Tag Archives: Health Care

Big Business First to Benefit From Obama Care! Is Obama a Closet Republican?

SURPRISE, BIG BENEFITS FOR BUSINESSES IN AFFORDABLE CARE, OR OBAMA CARE!

Who knew –a four way win. 

Big Business, Part time and uninsured American’s, Hospitals and Doctors and Society all win!

Slide1

 Winner 1-Businesses save on benefits and workers comp. 

Read this Bloomberg article on how Home Depot is using Obama care to get care for their part time workers and saving millions in the process

Winner 2 -The part time and uninsured workers get care and care that can stay with them

even if they have several part time jobs and move around.  That is essential in the process of health care to see the same care team who can know you, your social system, and emotional health better than any new doctor or care team even if they have your old chart on the first visit; first, visits are first visits with or without a chart.  Yes, first visit with a chart is better than nothing but is that really the comparison we want to make?

Winner 3- Hospitals and Doctors benefit from not having to “eat” or write off the many uninsured, no pay claims, they get. 

Winner 4– Society benefits in we can say we are really doing something for the 80% of Americans who work, make less than $20 / hr and support their fantastic families.  If we as a society can’t care enough to do a little like helping families and the people who do the work the rest of us “Administrator types”, “Managers”, and higher earners should be ashamed. 
Red-White-Blue-ObamaSlide2

Also note, the first big benefit is to save businesses millions and keep their work forces healthy on the government costs.  Health care and workers comp expenses should decline and business profits should continue to rise.  Of note, Home Depot Stock rose 1.5 % today as Home Depot announced taking advantage of Obama care to cuts its costs and boost profits. Read more from Bloomberg News about how Home Depot is taking advantage of Obama Care and the Affordable care act!  Home Depot is moving 20, 000 part time employees off of their benefits and onto Affordable Care. Better for home depot workers to have a consistent helath care that stays with them in any job and BETTER FOR HOME DEPOT to save money on benefits.  Win-win.  Oh, also better for society to ensure hospitals and doctors get paid instead of relying on hospitals and doctors to “eat” the many no pay claims from uninsured people.    

Slide3How does this affect seniors?

All seniors have extended families and those families need to be healthy to help the seniors who came before them and this is a small step to providing that care.  Caregivers low paid, in families, senior family members who assume child care or senior care responsibilities are valuable to society’s function and building families and this helps them. The main benefit in my view to Obama-care is not preexisting coverage or covering the few who never had coverage but helping the many who have coverage to be sure they can have continuity of care and coverage.  If your insurance changes often you lose the most cost effective part of care, staying with one doctor for a long time. If you can’t do that the many in kind services that having a long standing doctor patient relationship provide will be lost and unnecessary duplicative services will continue.  Of course, I am happy to cover all too but I feel the benefits to all current insurance holders, hospitals, doctors, big businesses are undervalued and described.

 Value Continuity of Care and not continuity of your chart.

I have to say the effort to build a chart is VERY MISLEADING! DO NOT LET ANYONE SAY OR IMPLY YOU ARE YOUR CHART. Caring for the chart is not providing complete medical care or continuity of care.  Continuity of the chart is not continuity of care, the care team, individuals involved in the care.  Without continuity of the people, patients and care team, care, caring, and quality of care suffers.  You, society, get less value for their health care dollars.  Strive to know your doctor, value your doctor, and build a relationship as small local communities or groups with your doctor to get the best care and most cost effective care. A new doctor visit with any new doctor is not as good by far as seeing a doctor who knows you and whom you know.  Even if a “new” doctor has your chart that is a far cry from seeing the same doctor.  The chart is a very incomplete, partial, representative of who any of us are as individuals and people.  While it is a great way to reach the minimum legal standard of care for the system do not accept the minimum legal standard of care for you and your loved ones.  Value the doctor, one or a small group of doctors, in your community.  Please consider how you trust any new person and then how they trust you?  Trust is earned and is not reflected in the chart. Obama care is a small step in that direction for continuity of care.

Shawn McGivney

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Humanism Beyond The Three A’s of a Hospital

Marc Harrison of the Cleveland Clinic Abu Dhabi  gets most of it right in his article 

The three A’s of a Hospital but he leaves off you need to see the same doctor, caregiver, every time to use any of the three A’s well.  That is continuity of care not just continuity of your paper chart.  You are so much more than a stack of papers.

Humanism Beyond The Three A's of a Hospital  The Three A’s of a Hospital.

http://www.linkedin.com/today/post/article/20130815121943-13527628-the-three-a-s-of-a-hospital

His examples leave out the most human factor which is in my view the cure for the individual and global health care crisis.  Continuity of care, People, and relationships with those you choose to care for you are the cure for the global and individual Health Care Crisis and not building just your chart.  If you don’t choose the people but choose the institution you will generally be treated as a widget and number instead of what you want and need which is to be treated as a known friend by the care team you choose.  When you see a “new doctor”, person or caregiver they cant know you and you don’t know them.  Care will always be a first time event with no future even if they have your paper chart.  The chart is not you and is the most un quantified, superficial, non-human part of you which is not what you want treated.

As a persons Care needs increase with age and disability the need for knowing the individuals who YOU CHOOSE TO CARE FOR YOU is compounded as we age and need more over lapping services and as mood, depression, and emotional heath continue to be additive in our care needs. 

0Emotional health is rarely studied and is generally systematically excluded from all or most medical studies!!
Emotional health and feelings are next to impossible to quantify, standardize.  Instead science just excludes it in the control group.  Your feelings as expressed by some mathematical average when groups with hundreds of other people in your group are assumed to be the same as the feelings of the other average in the other control group.  In fact, no two humans have even close to the same feelings, relationships, and lives.  That is the best science can do but we all need to use science and understand what they are not providing.  That is why a doctor is an artist and that is the art of medicine to balance what the studies do share with the greater amount that they do not share.

Let me share a quote from Patch. “If you treat the disease you win or loose.  But if you treat the person you win no matter what the outcome.”

When you understand “you win no matter what the outcome”

you will start to understand old fashioned, relationship driven health care vs the new ceo, six sigma, A la Cart, Urgent care brand of care we are getting now and the difference from a sales claim of “we care” vs a relationship based, heartfelt caring.  You choose the care team; you decide what you want in care.  Especially when a loved on or yourself ages you need to build a relationship with the individual care team and care setting to start to get the care you want and need.  Doctors, caregivers, and care settings are ready to help you but you have to look for them. They wont have big advertising budgets but they all offer more care at a lower price.  You have to value the people, the care team and they will value you. Do not let advertising, and a hospitals saying of “the doctors are not representatives of this hospital excite you.  That is saying they don’t accept any risk, responsibility for your care.  That is scary.  Clearly the hospital and insurance company directly impact what those doctors do no matter what the legal small print says.  That is my opinion anyway. 

I need you to share your opinions.  Share, comment, like or you are just propagating the status quo.

Here are examples of continuity of care that you can choose right now today!

You can use these as example of what to look for in any care setting.

Tender Loving Care Senior Residence

Tender Loving Care Senior Residence, Costa Brava

Dr Shawn McGivney