Healthcare is a critical patient

Healthcare Is A Healthcare Is A Critically Ill PatientCritically Ill Patient

J. Deane Waldman, MD MBA Emeritus Professor, UNM Med & Mgt Schools

Board, NM Health Insurance ExchangeAdjunct Scholar, Rio Grande Foundation

Book – “The Cancer In Healthcare”and

Host of Newsletter – The Hidden Enemy

Go to: www.deanewaldman.com/newsletter

Approach to Healthcare

• Deane’s approach is: doctor-to-patient

• Not political Republican Democrat

• Not financialSubsidize insuranceCut spending Penalize uninsured

• Not socialExtend insuranceRight to health careWealth redistribution

The Hidden Enemy at:www.deanewaldman.com/newsletter

• Ask pt for signs & symptoms (S&S)• Determine the cause(s) of illness

A good doctor would…

• What has worked? What hasn’t?

• Is current treatment plan working?

Develop treatment plan that works, for U.S. & for us

That is what I did here:


The Good Doctor:

Good doctors do not tell their patients what they want to hear.

We tell you what you need to hear.

Good doctors do not recommend that you take what we believe or hope will work.

We recommend what the evidence PROVES will work.

+The Hidden Enemy at:

www.deanewaldman.com/newsletter

ACA promises:• Health care ( Law’s title: PPAHCA)• Cover the uninsured

• Reduce U.S. spending on healthcare

• Reduce costs to individuals & families

• Use market forces to economize

• Improve quality; reduce errors (title: PPAHCA)

• Restore fairness: “Americans are a fair people.”

insurance

+The Hidden Enemy at:www.deanewaldman.com/newsletter

ACA will spent • 1.3 – 2.7 trillion dollars


What ACA did: • Spends 1.3 – 2.7 trillion dollars• New taxes; $ penalties to the uninsured

• Establishes mandatory “Essential benefits”

• Reduce payments to providers cut services

• Increases informational security

• > 1400 Exemptions & waivers

Expands federal bureaucracy & regulatory apparatus


Waivers given to…

None for you & me“We The Patients”

And what happened to those Union waivers…?


ACA actions: • Spends 1.3 – 2.7 trillion dollars• New taxes; $ penalties to the uninsured

• Establishes mandatory “Essential benefits”

• Reduce payments to providers cut services

• Increases informational security

• > 1400 Exemptions & waivers

Expands federal bureaucracy & regulatory apparatus


Effects of ACA: • Increase costs to individuals & businesses

• No help for unfunded mandate

• New spending dramatically nat’l deficit

• providers; provider/patient ratio

• security error rate

• Control supply/demand market forces

More uninsured: cost, fewer jobs, fewer insurers


Albuquerque JournalWednesday, 8/14/13

What does that mean for 52% of us?Average $5500

What does that mean for all of us?What about small business (in NM)?

+

Shock


What will ACA do to you?

• Reduce your access to a physician

• Deny medically feasible treatments (IPAB)

• For more, read

• Admin costs to insurance

• premiums (30%––100++%)

• “Cadillac” tax probably applies

• income: fewer hrs, RIFs, no hires

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Healthcare is a critical patient