Wednesday, May 30, 2012
I'm Not A Doctor, But I Play One On TV
Of course, any one remotely involved in health care knows that this is a farse. Wipe away the syrupy made for TV moment and what we are left with is one simple medical fact. You don't shock asystole, it's useless. Such subtleties are often lost on those who shape today's health care policy. And who could blame them? Most are politicians, administrators, or physicians who have long forgotten the practice of medicine.
Given the set of circumstances, the ACA is more sophisticated than it first appears. In fact, much credit must be given for the emphasis on demonstration projects. This is basic scientific method at it's best. Try a bunch of ideas and see which stick. I couldn't be more in agreement.
To Medicare's great embarrassment, recent demonstration projects have shown little measurable benefit for the lynch pins of health care reform: pay for performance and patient centered medical homes. There is no doubt in my mind that the same will eventually occur with ACO's. The problem arises, however, that in Washington, political expedience often carries more weight than courage. In other words, it may be of no benefit whatsoever to shock asystole, but when the film is rolling, the defibrillator paddles are charged and ready. It's a million dollar fundraising moment. Politicians like these.
But when the lights are turned down and the cameras shut off, we are left with a doctor who knows nothing of the practice of medicine and a health care system wrought with perverse incentives.
We need the real thing.
Not just someone who plays a doctor on TV.
Posted by Jordan Grumet at 5:46 AM