My first behind the scenes view of how the healthcare system works in the US was in 2006. This was before the topic of healthcare began to move to\u00a0 center-stage.\u00a0 Rising costs and insurance premiums ensured that we paid attention.<\/p>\n
What struck me back then was that while modern medicine performs miracles on patients, access to, and delivery and management of medical care leaves a lot to be desired. This was true in 2006, and\u00a0 it is true today. So as far as Healthcare goes, we spend more, but get less.<\/p>\n
Americans have the best in Healthcare…<\/span><\/h1>\nWe have the best doctors, nurses, hospitals, equipment, techniques, and procedures at our disposal. Patients get the best medical care while under the attention of a doctor, a hospital, or a healthcare provider. However, all this seems to fall apart when the same patient is outside the healthcare system. When they are on their own. Whenever they are not under the watchful eye of \u2018someone\u2019 from the healthcare \u2018system\u2019.<\/p>\n
This is one part of the equation. Lets hold that thought in our heads.<\/p>\n
We spend the most…<\/span><\/h1>\nOur\u00a0investment dollars, attention, and focus is directed at this aspect of our healthcare. In improving our hospitals. To produce better doctors, n<\/span>urses, and healthcare professionals. In making them safe. Ensuring that they deliver the very best known to medical science.<\/span><\/p>\n![\"\"](\"http:\/\/sigmify.com\/resources\/wp-content\/uploads\/2018\/11\/US-Healthcare-spending.png\")
<\/a>Total expenditure , per capita on Healthcare<\/figcaption><\/figure>\nAll this costs us. <\/span><\/p>\nNot only does the US spend the highest per capita, $10,348 in 2016 on a PPP basis, it also has the largest share of the economy bar none.<\/a><\/p>\nBut still…we get less<\/span><\/h1>\nThis would be justified if all this investment delivered. If it made Americans the healthiest people. The longest living. The fittest. But does it? Not only are Americans not the longest living<\/a>, life expectancy in America has declined two years in a row<\/a>.<\/p>\n![\"Life](\"http:\/\/sigmify.com\/resources\/wp-content\/uploads\/2018\/11\/US-life-expectancy-300x211.png\")
https:\/\/www.cdc.gov\/nchs\/data\/hus\/hus16.pdf#015<\/figcaption><\/figure>\nNow lets put this together, take a step back and look at the picture.<\/p>\n
We are spending more money\u2026 way more money than anyone else. We have the best hospitals, doctors, medical science at our disposal, yet we are living lesser, and less healthier lives.<\/p>\n
I am sure this is not news to anyone.<\/p>\n
<\/h1>\n<\/h1>\n<\/h1>\n<\/h1>\n<\/h1>\nWhat’s wrong with this picture?<\/span><\/h1>\nIt wasn\u2019t clear to me either, but once I took a look at the numbers, I was surprised by some of these numbers, like the wide variance in costs of the same medicines, treatments, procedures, equipment in different markets \u2013 whether within America or when compared to other countries.<\/p>\n
I have spent a lot of my time over the past dozen or so years trying to unpack this. To go behind the scenes. I have thought a lot about what we could do to help improve this situation.<\/p>\n
I will use the five main determinants of health and how we look at them as a starting point. That\u2019s what my next blog will be about\u2026 stay tuned .<\/p>\n","protected":false},"excerpt":{"rendered":"
