Today as more big corporations capture national attention as they enter the fray to "fix" health care, you will see more promotions by a wide range of corporations. Many of them brand spanking new and financed by those who already profit most, including their health care investments. These consultants, corporations, and "experts" are complicating not only the work of those who deliver the care, but also their lives. Micromanagement of costs and of quality are still considered to be "good" even though the evidence base indicates no improvements in cost saving or in outcomes.
Micromanagment of health care steals the dollars needed to support those who deliver the care and also steals time from their relationships with patients, team members, and family members. The same is true with micromanagement and measurement focus in education. Together these dollar diversions of tens of billions result in better for the few in higher concentrations and worse for most Americans.
Three are three United States populations - a small highest concentration population that can and does overspend and has the best insurance, a middle ground, and half of the nation with underspending, deficits of basic care, and most complex care needs. Cuts of dollars and complications of care delivery are the last thing needed where most Americans most need care.
The top concentration health care needs disruption - but this is prevented by those who profit most by the design.
The lowest concentration populations need a solution for Triple Threat for even a modest improvement in care. About 90% of local services are lowest paid generalist and general specialty services paid least by the US design and paid 15% less in these places - and now penalized more because of the care of more complex populations.
Innovative entities claim to be able to improve costs while also micromanaging quality improvement. They ignore the major consequences to those who deliver care, to basic services, and to most Americans who most need care. Cost cutting and higher costs of delivery are a particularly bad combination for basic health access for most Americans suffering from access declines for the past decades. The past decade in particular has indicated acceleration of burnout and worse - by designs that disrupt.
The big corporations are not about caring for most Americans. One could say that they never have been and likely never will be. They are also unlikely to positively disrupt care for most Americans. They have long been about their profits and profiting off of health care which has the most employees now with many more to come.
A great strategy for corporations is knocking out the competition. Small practices and small hospitals weakest in finances have long been run over - apparently with more to come.
Corporations also do not care about environments and this is likely to be true for the environments of caregivers, delivery team members, and most Americans. There has been no Rachel Carson to expose the Silent Spring and indeed it appears that her work was only a slight delaying action.
Corporations have clearly trashed the health care environment - especially basic services - especially care where most Americans need care.
Health care most needs disruption by a return to a focus on caregivers, care delivery, those who deliver care, and those who care. There is no sign of movement toward this most important disruption across decades of disruptions.
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