The way we fix the outrageous spending in healthcare is really easy, but 95% of people in this country don't like the answer: stop wasting money.
No more futile care hospital admissions and expensive procedures for a 95 year old unlikely to realize any benefit.
Trach PEG dementia and 89 years old? No more dialysis for your ESRD.
No more spending triple to have a brand name combination antihypertensive when the generic individual scripts are a fraction of the cost.
No more CT scans and defensive medicine when real tort reform provides comprehensive protection.
No more malingery psychiatric complaint for the tenth time this week seeking inpatient psychiatric placement, and tort reform protection for appropriately discharging this patient immediately.
You did cocaine... again, and now you have chest pain, again, and an ugly ekg, like usual. No more admissions, no more troponins, here's an aspirin and the door, you're not a candidate for a stent anyway.
Homicidal ideation? Sorry, this is a go to jail problem, not a go to hospital problem. All yours, officer.
Commercials on television to the lay public advertising expensive placebos like Tamiflu? No more.
I am all for providing coverage for someone's pre existing diabetes. Refusing to cover that results in paying for their non pre existing strokes and MIs later. But we should be covering insulin and metformin, not invokana and other more expensive non value add therapies.
If you have a million dollars and you want to keep your great great grandmother chugging along with the dialysis and tube feeds, be my guest, feel free to pay cash. That'll be $20,000 M-W-F. But the collective public/taxpayer/etc should not be expected to spend money in this way.