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Berwick Names 11 Monsters Facing Hospital Industry



Former acting head of the Centers for Medicare & Medicaid Services, Don Berwick, MD, acknowledges healthcare providers have come a long way in the last few decades, but it's "by no means enough."



7 comments on "Berwick Names 11 Monsters Facing Hospital Industry"
Peggy Gonder (8/5/2013 at 5:26 PM)

Berwick's best suggestions are the last 2: increased focus on prevention and keeping people out of the hospital, to improve health and reduce the cost of healthcare. "We let bad things happen and then [hospitals] fix them. Well, why don't we stop them from happening? Simply put, we just haven't built the institutional structure for prevention."
Laup Nepm (8/1/2013 at 5:09 PM)

The Real Monsters of Facing Medicine: Christine Cassel MD, Margaret Nora MD, Richard Baron MD, Eric Holmboe MD, Robert Wachter MD, Humayun Chaudry DO, The American Board of Medical Specialites (ABMS), the American Board of Internal Medicine (ABIM), the Federation of State Medical Boards (FSMB), Maintenance of Certification (MOC), Maintenance of Licensure (MOL), Ezekiel Emanuel and the entire Insurance Industry.
Bill Baar (7/30/2013 at 4:19 PM)

Berwick made a fortune as a consultant (Guys who tell you a million solutions but can't fix a thing themselves). It's time he took the money he's taken from the Healthcare Industry and retire. He's really gotten tiresome.
J Beatty (7/29/2013 at 3:15 PM)

What this article does is address the white elephant in the room and commend its publish. The US has the highest costs for patient care in the world. People could argue it is so because we create the latest drug or device so there is a cost for new technology. In truth, technology is expensive but what if that technology actually reduced costs....and many do but our costs continue to soar well above those in Europe. We must study all models, but more importantly, we must really look at attitudes and identify our own individual agendas in this system. The time to truly address our costs is now and students entering medical school are the crusaders. Every Dr. I have worked for or known loves the money....with one admitting more so than treating the patient. It has to change.
Lynn Polizzi, LMSW (7/29/2013 at 12:08 PM)

I love how Berwick is always pointing fingers and comes up with these really grandiose healthcare initiatives like the ubiquitous three aims of healthcare - better care for the patient, better care for the population and lower per capita cost - however, shows no concrete way to implement them and when CMS finally says, OK let's try this - he leaves his post. Dr. Berwick - finish what you started and get the Three Aims of Healthcare fully implement and actualized. Then I will listen to what you have to say. Also. CMS can put all kinds of teams together to deal with this (trust me, I was on one) but when you limit everyone in every single way imaginable - little gets done. But what else can one expect from big, bloated government.
pplemmons (7/29/2013 at 10:10 AM)

Dr. Berwick somehow forgot the number one monster that is threatening our healthcare system. That is a bloated, overreaching, hyper-political Federal government, populated by holier-than-thou political apparatchiks like himself. He gives the game away when he says, if only we had the wonderful "Nuka" scheme in all our hospitals, "the U.S. government's healthcare problem" would be solved. The U.S. government's healthcare problem?? How about the people of the United States, how about our healthcare problems? But Dr. Berwick sees everything through the eyes of government. In one breath, he says we must "defend the poor" by which I assume he means bankrupting the taxpayers through ever higher Medicaid expenditures, but in the next breath he decries end-of-life care, because it costs the government too much. So pour on the care for the poor, but Grandma and Grandpa, time for you to go. Would it be too cynical to point out that the poor are a major voting block for the democrat party, which is the party of "big government"? Exactly what gives Dr. Berwick the right to make life and death (sorry you don't like that phrase, Dr. Berwick but it's the truth) value judgments between the poor and the elderly? I, for one, am glad Dr. Berwick is no longer in a position to directly harm our healthcare system and I can't imagine why any AHA member would sit and listen to him pontificate about "greed, ignorance, excess, over-utilization and waste" in the hospital industry. Take out the over-utilization, and you have a perfect description of our federal government.
Dasharath C Desai (7/29/2013 at 9:43 AM)

Dr.Don Berwick, First let me congratulate you for the courge you took to inform all known ignorant. I was thinking since long that the thing which I can see as a Physician no one can see these but today I am convinced beyond my douts that there are people who have interest at heart for the patients. You have pointed out these big supar monsters and I wish and hope that there will be some movements in the positive directions for improvements. I read couple of times that atleast 600 to 700 billion $s are wasted in the name of prevention and unneccssary investigations every year. God bless you for this article and I fully support you for this. Thank you for drawing the attention of people for the good cause for the well being of the society at large. Thanks. D.Desai