System Solutions for Changing Healthcare

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Incredibly complex, it's incredibly inefficient, it certainly needs to be reoriented and there are places that are tremendously talented in delivering fantastic medicine, in saving peoples lives and making their lives better absolutely, but equally there are plenty of places that are making mistakes, unfortunately patients dying is the consequence and it certainly needs to be reformed.

I don't think you can point at a single thing. We've had a concatenation of events that have targeted and created the problem and it seems to me that we have not said, alright what's the kind of healthcare system that is going to have our system incentivised to keep people healthy.

Free for services system. You treat people when they're sick. That's when you get paid. You don't get paid in our free for service system for keeping people healthy and out of the hospital and that is a fundamental problem. Tertiary prevention, that's prevention of people who already have established chronic illness.

The 10% of American population who have real serious chronic illness or multiple chronic illnesses, they are the people who use the healthcare system. They account for 2/3 of all the spending. So, if you really want to improve the quality of the system and reduce the cost, you have to focus on these people with chronic illness.

The integration of latest technology that's appropriate proven to be beneficial with the actual TLC, tender loving care, that people want and care of the whole person. That is again going to be part of the challenge going forward, and how do you make those things work? Tele-medicines is going to be the key and is going to be key even in urban areas because just take one of the big shortages in America's dermatologist.

With a smartphone, you can take a picture of a rash, send to a dermatologist and they never need to see you to be able to diagnose that rash in many, many cases going to happen. The idea of wireless monitoring of people especially people's chronic illness, being able to intervene in real time, those are going to be the way for the future, how to monitor people when they're in their everyday life and being able to detect early problems and intervene well before they would otherwise have come form the medical attention in the old system and allowing us to sort of nip problem in the bud when we incentivise caring for the whole patient keeping them out of the hospital, then we would see doctors really work hard as well, one of the combinations interventions is that will allow me to keep them healthy, functional and away from doctors because, if they are not using a lot of services, I will actually make more money, that is going to be a new day in American where we really will have a health care system.

That's the way to the future. That is prevention, preventing people from getting too sick that they need hospitalization. That is how we are going to improve the quality of care and reduce the cost, and we are going to redesigning the entire American healthcare systems. What can be more exciting?.