Welcome to “Fixing U.S. Healthcare – A Doctor’s Blog.”
U.S. healthcare was a key issue in the 2016 Presidential election. Bernie Sanders, Hillary Clinton and Donald Trump each promised to fix healthcare.
But ever since taking office, President Trump and the newly elected Congressmen have run into the same obstacles to U.S. healthcare reform as confronted other Presidents these last 40 years — how to control costs and maintain quality while ensuring access for all. And how to overcome vested interests and lack of political consensus.
Congress and the President continue tinkering with stop-gap measures to fix specific problems, and relying on “competition” to do the rest.
The Real Problem – Unsustainable Costs
But so far, the President and Congress have not been directly addressing the Real Problem with U.S. healthcare — relentless cost increases that are built into the system, but hidden from public view until recently.
These silently rising costs are simply unsustainable. They negatively affect the U.S. economy, politics and society. In addition, many Americans are beginning to question whether they are getting their money’s worth from so much healthcare spending.
This blog re-focuses on cost issues. It advances a policy approach pioneered in Oregon 20 years ago that successfully restrained costs while maintaining near-universal access to costworthy, quality care. It explores how this approach could be applied at a national level to solve today’s healthcare challenges.