The Healthcare Money Pit

Money Games in Healthcare and How To Solve them

By Dr. Nick van Terheyden aka Dr. Nick
Twitter: @drnic1
Host of Dr. Nick: The Incrementalist#TheIncrementalist

On this episode I talked to Marty Makary, MD, MPH (@MartyMakary) Professor Johns Hopkins School of Medicine & Bloomberg School of Public Health Editor of Medpage, and author of The Price We Pay – What Broke American Healthcare – and How to Fix It (released Jun 8, 2021) and Unaccountable which is the basis of Fox’s medical drama The Resident, and an impressive minimally invasive medical practice that included pioneering the first laparoscopic Whipple’s procedure carried out in Johns Hopkins.

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We dive into the US healthcare system that continues to fail our citizens and was subject to an extensive nationwide tour that offered eye-opening insights into the lives of people struggling to work and to navigate the healthcare system. Marty boils down the three primary drivers of why healthcare costs so much in the US:

  • Pricing Failures (that facilitate price gouging, and predatory billing)
  • Appropriateness of Care
  • Care Coordination

The good news is there is plenty of positive change happening in healthcare with alternative approaches and practices that are changing the way we think about wellness and care, such as treating diabetic patients with cooking classes instead of insulin, and back pain with phsycian therapy instead of surgery and opioids.

We dive into the failures of the Pandemic response in the US that included the inability of the NIH to pivot any of the billions of dollars of available budget towards COVID19 related research and science and how the US response compared to other countries failed to capitalize on science and knowledge quickly leaving many finding workarounds and alternative methods to communicate.

Listen in to hear Marty discuss the failure of leadership and the flawed vaccination strategy based on a rationing system that was misapplied and hear what he has to say when summarizing what we learnt from the Pandemic and how this compares to current and future health crisis that will continue to challenge our world and what we should be doing to rectify this.

About the Show
For years Dr. Nick van Terheyden aka Dr. Nick, has served as a voice on the impact of new technologies on healthcare, earning a reputation as a leading authority on where the future of medicine is going. Combining powers of observation and real world experience, Dr. Nick has seen many predictions come true and makes the case that innovations in healthcare can be accomplished incrementally, not just by moonshot events. Tune in to hear Dr. Nick: The Incrementalist and his guests discuss what the future of healthcare looks like, how we will get there, and what it will take to improve healthcare for all.

This article was originally published on the Dr. Nick – The Incrementalist blog and is republished here with permission.