Fixing Healthcare by Steve Mussey MD


How do we fix our expensive, inefficient, administrator heavy health system?

Let’s try Capitalism!

Free market forces. Efficiencies! Excessive testing so facilities can maximize profits! Advertising to get patients to demand expensive drugs they don’t need! Insurance to blunt the financial impact of medical choices! Selling procedures to make money rather than help patients!

Okay….. Never mind….

How about…

Strong centralized planning! Controlling prices! Careful distribution of services where they are needed most! Strong government to prevent abuse! Bizarre incentive systems! Controlling doctors!! Doctors getting frustrated! Inertia!

Oh! My favorite: VA Health system!!!!

Okay…. Never mind….

How about…

A careful hybrid utilizing the best of both worlds. Regulation only where it is needed. Strong controls to prevent abuses of the marketplace. Regulations creating bizarre incentives which allow ridiculous profit opportunities and abuse. New regulations to close the loopholes of the old regulations and create new loopholes! Extra paperwork to control the private sector. Inadequate doctor pay!! Weird new abuses popping up every day!!!!

Okay… Never mind…

This is the part of the article where the author delivers a common sense appeal to an easy solution.

Guess what! I’m out of ideas. That’s it. I ran the scenarios and the outcome is clear:

We are all doomed.

Enjoy your summer….

Douglas Farrago MD

Douglas Farrago MD is a full-time practicing family doc in Forest, Va. He started Forest Direct Primary Care where he takes no insurance and bills patients a monthly fee. He is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. Dr. Farrago is the author of four books, two of which are the top two most popular DPC books. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Dr. Farrago is also the editor of the blog Authentic Medicine which was born out of concern about where the direction of healthcare is heading and the belief that the wrong people are in charge. This blog has been going daily for more than 15 years Article about Dr. Farrago in Doximity Email Dr. Farrago – [email protected] 

  1 comment for “Fixing Healthcare by Steve Mussey MD

  1. Steve O'
    July 28, 2015 at 8:45 am

    It’s good old high-school algebra. You are on a train heading east going 90 mph that leaves San Francisco at 9:00 AM. Fred is on a train heading west going 110 mph that leaves Reno at 8:57 AM and is traveling on the same track. The trains are now six inches apart. Due to insurance regulations, the owners of each train line will receive $1,000,000,000 if they collide. No members on the Boards of Directors are on either train. What will happen? Convert to the metric system and Euros, and write out your solution. Extra credit for sketching diagram.

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