Most of the Congressional debate for health care reform orbits around ways to extend refund for sick care. However, paying for more of the same fragmented, costly care isn’t reform, it’s madness.
The $2. 2 trillion health care system, the most expensive in the world, requires a new top-to-bottom vision, and although the 600 doctors and doctors gathered at the Institute of Medicine’s Smt on Integrative Medicine last month didn’t decide on everything, they reached a resounding Health Care Grad opinion about the need for Americans to change their health habits. Yet how can that best be accomplished?
With a primary shift toward health promotion, disease prevention and wellness, a revamped health care system could put the brakes on the disastrous flight believed for 2012, in which total health care costs would equal 20% of the Gross Domestic Product (GDP). Providers, employers, and even insurance companies finally confess that the US would fall behind the world’s nations in every conceivable sector if one from every dollar in our productivity went toward health care costs.
For over 30 years, the National Wellness Institute has been canceling that 8 out of 10 Americans suffer from chronic ailments derived from unhealthy lifestyles: poor diet, inadequate physical activity and unmanaged stress. Yet the struggle of behavior change has always dropped on individuals, without much support from the medical system or their doctors.
In addition, cultural support has been lacking for the most at-risk populations, often minorities with higher rates of diabetes and obesity. At present, there are more obese Americans than overweight ones-an almost unimaginable figure.
Cultural support for healthy lifestyles starts with community activists demanding bike paths, public parks, safe streets, farmers’ markets, fresh food options and more from their local governments. Together with cooperation from industry, government, health care, and public health officials, pressure can be placed on developers to build environments offering opportunities for physical activity. Teachers, parents and consumers can demand that Big Food stop advertising cheap, non-nutritious, calorie-dense, processed foods to kids and adults. Schools can offer nutrition and PE classes again, and lunch programs can teach kids about healthy choices-and provide them!
Should your MARYLAND Get paid to explain to Wellness?
“Lose weight, quit smoking, start exercising, and eliminate your stress-and I’ll see you next year for your physical. inch Everybody knows that the once-a-year admonition from your doctor rarely translates into new health habits.
A new collection of health coaches can provide you with the support and confidence needed for Americans to begin their journey towards exploiting personal health. Health coaches should participate every public clinic, medical office and hospital wellness center. They should be reimbursed by insurance companies, or participate the first-access collection of Medicare health insurance, Medicaid, private insurance companies and corporate wellness programs. Even Doctor. Mehmet Oz suggested that health coaches is highly recommended a central part of health care reform to CNN’s medical press reporter Doctor. Sanjay Gupta.
Instead of medical doctors hoping to be reimbursed for providing health promotion and wellness services (at rates exceeding beyond $200/ hour), health coaches could easily provide this service at one-fifth the cost. They would also present a more friendly, accessible, peer-support approach to individuals. The specialized training of medical doctors is best directed to complex cases, whether serious or chronic.
The entire continuum of care needs to be re-examined and opened up to include refund for doctors that investigate the foundational causes of chronic illness, and who understand and have specialized skills in countering the side effects of unhealthy lifestyles-professionals such as Nurse Practitioners, Natural Doctors, and Traditional Chinese Medicine doctors, Homeopathic doctors, and Chiropractic professionals.
For too long, there’s been an active collusion unless the advancement of these professions by certain medical organizations with insurance companies, and the public has suffered as a result.
When these allied doctors mention up, demanding addition at the refund table at the Smt on Integrative Medicine, a few medical doctors such as Dean Ornish, MARYLAND, championed this democratizing of the medical landscape, but others kept making it mandatory that their own practices could accomplish wellness services, only when these were properly reimbursed.
However, refund for lifestyle counseling should not have to add the major cost to do business encountered by medical doctors, including their clinical offices, costly tuition loans, high-tech equipment, numerous staff and accounts receivable individual.
It’s been said that the US health care system is neither healthy nor a lot of a system. I believe it’s always darkest before the start of a new era, and these dark days of an ailing system must mean the light is about to break over the horizon.
Bringing health coaches into the US health care system can address the large “elephant in the middle of the room”-that the responsibility of disease and related health costs can be dramatically lowered through healthy attitudinal change. Learning how to move more, eat well and less, and de-stress often, is not only a prescription for a better life, it’s an Rx for us health care reform.