In one of my blog posts, I characterized Obamacare as a cookie monster. I closed with this paragraph;
He says these monsters can be conquered and brought into the hospital corral.
Prediction – This isn’t going to happen on grand scale. Patients have more confidence in their own judgment and that of their physician than in science, as set forth in government guidelines.
Prediction - Americans are more likely to listen to their own healers and to adopt their own solutions, rather than mimic other country’s systems and solutions. Policy makers may think “global’ but they act “local.”
Prediction - We would be wise to learn from successful clinical experiments from large organizations But ie hasn’t happened yet, and it may not because, to paraphrase Tip O’Neil, “All health care is local.”
Prediction - When you or your relative is sick, enough is never enough. The best way to rein this monster is malpractice reform, including loser pays. Unless this is acknowledged by Berwick and Obama, not much will change.
Prediction - As long as Obama and people like Berwick preach the gospel of entrepreneurship as equivalent to greed, innovation will be stunted because “profit” is necessary for disruptive innovations to occur.
Prediction - This is not helpful. How do you know something will help unless you try it and it fails. I predict government will be unable to stifle innovation through punitive regulations, as abandonment of the he medical device tax will show.
Prediction: This is already happening , but it is a state-by-state process. It depends not only on physician acceptance but public acceptance.
Prediction – This is classic liberal position that somehow the rest of us are against the poor. In the case of Medicaid, the truth is that the states say they handle Medicaid better than the feds without going broke.
Prediction – This is overstated. The hospice movement will continue to grow, and so will palliative care. To say otherwise is its own form of “cruel rhetoric.” No one has a monopoly on compassion.
Here is one’s reader comment on the 11 monsters,
“Dr. Berwick somehow forgot the number one monster that is threatening our healthcare system. That is a bloated, overreaching, hyper-political Federal government, populated by holier-than-thou political apparatchiks like himself…. Dr. Berwick sees everything through the eyes of government. In one breath, he says we must "defend the poor" by which I assume he means bankrupting the taxpayers through ever higher Medicaid expenditures, but in the next breath he decries end-of-life care, because it costs the government too much.”