Healthcare – Spend more, get less My first behind the scenes view of how the healthcare system works in the US was in 2006. This was before the topic of healthcare began to move to\u00a0 center-stage.\u00a0 Rising costs and insurance premiums ensured that we paid attention. What struck me back then was that while […]<\/p>\n","protected":false},"author":3,"featured_media":6156,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"ocean_post_layout":"","ocean_both_sidebars_style":"","ocean_both_sidebars_content_width":0,"ocean_both_sidebars_sidebars_width":0,"ocean_sidebar":"footer-one","ocean_second_sidebar":"0","ocean_disable_margins":"enable","ocean_add_body_class":"","ocean_shortcode_before_top_bar":"","ocean_shortcode_after_top_bar":"","ocean_shortcode_before_header":"","ocean_shortcode_after_header":"","ocean_has_shortcode":"","ocean_shortcode_after_title":"","ocean_shortcode_before_footer_widgets":"","ocean_shortcode_after_footer_widgets":"","ocean_shortcode_before_footer_bottom":"","ocean_shortcode_after_footer_bottom":"","ocean_display_top_bar":"default","ocean_display_header":"default","ocean_header_style":"","ocean_center_header_left_menu":"0","ocean_custom_header_template":"0","ocean_custom_logo":0,"ocean_custom_retina_logo":0,"ocean_custom_logo_max_width":0,"ocean_custom_logo_tablet_max_width":0,"ocean_custom_logo_mobile_max_width":0,"ocean_custom_logo_max_height":0,"ocean_custom_logo_tablet_max_height":0,"ocean_custom_logo_mobile_max_height":0,"ocean_header_custom_menu":"0","ocean_menu_typo_font_family":"0","ocean_menu_typo_font_subset":"","ocean_menu_typo_font_size":0,"ocean_menu_typo_font_size_tablet":0,"ocean_menu_typo_font_size_mobile":0,"ocean_menu_typo_font_size_unit":"px","ocean_menu_typo_font_weight":"","ocean_menu_typo_font_weight_tablet":"","ocean_menu_typo_font_weight_mobile":"","ocean_menu_typo_transform":"","ocean_menu_typo_transform_tablet":"","ocean_menu_typo_transform_mobile":"","ocean_menu_typo_line_height":0,"ocean_menu_typo_line_height_tablet":0,"ocean_menu_typo_line_height_mobile":0,"ocean_menu_typo_line_height_unit":"","ocean_menu_typo_spacing":0,"ocean_menu_typo_spacing_tablet":0,"ocean_menu_typo_spacing_mobile":0,"ocean_menu_typo_spacing_unit":"","ocean_menu_link_color":"","ocean_menu_link_color_hover":"","ocean_menu_link_color_active":"","ocean_menu_link_background":"","ocean_menu_link_hover_background":"","ocean_menu_link_active_background":"","ocean_menu_social_links_bg":"","ocean_menu_social_hover_links_bg":"","ocean_menu_social_links_color":"","ocean_menu_social_hover_links_color":"","ocean_disable_title":"default","ocean_disable_heading":"default","ocean_post_title":"","ocean_post_subheading":"","ocean_post_title_style":"","ocean_post_title_background_color":"","ocean_post_title_background":0,"ocean_post_title_bg_image_position":"","ocean_post_title_bg_image_attachment":"","ocean_post_title_bg_image_repeat":"","ocean_post_title_bg_image_size":"","ocean_post_title_height":0,"ocean_post_title_bg_overlay":0.5,"ocean_post_title_bg_overlay_color":"","ocean_disable_breadcrumbs":"default","ocean_breadcrumbs_color":"","ocean_breadcrumbs_separator_color":"","ocean_breadcrumbs_links_color":"","ocean_breadcrumbs_links_hover_color":"","ocean_display_footer_widgets":"default","ocean_display_footer_bottom":"default","ocean_custom_footer_template":"0","ocean_post_oembed":"","ocean_post_self_hosted_media":"","ocean_post_video_embed":"","ocean_link_format":"","ocean_link_format_target":"self","ocean_quote_format":"","ocean_quote_format_link":"post","ocean_gallery_link_images":"off","ocean_gallery_id":[],"footnotes":""},"categories":[9],"tags":[72,73,75,76],"class_list":["post-1675","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-healthcare","tag-healthcare","tag-healthcare-costs","tag-healthcare-quality","tag-healthcare-spend","entry","has-media"],"_links":{"self":[{"href":"https:\/\/sigmify.com\/resources\/wp-json\/wp\/v2\/posts\/1675","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sigmify.com\/resources\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/sigmify.com\/resources\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/sigmify.com\/resources\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/sigmify.com\/resources\/wp-json