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    The High Cost of Health Care

    December 4th, 2007

    by Nick Jacobs

    The November 25th, Sunday, New York Times editorial provided an in depth analysis of "The High Cost of Health Care." Six possible solutions were identified that could possibly assist in ameliorating this accelerating problem: Geography, the wide variances that occur in pricing based upon location of the service; Stick to What Works, a demonstration that only those treatments that actually have proven merit should be utilized by the physicians; Managed Care, it worked for a while, but too heavy of a hand would cause passionate kickback by both the population and the physicians; Information Technology, knowledge is power and this will produce more efficient use of the system; Prevention, everyone knows that attention to prevention works; Disease Management through comprehensive management of chronically ill patients; and finally, Drug Prices, drugs are more expensive in the United States.

    The seventh and probably most important means to reduce health care costs was omitted by the Times, and by what seems like 75 percent of physicians most days, and that is Hospice care. Approximately 30 percent of all health care dollars spent in the United States are spent on the last thirty days of life. If we are close to 2.2 trillion dollars in expenditures, then divide by three and see what an impact Hospice could have on our expenditures.

    Comments:

    Comment from: Mike [Visitor]
    Hospice care is expanding at an annual rate of fifteen percent. And we baby boomers are just starting to enter the pipeline. Without concerted action to educate physicians and the public-at-large about the many positive care options offered by hospice, the escalating cost of health care and the ballooning population base requiring care will force us to rapidly expand hospice care by default, thus compromising the very quality of care/quality of life factor that makes hospice so valuable. We all intuitively know that this reality is waiting for us just over the ridge. But as long as the system doesn’t collapse and big bucks can be made by pushing every conceivable modality of treatment on patients to make sure they continue breathing regardless of the devastating impact it has on their quality of life, we’ll continue to limp along. But chaos theory cautions us that the more comfortable we get with a given condition, the longer it will persist and then when the condition fails, the more dramatic the correction. Just witness the current subprime mortgage debacle. Three months ago we were told it would only have an isolated impact on financial markets.
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    Safety Tip

    Hospital facilities built today do not include asbestos, but many older buildings still have asbestos components in them. Steam pipes, boilers and furnace ducts were often insulated with an asbestos blanket or asbestos paper tape because of their fireproof and insulating properties. Resilient floor tiles were made from vinyl asbestos. Asbestos cement was employed in roofing, shingles and siding materials. The hazard of this carcinogen increases when the fibers become airborne, and untrained contractors can inadvertently increase risks by cutting, tearing, sawing, scraping, or sanding asbestos materials. Elevated asbestos levels can occur in hospitals where old materials are damaged or disturbed. It is best to leave undamaged asbestos material alone if it is not likely to be disturbed. Inhaling asbestos fibers is known to cause mesothelioma and other diseases. Be sure to use an experienced asbestos removal contractor when you need to get rid of old materials that might contain asbestos.