Rescue The American Healthcare System In Six Steps

Rescue The American Healthcare System In Six Steps

According to respected neurologist Dr. Steven Goldstein

Dr. Steven Goldstein of the Houston Healthcare Initiative believes that the U.S. healthcare system can be rescued, and that American business can play an instrumental role. He describes the steps to salvage the industry on the Houston Healthcare Initiative podcast.

The Houston Healthcare Initiative podcast can be heard on: Apple Podcasts, Audible, Audacy, iHeart, Listen Notes, Podcast Addict, Podbay, Podnews,  Stitcher, Soundcloud, and Player FM.

What Needs Rescuing

Rescue Healthcare
Dr. Steven Goldstein describes six steps business can take to reduce costs and maintain employee health.

The current American healthcare system is a mis-mash of government regulations, insurance company and medical industry policies designed to separate the public from its money and provide a minimum of care. The current system does not embrace new treatments or scientific breakthroughs. Insurance companies question the judgement of doctors with double approvals of prescriptions and treatments called ‘pre-authorization.’

Government at the state and federal level demonize off label treatments along with those who advocate them and instead peddle more expensive vaccines and treatments.  It’s a mess.

How to Fix Healthcare

There are practical steps a company of any size can take to transition from the current healthcare system to this new cost-effective solution.

  1. Self-Insurance

In addition to an estimated 20-30% savings compared to regular insurance self-insurance allows a company to adopt new technologies, financial and other incentives to deliver higher quality care at lower cost.

  1. Health Savings Accounts (HSA)

As a practical matter this shifts the costs of routine healthcare to the employee. It allows the employee to pay cash using pretax dollars. Cash prices for tests and procedures are already dramatically lower than insurance company discounts. By paying cash, the administrative costs of processing claims drop dramatically. The employee simply saves receipts and makes a claim only when the receipts add up to the deductible. Additionally, the unused HSA money accrues interest that can also serve as a retirement account for employees.

  1. Establish an Employee Welfare Trust (EWT).

The purpose of the trust is to reduce the cost of reinsurance in later years and to eventually convert the insurance plan from a one-year contract to insurance to age 65. Thus, employees will be able to continue in the plan even if they no longer work for the company if they continue to contribute to the EWT.

  1. Educate employees about what is possible for them. These options include:
    • How to choose a primary physician based on the personal needs of that person,
    • How to shop for medical care and medication,
    • The importance of mental health and the relationship between mental health and the effect on physical health and the immune system,
    • The importance of physical exercise,
    • The importance of financial health and its effect on mental health.
  1. Technologies that can be implemented immediately.

Technology can provide free access to a physician 24/7 for diagnosis, and second opinions. Remote appointments reduce trips to the ER or urgent care. Additionally equip each employee with a thermometer and blood pressure cuff to provide information to the physician. Encourage patients to maintain their own medical records; educate patients on how to do this. Business can also fund fitness apps, gym equipment at the jobsite or gym memberships.

  1. Employ incentives to employees to live a healthy lifestyle. These can be financial incentives or other rewards like increased company contributions to the HSA, lower insurance premiums etc.

In Summary

According to Dr. Goldstein, the means to take control of the healthcare system away from government, big hospital companies, and the insurance industry and create a patient centered system is within our collective grasp. “We just need to do it,” he told his audience. “There are enough remedies in current law available to employers and employees alike to make a major change in the way we all get and pay for medical care.”

If nothing is done to rescue the healthcare business, the public can expect higher costs for insurance with higher deductibles and less coverage. Add to that more regulations and fewer treatments. More government interference with science and medicine and less freedom for our doctors who know us best to treat their patients.

About the Houston Healthcare Initiative

The Houston Healthcare Initiative podcast with Dr. Steven Goldstein is an information vehicle for people who want to know all medical options for themselves and are interested in reforming the healthcare industry. To learn more about the Houston Healthcare Initiative please visit www.houstonhealthcareinitiative.org.

To Deliver Preventive Care Enhancing Population Health After Covid-19

While not about health, Franklin was first to say an ounce of prevention is worth a pound of cure.

What were the additional medical setbacks the American public suffered during the Covid-19 Pandemic…..

To Deliver Preventive Care Enhancing Population Health After Covid-19

On the Houston Healthcare Initiative podcast, Dr. Steven Goldstein said that it was possible to reverse the preventative care reversals suffered during the Covid-19 pandemic.  Everyone can stay healthier, and possibly live longer by re-committing to prevention as part of our collective health regimen.

The Houston Healthcare Initiative podcast can be heard on: Apple Podcasts, Audible, Audacy, iHeart, Listen Notes, Podcast Addict, Podbay, Podnews,  Stitcher, Soundcloud, and Player FM.

