Objective: The maximization of access and quality with the minimization of complexity and cost.
Introduction:
Healthcare reform is the optimization of a function.
The weight of an input may vary with time.
Many competing and often contradictory inputs need evaluation for possible inclusion or elimination.
The objective is a filter.
If an input enhances the optimization it is kept.
If an input detracts from the optimization it is discarded.
Different objectives have different inputs and construct different systems.
References:
A proposal to reroute and reform the healthcare money trail
American Journal of Surgery, VOLUME 207, ISSUE 6, P996-999, JUNE 01, 2014
"Without fundamental changes healthcare costs will continue to accelerate faster than the
gross domestic product while consuming larger portions of individual and corporate incomes. Although
the problems are widely acknowledged, we believe that there is an underappreciated defect driving
these undesirable events. The essence of that defect is that the major portion of the money is outside
the control of the patients and competitive pricing is outside the control of the providers. We propose
that the patients have virtual, dynamically allocated, evidence-based budgets grounded on their medical
conditions and the patients authorize the transfer of funds to the providers while the providers compete
on quality and price. Furthermore, we advocate all funding of healthcare be via taxes linked to expenditures
to replace and reduce the total healthcare ‘‘premiums’’ and decouple health care from employment as it is archaic and hinders employment.
This proposal reassigns the control of money from the government and special interest groups and returns it to the control of the patients."
Site posted:
11/01/1999 as medicalautopilot.com
12/2020 as medicalautopilot.net
SpaceFillingCurve.com - The beginnings of a medical autopilot using space-filling curves as a knowledge map
Last modified: May/2024
My email address is the first two initials, last name at comcast dot net
I am a retired general/trauma surgeon. Six children, four grandchildren, one wife(6 years left in our contract). Retired at age 72.
Surgery is a fabulous profession. Five stars – highly recommended – would do it again.
James J. Rice