| Although insurers get a lot of attention when | | | | Numerous programs have shown that spending |
| problems with the current health care system are | | | | just an hour on preventive care with patients |
| discussed, such discussions are often a case of | | | | would save tens of billions of dollars a year in |
| missing the forest for the trees. This is because | | | | medical cost. |
| the issue of preventive versus reactive care is | | | | So, why don’t we see more preventive |
| much bigger and a much bigger impact on costs. | | | | care? The answer is somewhat morbid. It simply |
| The current effort to reform health care in | | | | doesn’t pay as well as reactive care. If I see |
| Washington is a much needed thing although the | | | | a patient four times a year and put them on a |
| merits of the current effort are certainly | | | | strict nutrition and exercise plan, I might make |
| generating a lot of heated debate. Despite the | | | | $400 or so for the visits. If I see a patient only |
| positives and negatives of the bill, what is clear is | | | | when they come in with a complaint, I will make |
| we need to do something because the cost of | | | | far more than that in a single visit after I conduct |
| health care in the richest country in the world is | | | | an exam, order a bevy of tests and so on. |
| simply out of control. | | | | The vast majority of doctors do not think of the |
| One of the biggest problems with health care is | | | | process in this way. They don’t have to. It is |
| the approach we take. We focus almost entirely | | | | the accepted approach to medical treatment in |
| on treating diseases and health problems. Almost | | | | this country and a major reason why costs are |
| no effort is given to preventing them. This is a | | | | so high compared to practically any other nation. |
| huge mistake because the cost of treatment is | | | | Until we develop a different approach, that simply |
| massively larger than the cost of prevention. | | | | isn’t going to change. |