Pandemic Pull Back

prevention
Routine health medical tests and exams designed to prevent illness fell during the Covid-19 pandemic. Dr. Steven Goldstein expects the number of tests to return to pre-pandemic levels.

How much did Americans miss when it came to preventative or elective care during the pandemic? Quite a bit according to Dr. Goldstein. “The drop off was precipitous and happened in a very short period during the spring of 2020,” he told his listeners. “Vaccinations dropped by 60% in April 2020. In the same period practically, no one got a colonoscopy with an 88% decline for those.”

What Will Happen Now?

Dr. Goldstein said to expect preventive care use to return to its pre-pandemic rates. “But the gaps created over the last year have critical implications for patients’ long-term health and could potentially lead to poorer outcomes over time,” he stated.

The Full Impact of Covid-19

The full effect of the pandemic on the American public is not known yet. But hospitals and health systems are aware of trends caused by delayed health screenings and the worsening of some chronic conditions.

The COVID-19 pandemic led to a decrease in preventive screenings because some patients were hesitant to see their health care provider. That was understandable. “But with more and more places opening, it’s important to get back to the preventative tests, screening and medication that helped you and everyone stay healthy and manage those chronic conditions,” Dr. Goldstein concluded. “Preventive care helps everyone stay healthy.”

The Norm of Preventative Care

Preventative care is and has always been considered best practice for all physicians and their patients.  Finding something and treating it early generally means a better outcome for patients including less expensive treatments. Screenings are important to avoid future health problems or catch them early when they are easier to treat.

Preventive care measures things like cholesterol, body mass, along with breast cancer screenings, prostate cancer screening and some general health counseling. Screening and test diagnosis helps doctors find abnormalities sooner than later. Cancer is the example most know about.  But the same caution with respect to blood pressure, arterial blockages in the heart and other organs are just as important.

“An ounce of prevention is worth a pound of cure.” This saying is reflected in proposed health reform plans and the efforts to increase investments in prevention throughout the U.S. healthcare delivery system. With evidence that nearly 40 percent of all deaths in the United States are due to behavioral causes, attention to prevention has encompassed obesity and tobacco smoking prevention in addition to vaccinations and cancer screening.

Chronic diseases are the leading cause of death and disability worldwide and are linked to increasing health costs. Preventative care is advocated as part of a population health approach and includes both clinical preventative services and screening tests.

Identifying and preventing potential problems downstream is one strategy for controlling utilization and improving health outcomes.Most health plans must cover a set of preventive services — like shots and screening tests — at no cost to you. This includes plans available through the Health Insurance Marketplace®.

About the Houston Healthcare Initiative

The Houston Healthcare Initiative podcast with Dr. Steven Goldstein is an information vehicle for people who want to know all medical options for themselves and are interested in reforming the healthcare industry. To learn more about the Houston Healthcare Initiative please visit www.houstonhealthcareinitiative.org.

 

Enhancing Population Health Approaches After Covid – 19

Podcast on what's after Covid
Enhancing Population Health Approaches After Covid – 19.

Enhancing Population Health Approaches After Covid – 19.

On this edition of the Houston Healthcare Initiative Dr. Steven Goldstein, will discuss the reversals in preventative care the American public experienced during the Covid-19 pandemic and what we can all do to stay healthier, and possibly live longer by re-committing to prevention as part of our collective health regimen.

Ivermectin Off Label Prescriptions for Covid-19

Off Label Prescriptions for Ivermectin

Off Label Prescriptions for Ivermectin
Off Label Prescriptions for Ivermectin to treat Covid-19 bring into question the practice of off label prescriptions.

Doctors’ Right To Prescribe Off Label Treatments for their Patients.

Even in the year 2021 the more things change, the more they stay the same. By that I am referring to the off-label prescription options doctors have always had that are still controversial when it comes to the ongoing global Covid 19 pandemic. Off-label prescribing is when a physician gives a drug that the U.S. Food and Drug Administration (FDA) has approved to treat a condition different than the one you’ve got. This practice is legal and even common.

In fact, one in five prescriptions written today are for off-label use. Last year Dr. Goldstein discussed the controversy and government interference with how hydroxychloroquine, a common treatment for Malaria was prescribed off-label for patients suffering with Covid-19. Fast forward from September 2020 to October 2021 and the same thing is happening with a drug called Ivermectin, a drug that is approved for treatment of certain parasitic worm infestations, and its possible use as a treatment for Covid-19.

