As a nation we are on the threshold of the next evolution of our present healthcare system. This generation will either be remembered for creating a great healthcare system or creating a financial/healthcare disaster. While Congress and the President try to craft, hopefully, a better system I am going to invite comments/thoughts from physicians around the world. These physicians will be from Canada, the United Kingdom (nationalized healthcare systems in developed countries), a physician who has practiced in the Caribbean and a physician from Nigeria (healthcare in two third world countries). The first hand experiences and thoughts of all of these physicians would create for a lively discussion on comparing healthcare systems not only in United States but around the world.
The three major issues with healthcare anywhere in the world are centered on:
- Quality
Best outcomes from Best practices
Continuous process of monitoring, goal setting and improvement
Includes everyone and every process in the delivery of healthcare - Access
Based upon having the appropriate number of healthcare providers within a specified geographic radius
Being able to utilize these services when needed – available appointments when required - Affordability
Ability to pay for healthcare services
Over the following weeks we will discuss:
- private insurance and the role of private insurers in government programs
- the government’s role in providing healthcare including government sponsored insurances e.g. Medicaid, Medicare, Veterans Health Administration
- hospitals, emergency departments and hospitalists
- physician practices, medical homes, urgent cares, minute clinics
- clinical guidelines, quality and clinical data
- malpractice and attorneys
- role of the individual in their own healthcare
- universal healthcare
Please feel free to share your thoughts, comments, disagreements with this group of doctors….

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