Skip to main content

Haven-Not: Silver-Bullet Health "Solution" Misfires

Can you have a better A-Team than this?  Amazon, Chase & Berkshire Hathaway joint venturing via a new nonprofit, Haven, to finally solve our health care problems!  

While I was hopeful when this joint venture was announced several years ago, I was also deeply skeptical.  Rather than addressing the root causes of health costs, such as inactivity and unhealthy nutrition, Haven tried to "develop new ways to improve access to primary care, simplify insurance coverage and make prescription drugs more affordable"--including by throwing a lot of "big data" tech innovations at these issues.

While this approach was pitched as a breakthrough, it was more of a Disease Management 2.0--focusing on more cost-efficient "care," rather than less chronic conditions to begin with.  The latter is the ultimate solution, but requires far more than blue-chip brands plus high-tech to resolve--and a lot more time.  

2-3 years of effort just scratches the surface.  Dramatic improvements in America's health require long-term advocacy, quality implementation in K-12 schools, large-scale permanent funding, and more--and over many decades, as we did with smoking.  

Comments

Popular posts from this blog

Citizen-ready civics: the powerful synergy of knowledge plus engagement

Boy, am I an infrequent blogger!  I do want to assure you, though, that I am alive and working on our focus areas.  In particular, there is a window of opportunity opening in the "life-ready" area in Arizona.   The Arizona Department of Health Services has recently determined, after a comprehensive statewide review process, that obesity is the number one health issue facing Arizona.  Other preventable chronic conditions such as heart disease and diabetes were also identified as major AZ health issues. Furthermore, we already know that four of the five root causes of the vast majority of these conditions are unhealthy nutrition, lack of physical activity, smoking, and excess drinking.  (Genetics plays a role as well, but healthy behavior can often trump genetics.)   At the same time, a number of organizations and individuals are frustrated by the increasing narrowing of our public K-12 education, and the dire consequences of downplaying social studies and health educ

Urban food myth #1: it costs more to eat healthy than to eat fast food

I get so tired of hearing this: "It costs less to buy a burger from McDonald's that to eat healthy food from the supermarket." "Low-income families just buy processed food, they don't cook their own food anymore." That always sounded questionable.  Here is a study showing in great detail that fast food is much more expensive than healthy food bought at the supermarket . Also, it turns out that the vast majority of meals eaten by low-income families are prepared at home: Blisard N, Stewart H. How low-income households allocate their food budget relative to the cost of the Thrifty Food Plan. Economic research report, United States. Washington, DC: Department of Agriculture, Economic Research Service, 2006;20. What is true is that buying healthy vs. unhealthy foods can cost $1.50/person/day more, at retail prices.  However, when health cost consequences are factored in, unhealthy foods cost twice as much .

Health "benefits"?: Oh well...

We meet them all the time:  people trapped in their job, in order to keep their health benefits.   We need a study on the negative impact on entrepreneurship and the economy from people health-handcuffed to their current jobs.  From my limited anecdoctal evidence, the costs are astronomical.   Two-income families have made the labor market much more geographically immobile, and now health insurance is exacerbating the job-jail. Modern Healthcare just summarized results of a new Peterson-Kaiser study  on employer health insurance and the actual cost to employee families, of the combination of employee share of premiums plus employee out-of-pocket health costs. Employers keep shifting more and more health costs to employees. The only good news is that employers are still paying a (fast-shrinking) % of premiums--so health costs are still cheaper than being self-employed.  [Also, if we end up back in the uncovered pre-existing conditions bad-old-days again, expensive employer heal