that's what makes defunding planned parenthood so bad. It is almost all about preventative medicine.
I'm not familiar with the nuance of either plan, but I think we absolutely need to focus on preventative treatment/lifestyle/medicine etc.
Also, I think the demand for healthcare services is just way too high for a variety of reasons. Among them is a culture of healthcare use/overuse/unnecessary treatments, which is partly due to having such an insurance-reliant system in the first place.
Health care should be ensured, not insured. Insuring health care is necessarily a loss for consumers and prohibitive for those who can't afford it. It creates barriers to access and raises costs disproportionately. Ensuring health care is difficult to achieve, but if done correctly, achieves goals of both availability and affordability of the health care system.
It's a radical move and cannot be achieved in one simple step, but insuring health care should be illegal and an alternative which guarantees service in a sustainable, quality way should be put in place. Until we do this, we are all losing. The question is just by how much.
I strongly agree the emphasis on health care should be on prevention. We will not see a single legitimate point in any health care plan from either party that makes an honest effort to improve preventative health care though, because prevention is nowhere near as profitable as treatment. They would crush one of the most profitable industries in the country if they really focused on prevention.
I agree. But there actually has been a lot that's happened in the last 8 years, specifically because of the teeth behind the legislation, that has moved us in the right direction towards better prevention. I work in the medical software industry and the focus was first on adopting Electronic Health Records, then reporting basic data, and we're now getting into changing healthcare around that data.
You can't manage population health without data. And you couldn't get data when everything was on paper and not consistent from one practice to another. But we're just now seeing the ability to track which areas have the highest concentrations of diabetes (or other chronic diseases, which make up most of the cost of our healthcare), what other factors leads to it, and what the best treatment PLANS are. It truly is moving towards a pay-for-performance to doctors, which isn't a bad thing. Think about it, if 1 doctor can treat the same illlness in 3 visits, whereas the other doctor takes 9 visits, we've been paying the worse doctor 3x what the good doctor made. Only this past administration had the legislation to put this in motion, which we'll start to see benefits from over the next 20-years.. but it's a slow process