Its all about aligning the incentives … right now there is no financial incentive for any group in the healthcare system to prevent future illness. They get paid fee for service - so the more service, the more they make… The incentive system in the US is all backwards.
Longevity pioneer Peter Attia explains why the quest to live longer is constrained by the US healthcare system
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Back when Attia wanted his first colonoscopy at age 40, instead of the recommended 50 (now it’s age 45), he had to “fight like hell” to get it. Insurance wouldn’t cover it, so he paid with his own money.
For Attia, it was well worth it because a good 5% of people who die of colon cancer are diagnosed with a cancer that occurs at or before the age of 40, he said.
“That’s not a huge number, but it’s not zero,” Attia said.
You would think, Roll said, that there would be a lot of financial incentive to front-load patients with these types of tests and early detection scenarios to avoid these costs later down the line.
But the behemoth US healthcare system sees it differently.
Attia is from Canada, where the single-payer system has plenty of problems, he said. But it does two things well. First, everyone gets healthcare, Attia said. Nobody in Canada is on their way to bankruptcy court right now due to medical bills.
“But the second thing that a single payer system does very well — and this gets to the heart of what you’re asking about, Rich — is the payer owns the risk for life, so there is an incentive to prevent,” Attia said.
“Right now my health insurance is Aetna. Two years ago it was Blue Cross. Three years from now it’s going to be United. What incentive does Aetna have today to care about spending a dollar on me when they are pretty much positive they will not own my risk in 20 years when the chickens come to roost,” Attia continued. “That’s the fundamental problem.”
“Until you fix that problem, until there is true risk ownership between the patient and the payer and the provider, and that is carried out over the course of your life, there is no incentive for them to carry any of that risk,” he added.
Full Paper Here: https://archive.ph/3OVG6