I titled my last post a couple days too soon. Check out this link from the WSJ health blog. Dave Snow, CEO of the pharmacy-benefits manager Medco (I have no idea what in the hell that means), has an interesting health care reform proposal. Here, I'll let him describe his little stroke of genius:
Snow said the time has come for doctors to follow set protocols on how to treat patients, and to be paid based on whether they do it. Basically, ‘If X, then do Y,’ and ‘If Y, then do Z,’ sort of stuff.
Yeah, that sort of stuff. Sounds like a surefire solution. It's like algebra. If X (say, congestive heart failure) then one must implement Y (chest xray, diuresis, rule out MI, a million other things, etc). It's simple. And if X is accompanied by Y, Z, W and maybe a little lower case r, then one merely has to integrate the equation with respect to z squared and the solution will present itself. Here's more from Dave Snow (and check out that picture in the link, CEO Snow in all his big white toothed, used car saleman suavity):
“I have no patience for a doctor who says, ‘I’m above it all, I don’t want to practice cookbook medicine,’” Snow says.
Bravo. Because that's exactly what's wrong with American health care. Not enough doctors mindlessly managing their patients according to rigid, universal protocols without regard to individual needs or the subtle variances of the human species. All we needed to do all along was designate a bunch of "smart folks" (like a national Federal Reserve of Health Care!) to get together and hammer out a national health care cookbook for dumb, lowly physicians to follow. My God. It was right there in front of us all along!
Obviously this Chairman Snow character is too contemptible to waste much time on. His idea is vapid and nonsensical and completely detached from any sort of reality that I am familiar with. Let's just hope he doesn't gain any more traction than he already has with Tom Daschle...