Five Principles for the Future of Healthcare

Here are the principles I believe we should use to shape our healthcare system:

1. Empower patients. Patients should be the masters of their fates. To help them, we must coordinate the messages they are getting about their health. Instead of a mix of messages from the American Heart/Cancer/Diabetes/etc Association, the Academy of Nutrition and Dietetics, the Centers for Disease Control and Prevention, the Department of Agriculture, and so on, let us create a single portal with clear, evidence-based information.

Diabetes, heart disease, sarcopenia, and cardiac disease are causing so many of the problems we see in our patients. We can empower patients to lead healthy lives, taking advantage of technology such as biosensors that connect to smartphones and activity monitors that measure how much you walk, helping them focus on performance and prevention.

2. Expand access. Right now we are talking about whether people with preexisting conditions should be able to buy health insurance, and how long kids should be able to stay on their parents’ health insurance plans. Let’s keep it simple: Everyone should be able to buy health insurance. Period.

3. Centralization. The market for healthcare coverage should not stop at state borders. In Maryland, the Shock Trauma Center at the University of Maryland, a single integrated trauma hospital, cares for people in Maryland, New Jersey, parts of Pennsylvania, and beyond, and they do it much better than anyone else. Everywhere else, gunshot victims may be treated in one place, car accident victims in another, and so on. The University of Maryland is the model for ultimate specialization in regional Centers of Excellence.

Similarly, if you could sell insurance over state borders, instead of insuring 1 million people in each state you could insure 100 million people across states. That would increase the risk pool, attract more insurers, and bring down the cost.

By Bert R. Mandelbaum, MD, DHL (Hon) | Medscape

Image Credit: Medscape


About Peter Coffaro 602 Articles
A growth-driven and strategic executive, Peter Coffaro commands more than 20 years of progressive management success within the medical device industry. As a District Sales Manager for Stryker Orthopaedics, Peter was responsible for managing and directing a regional sales force to achieve sales and profit goals within the Rocky Mountain region. Previously, he was the Director of Sales & Marketing for Amp Orthopedics. In this role, Peter was responsible for planning, developing, and leading all sales and marketing initiatives. Peter is a former orthopedic distributor in the Pacific Northwest. He has also worked with DePuy Orthopaedics as well as Zimmer, and held positions in sales, sales training, and sales management. Peter has an extensive background in organizational development, business development, sales management, negotiating and P&L management. Peter holds a B.S. degree in Biology from Northern Illinois University.

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