A Quote by Richard Lamm
We need to start training more primary health providers and fewer specialists. We will never be able to control health care costs unless we challenge the over-emphasis on medical research, specialists and technology and put more emphasis on delivering good, everyday basic medicine to those who now have none.
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The quality of health care in Germany is not as good as people sometimes believe it to be. We have problems with chronic diseases. The German system allows too many hospitals and specialists to treat chronic diseases. We do not have enough volume in many institutions to deliver good quality, and we do have fairly strict separations ... between primary physicians, office specialists and hospital specialists. But I think the quality problems can be solved in the next couple of years, and we have made major progress in diabetes, coronary artery disease and pulmonary disease care.
Medical disenfranchisement is fueled by a host of factors that include worsening shortage of primary care doctors in needy communities and a troubling scarcity of providers willing to treat the uninsured or publicly insured. Adding to the trend are fewer medical students choosing primary care over more lucrative and specialized fields.
Health care is one-sixth of our economy. If the government can control that, they can control just about everything. We need to understand what is going on, because there are much more economic models that can be used to give us good health care than what we have now.
One of the things we need to do is address mental health care as an integral part of primary care. People often aren't able to navigate a separate system, so you see successful models where a primary care physician is able to identify, diagnose, and concurrently help people get mental health treatment who have mental health issues.
It is when physicians are bogged down by their incomplete technologies, by the innumerable things they are obliged to do in medicine when they lack a clear understanding of disease mechanisms, that the deficiencies of the health-care system are most conspicuous. If I were a policy-maker, interested in saving money for health care over the long haul, I would regard it as an act of high prudence to give high priority to a lot more basic research in biologic science.
Health care costs are on the rise because the consumers are not involved in the decision-making process. Most health care costs are covered by third parties. And therefore, the actual user of health care is not the purchaser of health care. And there's no market forces involved with health care.
We do not need more material development, we need more spiritual development. We do not need more intellectual power, we need more moral power. We do not need more knowledge, we need more character. We do not need more government, we need more culture. We do not need more law, we need more religion. We do not need more of the things that are seen, we need more of the things that are unseen. It is on that side of life that it is desirable to put the emphasis at the present time. If that side be strengthened, the other side will take care of itself.
I was one of those people who put too much emphasis on work and career and material possessions, and it took its toll on all my relationships, on my physical health, my emotional and mental health.
A truly moral health care system should start out by covering all of its citizens with basic health care. It would not be seduced by its technology and fancy buildings.
Government investment unlocks a huge amount of private sector activity, but the basic research that we put into IT work that led to the Internet and lots of great companies and jobs, the basic work we put into the health care sector, where it's over $30 billion a year in R&D that led the biotech and pharma jobs. And it creates jobs and it creates new technologies that will be productized. But the government has to prime the pump here. The basic ideas, as in those other industries, start with government investment.
On the information technology side, health care is still behind other industries. There needs to be a real push to create better electronic health records, more inter-operability amongst various types of electronic systems and cybersecurity is becoming a huge deal in in health care. Health care records are highly sought after by virtue of the fact that not only do you have somebody's person financial information, you also have their person medical information.
The health-care sector certainly employs more people and more machines than it did. But there have been no great strides in service. In Western Europe, most primary-care practices now use electronic health records and offer after-hours care; in the United States, most don't.
I am pro-life. I am also supportive of health savings accounts, which ensure that women have the freedom to control their own health-care decisions, among numerous other reforms - like purchasing across state lines - to give Americans more control over their own health care.
In the world of maternal health, cell phone technology is being used to provide prenatal care, linking pregnant women to health care providers when they can't otherwise reach healthcare facilities.
One of the biggest reasons for higher medical costs is that somebody else is paying those costs, whether an insurance company or the government. What is the politicians' answer? To have more costs paid by insurance companies and the government. ... [H]aving someone else pay for medical care virtually guarantees that a lot more of it will be used. Nothing would lower costs more than having each patient pay those costs. And nothing is less likely to happen.
Every country in the world is battling the rising cost of health care. No community anywhere has demonstrably lowered its health-care costs (not just slowed their rate of increase) by improving medical services. They've lowered costs only by cutting or rationing them.
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