\/wp\/v2\/comments?post=1675"}],"version-history":[{"count":7,"href":"https:\/\/sigmify.com\/resources\/wp-json\/wp\/v2\/posts\/1675\/revisions"}],"predecessor-version":[{"id":7023,"href":"https:\/\/sigmify.com\/resources\/wp-json\/wp\/v2\/posts\/1675\/revisions\/7023"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/sigmify.com\/resources\/wp-json\/wp\/v2\/media\/6156"}],"wp:attachment":[{"href":"https:\/\/sigmify.com\/resources\/wp-json\/wp\/v2\/media?parent=1675"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sigmify.com\/resources\/wp-json\/wp\/v2\/categories?post=1675"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sigmify.com\/resources\/wp-json\/wp\/v2\/tags?post=1675"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
Our\u00a0investment dollars, attention, and focus is directed at this aspect of our healthcare. In improving our hospitals. To produce better doctors, n<\/span>urses, and healthcare professionals. In making them safe. Ensuring that they deliver the very best known to medical science.<\/span><\/p>\n All this costs us. <\/span><\/p>\n Not only does the US spend the highest per capita, $10,348 in 2016 on a PPP basis, it also has the largest share of the economy bar none.<\/a><\/p>\n This would be justified if all this investment delivered. If it made Americans the healthiest people. The longest living. The fittest. But does it? Not only are Americans not the longest living<\/a>, life expectancy in America has declined two years in a row<\/a>.<\/p>\n Now lets put this together, take a step back and look at the picture.<\/p>\n We are spending more money\u2026 way more money than anyone else. We have the best hospitals, doctors, medical science at our disposal, yet we are living lesser, and less healthier lives.<\/p>\n I am sure this is not news to anyone.<\/p>\n It wasn\u2019t clear to me either, but once I took a look at the numbers, I was surprised by some of these numbers, like the wide variance in costs of the same medicines, treatments, procedures, equipment in different markets \u2013 whether within America or when compared to other countries.<\/p>\n I have spent a lot of my time over the past dozen or so years trying to unpack this. To go behind the scenes. I have thought a lot about what we could do to help improve this situation.<\/p>\n I will use the five main determinants of health and how we look at them as a starting point. That\u2019s what my next blog will be about\u2026 stay tuned .<\/p>\n","protected":false},"excerpt":{"rendered":" Healthcare – Spend more, get less My first behind the scenes view of how the healthcare system works in the US was in 2006. This was before the topic of healthcare began to move to\u00a0 center-stage.\u00a0 Rising costs and insurance premiums ensured that we paid attention. What struck me back then was that while […]<\/p>\n","protected":false},"author":3,"featured_media":6156,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"ocean_post_layout":"","ocean_both_sidebars_style":"","ocean_both_sidebars_content_width":0,"ocean_both_sidebars_sidebars_width":0,"ocean_sidebar":"footer-one","ocean_second_sidebar":"0","ocean_disable_margins":"enable","ocean_add_body_class":"","ocean_shortcode_before_top_bar":"","ocean_shortcode_after_top_bar":"","ocean_shortcode_before_header":"","ocean_shortcode_after_header":"","ocean_has_shortcode":"","ocean_shortcode_after_title":"","ocean_shortcode_before_footer_widgets":"","ocean_shortcode_after_footer_widgets":"","ocean_shortcode_before_footer_bottom":"","ocean_shortcode_after_footer_bottom":"","ocean_display_top_bar":"default","ocean_display_header":"default","ocean_header_style":"","ocean_center_header_left_menu":"0","ocean_custom_header_template":"0","ocean_custom_logo":0,"ocean_custom_retina_logo":0,"ocean_custom_logo_max_width":0,"ocean_custom_logo_tablet_max_width":0,"ocean_custom_logo_mobile_max_width":0,"ocean_custom_logo_max_height":0,"ocean_custom_logo_tablet_max_height":0,"ocean_custom_logo_mobile_max_height":0,"ocean_header_custom_menu":"0","ocean_menu_typo_font_family":"0","ocean_menu_typo_font_subset":"","ocean_menu_typo_font_size":0,"ocean_menu_typo_font_size_tablet":0,"ocean_menu_typo_font_size_mobile":0,"ocean_menu_typo_font_size_unit":"px","ocean_menu_typo_font_weight":"","ocean_menu_typo_font_weight_tablet":"","ocean_menu_typo_font_weight_mobile":"","ocean_menu_typo_transform":"","ocean_menu_typo_transform_tablet":"","ocean_menu_typo_transform_mobile":"","ocean_menu_typo_line_height":0,"ocean_menu_typo_line_height_tablet":0,"ocean_menu_typo_line_height_mobile":0,"ocean_menu_typo_line_height_unit":"","ocean_menu_typo_spacing":0,"ocean_menu_typo_spacing_tablet":0,"ocean_menu_typo_spacing_mobile":0,"ocean_menu_typo_spacing_unit":"","ocean_menu_link_color":"","ocean_menu_link_color_hover":"","ocean_menu_link_color_active":"","ocean_menu_link_background":"","ocean_menu_link_hover_background":"","ocean_menu_link_active_background":"","ocean_menu_social_links_bg":"","ocean_menu_social_hover_links_bg":"","ocean_menu_social_links_color":"","ocean_menu_social_hover_links_color":"","ocean_disable_title":"default","ocean_disable_heading":"default","ocean_post_title":"","ocean_post_subheading":"","ocean_post_title_style":"","ocean_post_title_background_color":"","ocean_post_title_background":0,"ocean_post_title_bg_image_position":"","ocean_post_title_bg_image_attachment":"","ocean_post_title_bg_image_repeat":"","ocean_post_title_bg_image_size":"","ocean_post_title_height":0,"ocean_post_title_bg_overlay":0.5,"ocean_post_title_bg_overlay_color":"","ocean_disable_breadcrumbs":"default","ocean_breadcrumbs_color":"","ocean_breadcrumbs_separator_color":"","ocean_breadcrumbs_links_color":"","ocean_breadcrumbs_links_hover_color":"","ocean_display_footer_widgets":"default","ocean_display_footer_bottom":"default","ocean_custom_footer_template":"0","ocean_post_oembed":"","ocean_post_self_hosted_media":"","ocean_post_video_embed":"","ocean_link_format":"","ocean_link_format_target":"self","ocean_quote_format":"","ocean_quote_format_link":"post","ocean_gallery_link_images":"off","ocean_gallery_id":[],"footnotes":""},"categories":[9],"tags":[72,73,75,76],"class_list":["post-1675","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-healthcare","tag-healthcare","tag-healthcare-costs","tag-healthcare-quality","tag-healthcare-spend","entry","has-media"],"_links":{"self":[{"href":"https:\/\/sigmify.com\/resources\/wp-json\/wp\/v2\/posts\/1675","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sigmify.com\/resources\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/sigmify.com\/resources\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/sigmify.com\/resources\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/sigmify.com\/resources\/wp-json\/wp\/v2\/comments?post=1675"}],"version-history":[{"count":7,"href":"https:\/\/sigmify.com\/resources\/wp-json\/wp\/v2\/posts\/1675\/revisions"}],"predecessor-version":[{"id":7023,"href":"https:\/\/sigmify.com\/resources\/wp-json\/wp\/v2\/posts\/1675\/revisions\/7023"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/sigmify.com\/resources\/wp-json\/wp\/v2\/media\/6156"}],"wp:attachment":[{"href":"https:\/\/sigmify.com\/resources\/wp-json\/wp\/v2\/media?parent=1675"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sigmify.com\/resources\/wp-json\/wp\/v2\/categories?post=1675"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sigmify.com\/resources\/wp-json\/wp\/v2\/tags?post=1675"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}<\/a>But still…we get less<\/span><\/h1>\n
<\/h1>\n
<\/h1>\n
<\/h1>\n
<\/h1>\n
<\/h1>\n
What’s wrong with this picture?<\/span><\/h1>\n