Healthcare Managing Change

I consider the question of the managing change with the healthcare issues in a way of curtain problems and they’re solutions. First of all, let’s see some current issues in the USA health care system today.   New diagnostic and treatment procedures flourish in the United States. Our medical schools are of the best, our physicians of the first rank. And why not, since we spend some 15 percent of our GDP on health care? Few would argue that there’s a better place to get sick than in the United States – if you can penetrate the system. Our system is the problem, and it’s only going to get worse. At dinner party, if you listen to people on the subway, if you talk with physicians, and if you talk with leaders of small business and big business, they’re all very unhappy – and confused. Private insurance companies are happy about current trends, if not happy about where we are. In the present, they’re making money. Drug companies were happier six months ago. They think they’ve been taken aback by the bad press that they’ve been getting, and they’re searching for how they can do better. But by and large, until relatively recently, I think they were feeling – again – comfortable. The more-affluent people that are also fully insured. While they grouse about the paperwork, they have reasonable ways of accessing the tremendous advances that have taken place in the biomedical sciences, which are increasingly translated into better diagnostic care, therapy, drugs. I use the word “access” advisedly, because it isn’t always easy for them either to get to the right places because of the bureaucratic constraints, because of the third-party payers who say you’ve got to have your primary-care physician refer you before you can see a specialist. But when they do gain access to the system, this group feels reasonably satisfied.

National medical errors database hits one million...