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Friday, July 30, 2010

Donald Berwick and Great Britain's Prime Minister talk about different NHS s

While Dr. Don Berwick, Obama's recess appointee to head CMS, speaks of Britain's NHS in glowing if not poetic and outlandishly laudatory terms,Britain's Prime Minister who has actually studied a report about NHS failings presents a different portrait . See here for the white paper on the NHS.

Here is one except from that report:

the NHS has achieved relatively poor outcomes in some areas. For example, rates of mortality amenable to healthcare, rates of mortality from some respiratory diseases and some cancers, and some measures of stroke have been amongst the worst in the developed world.

"Worst in the developed world" Berwick began his remarks celebrating the 60th anniversary of the NHS with this:

"I am romantic about the NHS; I love it. All I need to do to rediscover the romance is to look at health care in my own country."

His expressed infatuation for the single payer,centrally planned health system of Great Britain is obvious.What is less obvious is how he (or anyone) could reconcile those views with his self admitted radical views of patients primacy.

Dr.RW takes on this daunting task in his recent blog posting (see here) and using in part material from a 2007 IHI publication (see here) he provides insight into Berwick's thinking about reconciling conflicting aims.

Everyone ,physicians,patients,anyone who might become a patient should read about the "goals" that Berwick's organization advocates for a health care system.Then consider on what planet or in what alternative reality those aims could be actually accomplished by governmental central planning.It makes Will Roger's quote " Boil the oceans" ( to get rid of German U-boats ) seem practical.

Dr RW says this about their formulation:

'Grandiose, nebulous and intrusive are adjectives that come to mind." I think he is too kind.

1 comment:

Andrew_M_Garland said...

Here are two charts summarizing the rational planning of healthcare that the government has in progress.
Your Healthcare System
prepared by Senate Republicans.

-> Implementation Timeline of the Health Reform Law via Retired Doc. This chart is 6 feet wide and 3 feet tall at full size.

The Liberal / Progressive healthcare plan:
Phase 1: Make a giant graph of all the past, present, and future interconnections in healthcare management.
Phase 2: ???
Phase 3: Healthcare is now more rational, functional, efficient, and less expensive.

- -
Inspired by this clip from South Park Underpants Gnomes (starts at 17:40). The kids discover the Underpants Gnomes, and ask them what is their plan for success. They answer:
Phase 1: Collect underpants.
Phase 2: ???
Phase 3: Profit