Thoughts on Healthcare

Marty Salo, Yahoo Contributor Network
(yet another contribution declined for publication)
(This time, something about the lack of authority for me to be writing about such matters)

I get that healthcare is expensive. In and of itself, the process probably isn’t that expensive, but when one considers all of the other ancillary services (hospitals, hospitalizations, diagnostic tests, cleaning, and salaries and monies that go to fund the people involved). Consider that many hospitals are run as for profit institutions. Equipment to perform fancy scans is generally quite expensive. Supplies less so, but the people associated with making sure that organization runs is where the real expense lies.

Adding complexities to the mix, looking at the needs of supporting a level one trauma center, and perhaps the situation becomes murkier. I am not positive of all of what is required for a level one trauma center, other than they have to be able to deal with the most complex and time sensitive situations. A neurosurgery suite, with requisite skilled staff, Cardiac, Pulmonary and other medical specialties. I am not positive how much of a case load is required to keep each of these teams at their peak efficiency, but I’ve seen editorials in the paper about how some other hospitals in smaller nearby counties are seeking accreditation as level one trauma centers. Supposedly some people worry about the dilution of talent, and the ability of these smaller facilities to handle the complex cases.

I guess ultimately, it comes down to a matter of dollars and cents. Insurance companies require documantation of needs for certain procedures, so that necessitates tests to get the documentation to establish the need for the thing to be done. Certainly, if the need was not there, and the thing was done, then that would create the possibility for fraud in healthcare. Most people are probably not fraudulent, most people probably find it distressing that people try to rip other people off.

Compliance is another big area around the business of healthcare where people need to develop skills, and be documented. Documentation is also important. If it isn’t documented, how can insurance companies pay for sevices which might or might not have been performed. Thus, the importance of documenting that things were done.


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