• How technology drives health care spending growth

    Across many studies, one factor is consistently indicated as a leading cause of health spending growth: technology. Knowing that is useful but not satisfying. One wants to know how. To learn more, read my latest post on the AcademyHealth blog.



    • 3 things.

      1) Too many docs these days don’t or aren’t taught to rely on the simple History and Physical for diagnosis, and rely too much on tech. Either they are lazy, or just too dependent on confirmation on want they already know. This is a huge component of defensive medicine.

      2) Providing state of the art care tends to expand on using more tech.

      3) The growth in senior care demographics skews the tech spending growth even more, as so many seniors require and tend to consume more tech per patient.

    • Unlike Category I treatments, those of Category II are often applied to patients for whom they provide little to no benefit.

      This would seem to imply that we need more end user skin in the game. Then GPs could make decisions based on their estimate of what would benefit their patients overall not just health wise but wealth wise also.

      It also calls to my mind the idea that we would like someone with high moral authority making the calls for us. No one trusts insurance companies and in the USA many do not trust Government so would we be better off if churches ran the medical system as they once did to a greater extent?

      • What if I or my patient wants or needs BCP’s? And some patients need BCP’s for reasons other than contraception.

        That ‘someone with high moral authority’ should be the PCP, ideally always acting in the the patients best interest. Including adding costs/benefits into the overall equation of medical decision making along with the patient.

    • Seems to me that the term “technology” is being applied too broadly.

      The general public thinks of technology as their ceil phone or laptop, which get cheaper every year.

      In health care, the term ‘technology’ is often applied to new treatments for diseases that used to go mainly untreated.