Here on the podcast with some much-needed insight is respected neurologist and founder of the Houston Healthcare Initiative, Dr. Steven Goldstein. This on the latest edition of his popular Houston Healthcare Initiative Podcast which can be heard on : Apple Podcasts, Stitcher, Podbean, Soundcloud, and the Houston Healthcare Initiative website.

How do the government, media and lobbyists work to suppress affordable treatments for Covid-19 and interfere with a doctor’s right to prescribe off label

 

Physicians Rights: Off Label Prescriptions of Ivermectin for Covid-19

Physicians Rights: Off Label Prescriptions of Ivermectin for Covid-19

Off Label Prescription
Physicians Rights: Off Label Prescriptions of Ivermectin for Covid-19. Doctors have the right to prescribe medication for conditions other than the one approved.

Even in the year 2021 the more things change, the more they stay the same. This is reference  to the off-label prescription options doctors have always had that are still controversial when it comes to the ongoing global Covid 19 pandemic. Off-label prescribing is when a physician gives a drug that the U.S. Food and Drug Administration (FDA) has approved to treat a condition different than the one you’ve got. This practice is legal and even common. In fact, one in five prescriptions written today are for off-label use.

Same But Different

Last year Dr. Goldstein discussed the controversy and government interference with how hydroxychloroquine, a common treatment for Malaria was prescribed off-label for patients suffering with Covid-19. Fast forward from September 2020 to October 2021 and the same thing is happening with a drug called Ivermectin, a drug that is approved for treatment of certain parasitic worm infestations, and its possible use as a treatment for Covid-19.

 What is going on with this latest controversy?

Unfortunately, the controversy involves politics. The government under both Republican and Democratic administrations has tried to dictate what treatment should be used to treat Covid infections. In truth, the development of treatments should not be political and should be left to the medical profession. Government should limit itself to funding research and to providing additional equipment and hospital beds as needed. The CDC can be a clearinghouse to provide  data to physicians and researchers about the pandemic. A classic comment sticks in my craw. During the Vice Presidential debate, Kamala Harris famously said if Donald Trump said to take the vaccine she would not. But if Joe Biden said to take it she would. Think about it. What does either man know about Kamala Harris to advise whether or not she should take the vaccine?

She should make the decision with the advice of her physician. The government does have a public health role to protect the public from getting infected but not a treatment role. 

Is Ivermectin OK to Use?

There are studies that show Ivermectin has no anti-viral benefit, some that show it has those qualities for some diseases and others that show it is a miraculous treatment. So far there is no consensus among physicians about the utility of ivermectin. “My view is that doctors who suspect it to be of value should be allowed to study it,” Dr. Goldstein said.  There are many examples from the history of medicine where an individual physician working alone has made a major breakthrough. Two examples come to mind: Dr. Simelweis saved the lives of numerous mothers by suggesting that OB doctors should wash their hands before delivering the baby. He was ridiculed by the medical establishment at the time as the germ theory of infections was not yet discovered. More recently 2 Australian doctors, Barry J. Marshall and Robin Warren found that stomach ulcers were caused by a bacteria. “They also were ridiculed by the medical establishment until they won the Nobel prize,” Dr. Goldstein told his listeners. “Allow physicians to pursue different treatments for Covid. Stop politicizing the treatments and stop publishing premature articles in the press for or against any unproven treatment.”

With more much-needed insight is respected neurologist and founder of the Houston Healthcare Initiative, Dr. Steven Goldstein on his regular podcast.

Click the link to listen: https://houstonhealthcareinitiative.libsyn.com/ivermectin-off-label-prescriptions-for-covid-19

3 Goals: Healthcare Changes to the American Families Plan Could Create Affordable Healthcare

3 Goals: Healthcare Changes to the American Families Plan Could Create Affordable Healthcare

Hand writing What You Need To Know with marker, business concept background

3 Goals: Healthcare Changes to the American Families Plan & Health Savings Plans Could Make Medical Expenses More Affordable.

The new administration, like all of them, has plans for Americans and their healthcare. On this edition of the podcast Dr. Steven Goldstein, who founded the Houston Healthcare Initiative, will get us all better acquainted with what those proposals are and explore other possible ways for how healthcare can be fixed. The Biden administration has three goals.

3 Healthcare Changes are Goals for the Biden Administration.
There are three healthcare priorities for the Biden administration plus one more that Dr. Steven Goldstein suggests.

To listen to the podcast, click this link: https://soundcloud.com/harold-nicoll/three-biden-administration-healthcare-goals-plus-one-not-included. 

