Which sick care problems do you want the next president to fix?

Which sick care problems do you want the next president to fix?

The presidential campaigns are increasingly focused on the personality and capabilities of the candidates to lead in the next four years. The policies they are likely to support have taken a back seat and have been reduced to sound bites.

Sick Care, USA, is riddled with problems that no one president can solve in four years.

Here is my prioritized wish list:

Prior authorization

Long used as a tool to control spending and to promote cost-effective care, prior authorization in health insurance is in the spotlight as advocates and policymakers call for closer scrutiny about its use across all forms of health coverage.

Burnout

The cost of care in the United States

Graduate medical education allocation and funding reform

Hospital consolidation/private equity anti-trust enforcement

While other publicly traded, for-profit health systems have reduced their hospital portfolios in recent years, Nashville, Tenn.-based HCA has grown.

HCA ended 2023 with 186 hospitals, up from 179 in 2019. The system has continued to expand in 2024, finalizing the acquisition of a Texas hospital and entering an asset purchase agreement with a New Hampshire system, while also selling a California hospital.

Saving private practice

In many ways, it is difficult to truly convey the current state of private practice. Compounded by various factors, including but not limited to radiology health policy and of course the aftermath of the unprecedented coronavirus disease 2019 (COVID-19) pandemic, the next few years will likely bring more uncertainty and challenges to private practice than currently exist.

Data interoperability

AI responsible use

Physician payment reform

Supporting physician innovation and entrepreneurship

All the above will help with THE BIX FIX: Changing sick care to healthcare.

Given the present state of acrimony, I'd settle for one.

Arlen Meyers, MD, MBA, is the President and CEO of the Society of Physician Entrepreneurs on Substack.

Tim Perry, MPA, MS, ITIL, CISSP

Entrepreneur, Shared Services / IT / InfoSec Strategic Advisor, Health & Well-being Advocate, Husband and Father.

4 个月

Arlen Meyers, MD, MBA , My one wish would be for a return to real, affordable food. Food grown by farmers who care about their produce and the environment, not corporations which watch the balance sheet. Food delivered in whole for consumers to prepare according to their lifestyle and cultural needs, not highly-processed or ultra-processed food-like substances that endanger our microbiota. Food that becomes part of a meal that is shared with family, friends, and even Community and not simply sustenance consumed in isolation. If we could get this one thing right there would be a plummet in chronic diseases, fewer dollars into sick care, and probably many happier people.

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