Abstract
The United States (US) health care system is sick. High cost affects the nation and the people. The poor outcomes mainly impact the patients. If we do not fix it, the system will implode because of the unsustainable economic burden.The choice to shape the health care system on the “pin factory” model described by Adam Smith is the cause of the failure. The key players in the health care system are accordingly molded.Many factors tightly intertwined need to be addressed. Medical education, the role of family doctor, the overspecialization and, not least, the translation of discoveries into clinical practice are among them.The failure of the US health care system is a complex and multi-factorial issue which requires a global approach.
Highlights
Written records and physical remains found in Deir el-Medina in Egypt reveal the first documented governmental health care system running around 1292 B.C
The model has been implemented at the University of Utah Health Care since 2012: the results showed a -15% cost/year and better outcomes
What we need most is the will at the leadership level in each sector to do it, from medical education to research, from funding to planning, not least from publishing journals
Summary
The model has been implemented at the University of Utah Health Care since 2012: the results showed a -15% cost/year and better outcomes. To do so we have to scratch the compensation model, on which the health care system is based which rewards piecework, procedures and technology to establish a new system where general physician can sit and listen to his patient: time is essential for it. When millions of individuals have no access to health care, it goes against human rights’ ethic to financially support medical research if it is not translatable into clinical practice [45]. Research plays an essential role in improving health care It requires good minds, time and money. They too should swear to uphold the Hippocratic Oath: “first, do no harm.”
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