Comments on: How Does Missouri Health Care Compare? http://www.showmedaily.org/2009/10/how-does-missouri-health.html Advancing liberty with responsibility by promoting market solutions for Missouri public policy Fri, 10 Feb 2012 02:56:48 -0500 http://wordpress.org/?v=2.8.4 hourly 1 By: Christine Harbin http://www.showmedaily.org/2009/10/how-does-missouri-health.html/comment-page-1#comment-3795 Christine Harbin Mon, 12 Oct 2009 21:29:03 +0000 http://www.showmedaily.org/?p=7619#comment-3795 Anne, I listened to the same report while driving home from work. I thought that it gave a thorough account about how the incentives to provide quality healthcare are distorted in the status quo. Under methods like "fee for service," physicians are rewarded for performing unnecessary services; those who provide efficient health care are paid less. If we really wanted heath reform, we should concentrate on changing on how it is delivered, not how it is financed. We should encourage programs like "fee for performance," evidence-based medicine, and alternative staffing models like the medical home mode. I agree with you that this is not being addressed in Congress or in the media. Caitlin, I agree that there is a myriad of lifestyle decisions that would better affect a person's health than having additional procedures. More often than not in health care, less is more. Anne,

I listened to the same report while driving home from work. I thought that it gave a thorough account about how the incentives to provide quality healthcare are distorted in the status quo. Under methods like “fee for service,” physicians are rewarded for performing unnecessary services; those who provide efficient health care are paid less.

If we really wanted heath reform, we should concentrate on changing on how it is delivered, not how it is financed. We should encourage programs like “fee for performance,” evidence-based medicine, and alternative staffing models like the medical home mode. I agree with you that this is not being addressed in Congress or in the media.

Caitlin,

I agree that there is a myriad of lifestyle decisions that would better affect a person’s health than having additional procedures. More often than not in health care, less is more.

]]> By: Caitlin Hartsell http://www.showmedaily.org/2009/10/how-does-missouri-health.html/comment-page-1#comment-3785 Caitlin Hartsell Sun, 11 Oct 2009 15:54:34 +0000 http://www.showmedaily.org/?p=7619#comment-3785 I don't think its fair to simply say that we are spending more and getting less. We are also far more obese than other nations (something like 30% compared to 20%) which is a product of our lifestyles, not our health care. Something needs to change, but targeting health care may not be the most effective solution. I don’t think its fair to simply say that we are spending more and getting less. We are also far more obese than other nations (something like 30% compared to 20%) which is a product of our lifestyles, not our health care. Something needs to change, but targeting health care may not be the most effective solution.

]]> By: Anne McGregor http://www.showmedaily.org/2009/10/how-does-missouri-health.html/comment-page-1#comment-3775 Anne McGregor Fri, 09 Oct 2009 18:33:21 +0000 http://www.showmedaily.org/?p=7619#comment-3775 Yesterday NPR did a lengthy report on the efficacy of our health care. The upshot of a very rigorous study revealed that 30% of the care delivered to patients was not improving their health situation. The culprit is the "fee for service" model that our health care system is based on. This, unfortunately, is not being addressed in the health care reform Congress is now debating. Yesterday NPR did a lengthy report on the efficacy of our health care. The upshot of a very rigorous study revealed that 30% of the care delivered to patients was not improving their health situation. The culprit is the “fee for service” model that our health care system is based on. This, unfortunately, is not being addressed in the health care reform Congress is now debating.

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