How to control excessive expensive medical treatments that threaten to consume government budgets as populations age

Patslatt1

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How to control excessive expensive medical treatments that threaten to consume government budgets as populations age

See https://www.brookings.edu/blog/usc-brookings-schaeffer-on-health-policy/2015/05/08/5-things-atul-gawande-learned-on-his-return-to-mcallen-tx/

This doctor's highly insightful research points the way to controlling excessive expensive medical treatments that threaten to consume government budgets as populations age.. Surprisingly, government financed health care isn't necessarily cost efficient.
 


storybud1

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See https://www.brookings.edu/blog/usc-brookings-schaeffer-on-health-policy/2015/05/08/5-things-atul-gawande-learned-on-his-return-to-mcallen-tx/

This doctor's highly insightful research points the way to controlling excessive expensive medical treatments that threaten to consume government budgets as populations age.. Surprisingly, government financed health care isn't necessarily cost efficient.
so basically let Mick O Leary run the health service and get rid of doctor spinner clowns like Leo,

don't see a problem with it, it is a service after all ? sure one of my kids broke a bone and the waste and waiting for a simple procedure with follow ups was like watching somebody invent a system that could not be run more badly if they tried.

The sooner AI is running the HSE the better, or an actual competent person (s)
 

ruman

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Clear out the Department of Health starting with the Consultants Union rep CMO Tony Holohan.
Massive automation is required, tell the unions and consultants the health service exists for the benefit of patients.
If they dont like it , shut down the public health service and privatise the lot. We are paying anyway through taxes to be seen by some junior doctor while his Consultant runs his private practice and gets paid on the double. May as well pay directly and cut out the administrators.
Anyway truly sick can use a voucher system
 

PBP voter

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Sports injuries block up A and E where I live.

The GAA and rugby crowd are loaded with Sky money.

The GAA/IRFU should be made pay a contribution to the health service.
 

hammer

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And the drinks industry.

Off licence tax...............ring fenced for Mental Health and additional hospital beds

€250m could be raised

What about another €1 on a bottle of wine ?
 

ShoutingIsLeadership

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Sports injuries block up A and E where I live.

The GAA and rugby crowd are loaded with Sky money.

The GAA/IRFU should be made pay a contribution to the health service.
Yeah, what possible health benefits could those organisations be bringing to this country, saving it billions in the process?
 

gleeful

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See https://www.brookings.edu/blog/usc-brookings-schaeffer-on-health-policy/2015/05/08/5-things-atul-gawande-learned-on-his-return-to-mcallen-tx/

This doctor's highly insightful research points the way to controlling excessive expensive medical treatments that threaten to consume government budgets as populations age.. Surprisingly, government financed health care isn't necessarily cost efficient.
While medicine is run for profit, they will always increase the tests and treatments because it generates revenue.
 

ShoutingIsLeadership

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See https://www.brookings.edu/blog/usc-brookings-schaeffer-on-health-policy/2015/05/08/5-things-atul-gawande-learned-on-his-return-to-mcallen-tx/

This doctor's highly insightful research points the way to controlling excessive expensive medical treatments that threaten to consume government budgets as populations age.. Surprisingly, government financed health care isn't necessarily cost efficient.
Keeping people alive who will be dead in a few short years, isn't financially efficient. Who knew?

FFS.

Just bump them off, eh?
 

Watcher2

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Sports injuries block up A and E where I live.

The GAA and rugby crowd are loaded with Sky money.

The GAA/IRFU should be made pay a contribution to the health service.
No, no. They should be made treat the people locally, in their own special clinics set up on site. They have the money as you say. Keep their injuries out of the public health service/hospitals altogether.
 

fifilawe

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I know someone who had three bouts of pancreatitis due to gallstones.The last one almost killed the man and it resulted in permanently damaging his pancreas beyond use.The final outcome is he is an insulin dependent patient.He has had the gall bladder removed soon after getting over the pancreatitis illness but is on a restricted diet due to the inability to process saturated fat, cooking oil , dairy produce due to gall bladder removal and is on a low sugar diet due to diabetes.He had been on the National treatment Purchase scheme but was never called due to waiting list and as a result it is costing the HSE more in the long run than removing the gallstones at an earlier stage.The man was in his 40s when this occurred about 10 years ago.
 

fifilawe

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Was it Mary Hanafin that once said "unfortunately people are living longer" :) :)
How that horrible dynastic TD good for SFA wishes we were living in the age of "Logan's Run" where everyone was terminated at 40 .it was the dystopian land of Tír na n-Óg where poor oisín touched the ground with his foot while on his white horse and suddenly aged to be hundreds of years of age.
 

PBP voter

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John Delaney ?
His Sky funded is limited.

Due to the Dail.

The FAI get some Sky money so they could contribute as well.
 

fergal1790

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And the drinks industry.

Off licence tax...............ring fenced for Mental Health and additional hospital beds

€250m could be raised

What about another €1 on a bottle of wine ?
Many countries have a "Drunk Tank" in local hospitals or police stations where those unconcious or bollixed through drink are thrown in till they are sober then hit with a $50-$100 fine which comers the cost of the unit, the security and nurse etc.
 

PBP voter

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Yeah, what possible health benefits could those organisations be bringing to this country, saving it billions in the process?
Loads of sporting institutions get millions from the government.

By the time many many people are 18 in this country they have a very negative view of teams sports due to the pig ignorant coaches they have had to put up with.

They are a bad investment. They need cleaning up.
 

Lagertha

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Medicine is getting more and more advanced and with those advancements it's getting more and more expensive. At one point I was prescribed a treatment that meant taking 2 injections per month, those injections cost 500 euro each. They are becoming more commonly used because they are extremely effective and can make an enormous difference to the quality of someone's life. The cost of the medicines is something that needs to be tackled because in the long term the cost will continue to rise.
 

Patslatt1

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While medicine is run for profit, they will always increase the tests and treatments because it generates revenue.
The linked article in the OP shows how the incentives can be created to keep unnecessary costs down.
 

Patslatt1

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I know someone who had three bouts of pancreatitis due to gallstones.The last one almost killed the man and it resulted in permanently damaging his pancreas beyond use.The final outcome is he is an insulin dependent patient.He has had the gall bladder removed soon after getting over the pancreatitis illness but is on a restricted diet due to the inability to process saturated fat, cooking oil , dairy produce due to gall bladder removal and is on a low sugar diet due to diabetes.He had been on the National treatment Purchase scheme but was never called due to waiting list and as a result it is costing the HSE more in the long run than removing the gallstones at an earlier stage.The man was in his 40s when this occurred about 10 years ago.
Don't gallstones disappear gradually without treatment in most cases?
 


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