, 6 tweets, 5 min read Read on Twitter
It's even worse than that. In the US, 3 consecutive years of declining life expectancy (unprecedented) and now ~$11,000 per person #healthcare spending economist.com/graphic-detail… @ECONdailycharts @TheEconomist
And the negative outlier US data extends to other key metrics including infant, childhood and maternal mortality
from #DeepMedicine
Why did the outcome curves for the US vs other countries start to diverge around 1980?
@afrakt explored that last year @UpshotNYT: nytimes.com/2018/05/14/ups… w/ many ideas including "administrative costs," the longevity metric, lack of price controls, prospective payments began, etc
Noteworthy was the marked increase in health maintenance organizations (HMOs) and a relentless rise of administrators--a >3000% increase with relatively little change in the number of doctors
healthaffairs.org/doi/pdf/10.137… @Health_Affairs
I graduated medical school in 1979 and have watched the changes in the last 40 years, summarized briefly in this Table from #DeepMedicine as medicine/#healthcare became a big business
Losing our way.
It seems there's been a re-routing to the business loop and it's time to get back on the care of patient highway. Yes, it'll be extremely difficult, but it's not impossible.
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