Amazon hired Atul Gawande, maybe the walking example of who you're writing about. Can we just admit there's no attractive profit margin in healthcare and get on with it?
Depends on how you define "attractive profit margin." I'd argue Haven aggregated people who mostly came from the same machinery responsible for the problem and didn't have the appetite to play the long game. I have a lot of respect for Atul Gawande, but he came from the AMC world.
Healthcare leadership feels like this never-ending chess game where we’ve tried almost every possible move. We’ve had outsiders come in thinking they could outmaneuver the system, legacy execs playing it safe with the same old strategies, and physician leaders who stepped off the front lines so long ago they’re playing from memory. Credit to everyone who’s made a move, some were bold, some were careful, but here we are, and patient outcomes haven’t really changed.
Now, the board is clearing. Fewer pieces left, fewer moves we haven’t tried. Maybe that means we’re finally at the point where something different that actually makes a real impact on patients’ lives, can happen. I'm actually quite disturbingly optimistic that it will happen in our lifetime. But it's taken awhile to run across someone with your viewpoint, so thanks for writing the article:)
If you review what you’ve written and apply this to the Pharmaceutical market you can quickly see not only how right you are but also how broken the model really is.
Applying typical “scale” models to healthcare has brought us treatments instead of cures. Flu shots are annual instead of one and done (some will say the ineffectiveness is because there are so many variants but one could also say there are are so many variants because of the ineffectiveness of the ‘vaccine” ), we now have “lifetime” medications. all these things are good for the investors and the companies they invest while not necessarily good for those that use them.
What doctors bring to the table is that they were taught to take care of the patient and the money will take care of itself. The current business model tries to take care of the investors and hopes the patients health takes care of itself.
They need to realize that in healthcare the physician is not the problem, they are the solution.
Amazon hired Atul Gawande, maybe the walking example of who you're writing about. Can we just admit there's no attractive profit margin in healthcare and get on with it?
Depends on how you define "attractive profit margin." I'd argue Haven aggregated people who mostly came from the same machinery responsible for the problem and didn't have the appetite to play the long game. I have a lot of respect for Atul Gawande, but he came from the AMC world.
Amen! Ben
Healthcare leadership feels like this never-ending chess game where we’ve tried almost every possible move. We’ve had outsiders come in thinking they could outmaneuver the system, legacy execs playing it safe with the same old strategies, and physician leaders who stepped off the front lines so long ago they’re playing from memory. Credit to everyone who’s made a move, some were bold, some were careful, but here we are, and patient outcomes haven’t really changed.
Now, the board is clearing. Fewer pieces left, fewer moves we haven’t tried. Maybe that means we’re finally at the point where something different that actually makes a real impact on patients’ lives, can happen. I'm actually quite disturbingly optimistic that it will happen in our lifetime. But it's taken awhile to run across someone with your viewpoint, so thanks for writing the article:)
If you review what you’ve written and apply this to the Pharmaceutical market you can quickly see not only how right you are but also how broken the model really is.
Applying typical “scale” models to healthcare has brought us treatments instead of cures. Flu shots are annual instead of one and done (some will say the ineffectiveness is because there are so many variants but one could also say there are are so many variants because of the ineffectiveness of the ‘vaccine” ), we now have “lifetime” medications. all these things are good for the investors and the companies they invest while not necessarily good for those that use them.
What doctors bring to the table is that they were taught to take care of the patient and the money will take care of itself. The current business model tries to take care of the investors and hopes the patients health takes care of itself.
They need to realize that in healthcare the physician is not the problem, they are the solution.