A desperate need to reform health care

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A wage system might assist repair well being care

Few will disagree that the US well being care system has issues with price, high quality, and entry. One of many main issues is the “fee-for-service” cost association outlined by Dr. Jeffrey Schnipper in his op-ed (“What’s mistaken with well being care, and the way to repair it,” Opinion, Dec. 19). Extra providers end in extra charges and shortly prices are uncontrolled. Schnipper suggests a global-type pricing system with a sure fund for every particular person’s well being take care of a 12 months or episode just like capitation of the previous however with outcomes measurement added to make sure that interventions are usually not withheld. That will work and could be higher than fee-for-service which isn’t efficient. However even a worldwide system might have issues in how outcomes are measured.

Is there one other cost system which will work? I’ve all the time thought {that a} wage system could be efficient. Some main well being care methods work nicely with a wage system and pay physicians nicely, as is right. Simply work out a wage system that’s truthful to all physicians. Perhaps ask those that are utilizing a wage system and perhaps one thing could possibly be discovered. Evidently one thing has to occur with prices aside from rationing. Quickly well being care shall be a bigger portion of gross nationwide product than it’s at the moment.

Bob Marquis

Harmony

A failed revolving door coverage

As advocates for the creation of an Assisted Outpatient Therapy regulation right here in Massachusetts, we’re grateful for the latest opinion article by Dr. Jhilam Biswas (“A lacking hyperlink in Massachusetts psychological well being regulation,” Opinion, Dec. 19). AOT is a vital device within the therapy of Severe Psychological Sickness, which helps to make sure the continuity of care. Massachusetts is certainly one of simply three states with out an AOT regulation. The shortage of AOT perpetuates a failed revolving door coverage that too usually results in tragic outcomes. Now in its third 12 months of operation, the Boston Outpatient Assisted Therapy Program is a confirmed mannequin for AOT. Sadly, to be able to take part in BOAT one should be a felony defendant. Working straight with courtroom officers and psychological well being suppliers, AOTNOW seeks to vary this by making a Massachusetts AOT regulation to serve these most in want of community-based providers. We plan to file laws to perform this purpose. These affected by critical psychological sickness shouldn’t be pressured into the felony justice system to obtain the assistance they want. Psychological sickness just isn’t against the law. We should cease treating these affected by critical psychological sickness as such.

Ashoke Rampuria

Cofounder

Vinita Rampuria

Cofounder

Ann Corcoran

Board member

AOTNOW

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