you can't have pay for performance in medicine though. What's your criterion? Correct diagnosis the first time? Fast cure? For all of the conditions you list most doctors would want to see if the infection clears up on its own. If it does not they will try amoxicillin and then and only then something more exotic like augmentin. If you want to know right away if the augmentin is required, labwork is required and is generally not considered cost-effective. I say this as the mother of two children who had weekly ear infections as toddlers, and pinkeye multiple times (it is hard not to get it when it goes through an elementary school classroom).
Bottom line -- I don't see anything very special about your Minute Clinics, which don't exist here, btw. Is this a new venture of your employer's? On Sun, Jun 21, 2009 at 3:06 PM, Gruss Gott<grussg...@gmail.com> wrote: > >> Scott wrote: >> >> What about people who may be 'genetically pre-disposed' for certain >> diseases, such as cancer. Should they be penalized because of their genetic >> makeup? >> > > That's why I said relative. > > For example, if you have two 34 year old men, same height, etc > > * one gets 60 minutes of cardio per day, 3 full body workouts per > week, eats organic food based on a 'blue zone' diet, and has > engineered a low stress lifestyle. > > * the second smokes a pack a day, drinks a 6 pack a day, hasn't > exercised in 20 years, and eats twinkies and dominos pizza. > > Should they pay the same premium? I would say no. > > Which is also why I said the perfect plan for me would be a $50k > deductible, an unlimited HSA that counts healthy food as a health > expense, and provides a premium reduction for metrics-based lifestyle > choices. > > Some people like the no-negotiate car dealerships but I don't because > I'm willing to work to get a better than average deal. Health care > should be the same. > > Those willing to work should pay less; it should be pay for performance. > > So take the Minute Clinic fees, for example: > > Bronchitis (ages 5+) $62 > Ear Infections $62 > Pink Eye & Styes $62 > Sinus Infections $62 > Strep Throat (additional lab charges may apply) $77 > > I bet a LOT of uninsured people go to the emergency room for free the > treatments listed above even though they could've planned for such an > occurrence AND have a place to go to get treatment. > > One idea is to have a tax-free health savings account deduction from > everyone's payroll check a la social securit > > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~| Want to reach the ColdFusion community with something they want? Let them know on the House of Fusion mailing lists Archive: http://www.houseoffusion.com/groups/cf-community/message.cfm/messageid:298734 Subscription: http://www.houseoffusion.com/groups/cf-community/subscribe.cfm Unsubscribe: http://www.houseoffusion.com/cf_lists/unsubscribe.cfm?user=11502.10531.5
