Who is to blame? All major participants have good and bad aspects:
- The Good: They bargain provider prices down. They pay our bills when we get sick .
- The Bad: They deny coverage inappropriately.
- The Good: They provide medications that heal. I’d rather take medicine than receive surgery.
- The Bad: They overcharge and put drugs on the market that are far more expensive and no more effective than what they replace.
- The Good: They provide good, compassionate care. They save our lives!
- The Bad: They put us on a financial treadmill and churn patients to increase their incomes.
- The Good: They provide the infrastructure within which healing and recovery take place.
- The Bad: They build empires and overbuild in general, driving up costs. A cath lab in every town?
Device and supply manufacturers:
- The Good: They invent and produce live improving and life extending devices, e.g. pacemakers, MRIs.
- The Bad: They inappropriately work the system to sell more of their products.
So what does all this mean? There is no universal “good guy” or universal “bad guy”. In improving our system, all parties must be looked at carefully, and all parties must accept change!