America’s healthcare system is nearing the edge of its own perfect storm. The system is broken.
Examples like the now-defunct Soviet Union have confirmed that centralized government control employing coercion through regulation or edict is not a good solution. America is the best current example of a democracy in which people loan their power to the government but remain the ultimate decision makers.
This attempt at centralized governmental control has spawned many of the raging storms we have today-- dissatisfied patients, restricted access, huge numbers of uninsured, unacceptable medical mistakes, a lack of information technology, and upwardly spiraling costs. These issues are exacerbated by our growing reliance on the government to pay for services
It is an objective reality that we are not producing enough educated 18-year olds capable of sustaining this society in the 21st century.
The depth of this problem dictates that we must be bold in finding a solution. This includes serious considerations of notions like waiving interest on student loans for undergraduates that major in math or science.
We must rethink how we educate our children in math and science. In my judgment it is harder than most other kinds of learning. There are many reasons in a wealthy society that people at the margins do not go into math or science. One is the fact that there is no immediate advantage to majoring in something that is harder and requires more work.
We should go beyond force-feeding numbers and theories to a level of discovery where a child wonders what the answers are and goes in search of them for the excitement of it.
Space exploration has also been the most successful vehicle for translating the need to invest in science and discovery to the American people. It is a visible, tangible, results-oriented program that instills national pride and helps us quickly understand why research is important. There is something magical about space exploration that microscopes and lab coats cannot convey.
The NASA community is aware of how incredibly important it is to continue to push the boundaries of our knowledge and its benefits to our society, starting of course with the astronauts themselves.
69% of workers aged 45 to 74 reported that they plan to work in some capacity in their retirement years, even if they won the lottery. For those aged 33 to 52, the younger boomers, 75% said they would work into their retirement years.
The baby boomer’s desire to stay active is good news for the economy. We must recognize that rethinking government rules for retirement and reforming Medicare to encourage economic activity are key steps toward a better future. The policies that may have made sense in earlier eras when people died younger are simply not applicable in an era when more people are healthier longer.
A basic principle for a 21st Century System of Health and Healthcare for people with disabilities is to keep these individuals independent for as long as possible.
We should be exploring tax credits and other financial incentives to encourage companies to develop the right technologies for people with disabilities.
Now, people who can benefit from technologies are often prevented from acquiring them because they are expensive and insurance companies are reluctant to pay for them.
Medicare must be strengthened to include a focus on outcomes-based healthcare. Immediately drugs should be reimbursed in order to de-incentivize reactive acute care. However, the current budgetary structure is clearly biased in favor of reactive care.
It should not matter if a patient is treated in a hospital, in a doctor’s office or in their home. The flow of resources should follow the patient and not be driven by a series of bureaucratic structures.
Transforming health and healthcare is urgent, because it is about saving lives and saving money. Never before have we been at this historic moment in time where transforming a system as big as health and healthcare can and will mean so much to so many. The urgency comes from the ability to save thousands of lives every year if only we would transform the system to take advantage of the technology available to us right now.
Tranformation of healthcare is doable if we each do our share of the lifting. As an individual, become more responsible for your own health. As a user of healthcare, become proactive with your healthcare providers. As a citizen, let your voice be heard.
Biological threats for which we have no rapid diagnostic tests & no drug treatments are so great that we should consider the preparation of a biological defensive system the highest priority in the American national security system and the most important job facing the new DHS.
The above quotations are from Saving Lives and Saving Money Transforming Health and Healthcare, by Newt Gingrich, with Dana Pavey and Anne Woodbury. Click here for main summary page. Click here for a profile of Newt Gingrich. Click here for Newt Gingrich on all issues.
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