare and the future of those unable to access advanced technology because of insurance coverage.

In the US healthcare arena, Medicare is the gold standard. Being the largest payer, as well as the Government, Medicare dictates what is covered and what is not.

Commercial insurers either try to meet Medicare standards or exceed them, to compete in providing health coverage to employers.

Access to advanced technology that is changing healthcare, allowing it to be delivered anywhere, is not available to everyone with insurance.

The elderly who are on Medicare have the worst coverage, with most of this advanced technology that is beneficial to them not covered. No coverage means no access. Medicare sets the standard for coverage of healthcare services.

Others who do not benefit from advanced technology that is transforming medicine, moving it to the communities where outcomes are determined, are Black & Brown communities. Impoverished neighborhoods in urban areas.

Only recently did Medicare lift the limitation on telemedicine to include care in patient homes. Still Most Black & Brown communities do not receive such access to telemedicine, where transportation limitations can make doctor office visits a hardship.

The above is an example of structural racism. In addition, Black & Brown community hospitals are under-staffed and the staff poorly screened. As well as not offering many technologies available in rural hospitals, such as telemedicine in the home. Other limitations include Black & Brown communities still lacking smart phones, which could deliver such services.

[ What is the penetration rate of smart phones in Black communities?  Anyone know?]

Doctors are leaving impoverished, homeless, mentally ill and Black & Brown communities behind. Without access to immediate life saving measures these communities are dying off. Infant mortality rates for Black women, despite income, are similar to that of a developing nation. Infant mortality is a standard indicator of health.

We need doctors to advocate policies that benefit patients and not drug and medical device companies. Doctors also need to stop letting insurance companies dictate patient care.

Please do share your thoughts.

  1. New Rules For Our Health’s Digital Future

    http://techcrunch.com/2016/01/02/new-rules-for-our-healths-digital-future/?ncid=tcdaily

Second Part in Series on How Doctors Kill Patients


Part One:  FFT: Are White doctors misdiagnosing Black patients? https://failuretolisten.com/2015/12/29/fft-are-white-doctors-misdiagnosing-black-patients/

Physicians Guide Patients Choice

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Physicians Guide Patient’s Choice of Treatment

Doctor Priorities vs. Patient Priorities

The link to Doctor Priorities vs. Patient Priorities, DANIELLE OFRI, M.D uniquely frames contrasting views of illness between patients and physicians. At the same time, she reminds that patients determine their care and physicians guide toward roads of health. Finally, our outcomes measures are lacking by putting  research parameters first.

A diabetic patient educated about his disease yet noncompliant with alarmingly elevated blood sugars headed for disaster without treatment but refusing. Similar to most physicians Dr Ofri does not bludgeon the patient nor refer him for psychotherapy   She takes times with multiple visits to understand her patient’s illness, contextually within the scope of his life as opposed to limiting her understanding of his illness to her priorities  as a physician.   For example, limiting her understanding to diabetes and its complications and not the impact of dietary changes or treatment options on a patient’s lifestyle.

A physician’s job is to help patients and do no harm. Patients have the right to refuse treatment; exception being impairment of decision-making capacities.  Physicians guide but it the patient’s choice of treatment.  A right to refuse treatment exists and cannot be dismissed unless the patient or guardian’s decision-making capacity is impaired.  Impairment is subjectively and always objectively evaluated and documented prior to removing that right.  Modern day medicine has forgotten these seemingly trivial standards but crucial  in protecting patients as well as providing effective medical care.

Dissimilar to Boston Children’s Hospital–most physicians find alternative non-adversarial resolutions for disputes over treatment (btw, these disputes happens often) Treatment plans developed in collaboration with patients are the most effective paths of engagement and trust, the pre-requisite to patient compliance and the road to health.

Parent-Ectomy a term coined by Boston Children’s Hospital seizure of  Justina Pelletier and other children from parents  with the  full support of the Department Children and Families in MA.  Parent-Ectomy Success derives from labels. Labelled patients are not only ignored and denied standard medical care  but often find themselves stuck fighting POWERFUL systems with deep pockets without funds or representation.

oath

Defamatory labels concocted by hospitals who have total control of  the patients medical records (information input) prime the system and other systems to pre-judge patients and discriminate.   Discrimination  compromises medical care,  results in misdiagnosis and missed diagnosis.    Discrimination triggered by buzz words in the medical records hinder attempts at recourse by patients.   Legal firms complicit in this organized maze of crime through policies that make their services inaccessible and unaffordable.

Glaring evidence refuting such labels cannot match POWERFULLY organized systems composed of concealed partnerships. Systems of no accountability, multitudinous sources of funding and MONEY, lucrative business partnerships offer complex armors of secret powers cloaked by judges, government agencies and law enforcement — fertile breeding ground for corruption and its lack of transparency.

Dr. Ofri poetically describes the art of medicine. Respecting patient’s wishes, honoring the oath to do no harm and, as a result, finding common focus that offers future opportunities for change on the path to health.

Great article!

 

 

Doctors with Crystal Balls

Do they belong together?
Do they belong together? Doctors and Crystal Balls

Doctors with Crystal Balls

by Angela Grant

It is terrible to be a patient and not be heard. Terrible to be in need, and that need ignored. Apathy seems to rhyme with this culture of domineering minds. Men of medicine who lack skills of listening miss the story, miss the diagnosis. Still clueless, they dismiss you. If only those doctors saw the hidden gem: the art and science in the words of the history and physical findings.

Now I am left to float wandering aimlessly about because listening, even purchased, is never in vogue particularly when god almighty gave doctors crystal balls. Use it, use it now, tell me why I feel so ill; can’t move my foot at will. Waited I did, patiently for this important exam… I saw the male resident who knew immediately. Oh yes, and his senile, attending in the role of supervisor came in for a ride.   The resident had the latest technology crystal ball plus an attending  and training from the best of them all. To my chagrin, his faulty ball, customized for clueless idiots with malicious gall, dismissed my symptoms as unreal despite the physical findings: my inability to move a foot,  an important finding. When did medicine rely on crystal balls and unsupervised residents to make ‘the calls’?

Almost as if I have to learn to communicate anew, to make doctors understand the mind and the body can be one. A problem in the mind or body can cause pathology. Why did this problem occur? They did not help instead attempted to create another.  My real problem: Oh… it’s not your field; pass it on for another to add-on.   Incomplete diagnoses, only speculations, data based on the average. Have you not figured out that I, like most, am not the average? Why so many die from common treatable problems?   Millions, ignored, whilst you doctors with crystal balls create mental hysteria.

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