In Obama, Doctors, and Health Reform, Richard Reece, MD explains
what patient-centered care, physician demoralization, the
entrepreneurial U.S. culture, and our system's complexities portend
for reform. Reform and its handmaiden, transformation, hinge on how
America's individualistic, entrepreneurial, and innovative culture
responds to demands for higher quality, lower costs, and greater
access.
When 78 million baby boomers turn 65 in 2011, they will expect
the best medical care and a personal physician to care for them, as
will the rest of the population. Will the doctors be there? And
what will the care be like? Whatever the answers, it will require
more personal involvement and personal responsibility on your
part.
You may be asked: What plan do you want, a government
alternative to a private plan? An HMO, PPO, basic plan, or a high
deductible plan linked to a tax-deductible health savings account
(HSA)? You may choose to receive your care at a retail clinic at a
drug store or in a discount store. You may carry with you a
personal hard disk loaded with your medical history.
If present trends continue, you also may have a hard time
finding a personal doctor to care for you. What will you do
then?
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