U.S. HEALTHCARE REALITIES
•Misaligned incentives: Treatment over wellness; “More is better”•Affordable Care Act impacts•Nationwide Primary Care shortage
U.S. HEALTHCARE REALITIES
•Physician shortages•Increasing costs, declining reimbursement•Potential impacts: Costs, Recruiting, Network robustness
2025: 130,600 U.S. Physician shortage
U.S. Population will grow 18-24% - 45% will have chronic disease - 60M will have 5+ chronic diseases
52% reduction in physicianschoosing primary care
EMPOWERED PATIENTS
•The Millenials•The changing Physician-Patient relation•Health care as a commodity: What drives patient choices?•Choice drives cost and health•Health drives individual readiness
What drives healthcare choice…..
Choice drives cost…..
TOMORROW
•Training: Radical change, many fronts•Increasing dependence on I.T.•Emerging diseases •Theater engagement: The role of medical
Many Changes…On Many FrontsA world different than we envisioned….
"We have slain a large dragon, but we live now in a jungle filled with a bewildering variety of poisonous snakes. And in many ways, the dragon was easier to keep track of.“ James Woolsey
Many Changes…On Many FrontsNot Your Father’s Sick Call
From this …..