Eye-opening article on the problem with practicing prevention-based healthcare in our current system. This is one clinics story. We can do better & we can change this. Why I Had To Close My Preventive Healthcare Clinic Based on our review of the credible research, our model mostly excluded dietary supplements and multivitamins because the science mostly did not support their use. When it came to pharmaceuticals, we didn’t rush to prescribe if there were a non-drug alternative. This approach was a turn-off to many patients who expected a prescription or emphatically clung to beliefs in supplements. And the no-cost, no-deductible, no co-payment provisions in Medicare’s preventive benefits may have had an adverse effect on people’s sense of its value. How much would you appreciate something that has no cost to you? For many patients, it seemed easier to take supplements than to be more attentive to food labels and exercise habits. Patients loved my practice because I was willing to spend up to two full hours with them, most of it not reimbursed by insurance. The extra time often meant successfully making a diagnosis that had eluded other doctors for many years. It takes a very long time to get a thorough history and do a good exam and almost no time to prescribe a medication for a presumed illness. I chose the former. Insurance pays for the latter. Unfortunately, we still have a healthcare system that makes money by treating disease, rather than by preventing it. theatlantic/health/archive/2014/01/why-i-had-to-close-my-preventive-healthcare-clinic/282929/?utm_source=twitter&utm_content=3624240
Posted on: Wed, 15 Jan 2014 17:38:19 +0000
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