This Halloween, several creative costumes have emerged from
the zingers of the Presidential debates – Big
Bird costumes are selling out like hotcakes. For a more do it
yourself look, here’s a recipe for Binders
full of women. The debate
over the best way to contain healthcare costs have also been a central part of
the debates, and yet medical bills do not seem to make popular costumes. Maybe
that is because that unaffordability of healthcare is too horrifying for ironic
humor – even on Halloween.
As we head into the election, patients are increasingly being
terrorized by runaway healthcare costs.
Americans outspend our peers two
to one and still seem to be worse off. We overtest and overtreat
to the point of absurdity. According
to a recent report, “The U.S.
did 100 MRI tests and 265 CT tests for every 1000 people in 2010 -- more than
twice the average in other OECD countries.” The causes are multifactorial but the
solutions can’t be left to presidents and policymakers alone. An important part
of the responsibility rests with healthcare professionals and the educators who
train them.
Experts in health
professions education and economics have
lamented the poor state of education on healthcare costs. Over 60% of U.S. medical graduates
describe their medical economics training as “inadequate.” Not only are medical trainees unaware
of the costs of the tests that they order, they are rarely positioned to
understand the downstream financial harms medical bills can have on patients. More recently, Medicare, the largest
funder of residency training in the United States, is concerned
that we are not producing the physicians to practice cost-conscious medicine in
an era of diminished resources.
About
Teaching Value: the Costs of Care Teaching Value Project is an initiative
of Costs of Care that is funded by the ABIM Foundation. Our team is comprised of medical educators and trainees who
believe it is time to transform the American healthcare system by empowering
cost-conscious caregivers to deflate medical bills and protect patients'
wallets. Our web-based video modules are designed to be easy to access
for anyone anywhere and provide a starting point for tackling this problem.
It’s time to emerge from the darkness and do our part to tame the terror of
healthcare costs.

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