New book highlights health challenge after COVID disappears


Modern health care delivery: deliverance or collapse? A glimpse of the interior.

Dr Michael Zema, author of Modern Healthcare Delivery: Deliverance or Debacle?

Dr. Michael zema

CoVid has covered the serious challenges of delivering healthcare, but once the pandemic subsides, those issues will once again be in the foreground.

For every complex problem, there is a simple, straightforward, and wrong solution. “

– HL Mencken

CHATTANOOGA, TENNESSEE, UNITED STATES, October 6, 2021 / – With the daily headlines, everyone’s attention has been laser focused on the COVID pandemic. So many of the problems that plague our health care delivery system have all been temporarily appeased by the unprecedented and unrestrained response of government, insurers and health institutions to this calamity. While necessary and laudable, this behavior obscured the appearance of the eight hundred pound gorilla still lurking in the room – the broken health care delivery system – which, after COVID goes away, will once again be in the spotlight. foreground. Witness, the recent September 18 headline in the Washington Post’s Business section: “The days of full Covid coverage are over. Insurers are reinstating the deductible and co-payment, leaving patients with big bills. “

In his book Modern Healthcare Delivery: Deliverance or Debâcle? A glimpse of the interior and exterior of distinguished physician Dr. Michael zema highlights many changes in healthcare delivery, some of which not only fell short of their goals, but also had unintended consequences downstream for patients and providers. Some examples include…
• Electronic medical record (EMR)
• The organization responsible for care (ACO)
• The failure of Centers for Medicare & Medicaid Services Innovation Center (CMMI) with only 3 of the 54 alternative payment models tested having demonstrated cost savings robust enough to generalize – this at a cost of billions of taxpayer dollars – a low return on investment.

He goes on to identify five key concerns that continue to face the delivery of healthcare today …
• Financial barriers to patient care
• The fee-for-service model
• The practice of defensive medicine with its associated waste
• Excessive administrative costs associated with a multi-payer system
• The lack of a fiscally and politically acceptable form of universal health care.
Although identified separately, Dr Zema stresses that many of these problems are inexorably linked and as such any potential solution to one will have necessary effects on the others. Evolving step by step over more than half a century, Dr Zema explains that the problems inherent in today’s health care delivery system are complex and to assume that their solution will be simple is naive. He quotes HL Mencken as having once said: “For every complex problem there is a solution that is simple, straightforward and wrong.

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Dr. Michael zema on the How Not to Think podcast

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