When counties have great infrastructure, they are more appealing to business and they prosper. Counties own and operate the public school system to give resident children opportunity and to provide an informed workforce. Chronic illness causes 86% of all health care spending. It causes most premature death and disability. Most of the cost comes from hospitalizations and emergency room visits. Outpatient primary care chronic disease clinics reduce hospitalizations and emergency room visits. For that reason, hospitals should not run them. The CEO of the hospital system has a conflict of interest. Hospital systems have an interest in keeping the beds full and performing expensive tests and procedures. They have no interest in Chronic Cardiovascular Condition Clinics that are well run and effective.
A community-owned clinic in Alaska, focused on primary care, and owned by the people it serves has quality scores in the 75th to 90th percentile. It provides care for half the cost required to treat other Alaskans. The opening to this podcast is in Swedish, put just wait a minute and it switches to English. It is worth your time. Singapore applied that model to chronic illness and provides care for one fourth as much. Your county government has a stake in excellent education and healthcare. Outpatient primary care clinics, independent of the hospital, provide the most bang for the buck. In half the states, they can be manned entirely by nurse practitioners. We are happy to discuss implementation with you.
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The games will be rigged if handled by the corrupt government agencies and corrupt souls working within. The big pharmaceutical companies and device companies will send their agents inside to ensure that the whole system goes their way. No, never!