The Covid 19 Response

Of the three goals, first is the Covid-19 pandemic response. Part of the goal is to prevent over capacity of limited hospital beds and critical care space during spikes in the virus outbreak, like those occurring now. Others include the ability to establish temporary hospitals and better ways to track Covid surges via technology. Making telehealth options more widely available, tasking all relevant federal agencies to set up temporary hospitals and getting the Center for Disease Control (CDC) to develop real-time tracking dashboards to better predict when surges will happen, where they are and other details needed to better inform healthcare professionals about the evolution of the pandemic.

The Affordable Care Act

The second of the three priorities has to do with the Affordable Care Act, or as it is more popularly known, ObamaCare.

The idea is to reduce medical costs for the American public. As part of a separate pandemic relief bill, there is $34 billion to help Americans who buy insurance from the health plan marketplaces that were created by Obama Care now through 2022.  Those who know about it state that this would help lower and middle-income Americans who have fallen through the cracks of the government’s eligibility requirements for ObamaCare subsidies. It would also help people who choose policies with lower premiums and higher deductibles. There is also assistance for the unemployed.

Medicare Reform

One of the more visible proposals is to increase the age of people who are eligible for Medicare from the current 65 to 60 years of age.

“While we can think of these as beneficial to society, there is a considerable cost that comes along with it,” Dr. Goldstein told his listeners. “Instead of transferring more money to people, there are other ways to use existing healthcare payment strategies that will benefit everyone.” So why not fund Health Savings Accounts (HSA’s) with this same amount of money?  It is tax-advantaged when received, if the money earns interest while in the health savings account the account owner can keep it and be prepared to pay cash for more health-related expenses. So what is a health savings plan?

Prescription Drugs

The Trump Administration launched a “Transparency in Coverage” ruling in December of 2020 that required health insurers to disclose current drug prices and provide patients with personalized cost estimates. The Biden Administration hopes to increase these efforts by repealing existing laws that prevent Medicare from negotiating lower prices with drug corporations. “Plenty of people believe that the government already uses its mass buying power with Medicare to negotiate better rates,” Dr. Goldstein said. “That is not the case.”

Health Savings Accounts

The Health Savings Account. or HSA, is a type of savings account that is used for medical expenses. HSA’s were established for those with high deductible health insurance coverage. HSAs and high-deductible health plans were created to help control health care costs. The idea is that people will spend their health care dollars more wisely if they’re using their own money. The money deposited by individuals into their HSA account is not taxed.

Further, HSAs feature a triple-tax benefit: money you contribute to your HSA can be written off on your taxes and thus reduce your income tax bill; money in your HSA grows and compounds assuming investments rise. All is tax-free over time; and when HSA money is withdrawn for qualified medical expenses, no tax is paid on the withdrawal. It is owned by the individual so that he or she can pay their healthcare costs. These include everything from doctor visits to blood tests, paid for with cash from the health savings accounts.

As always, information about this and more than 50 other podcasts can be heard and read about at the website, www.houstonhealthcareinitiative.org.

About The Houston Healthcare Initiative

The Houston Healthcare Initiative podcast with Dr. Steven Goldstein is an information vehicle for people who want to know all medical options for themselves and are interested in reforming the healthcare industry. To learn more about the Houston Healthcare Initiative please visit www.houstonhealthcareinitiative.org.

How Americans Gained So Much Weight During the Pandemic Lockdown

Stress caused by the fight or flight reflex were what led to the weight gain during the Covid-19 pandemic.

How Americans Gained So Much Weight During the Pandemic Lockdown. There were a lot of unintended consequences of the Covid-19 lockdown. Sadly, at a time when Americans should have been focused on their health, as a population we did anything but. During the Covid-19 pandemic lockdown the average American gained two pounds a month. Americans in general were never known for healthy diets or enthusiasm for working out. But a bad problem got way worse during 2020 and the early month of 2021. To help us all gain some insight into this is the founder of the Houston Healthcare Initiative, Dr. Steven Goldstein. To see more visit www.houstonhealthcareinitiative.org.

How Americans Gained So Much Weight During the Pandemic Lockdown. Listen here to learn why?

The Number of Primary Care Doctors is Shrinking, and That is Really Bad News

Primary care shrinking
Access to primary care physicians is a matter of the number of doctors who choose to pursue primary care as a career. Pay for those roles is lower than it is for most specialists and no surprise, fewer are choosing to go into this important part of the healthcare profession.

On the Houston Healthcare Initiative Podcast

The Number of Primary Care Doctors is Shrinking, and That is Really Bad News

July 20, 2021 – The Number of Primary Care Doctors is Shrinking. An important contributor to the health of Americans is shrinking and the effects on the overall health of people in this country is and will continue to be negatively impacted. This is the subject of the latest edition of the Houston Healthcare Initiative Podcast.

Lower Pay

Fewer medical school graduates are choosing primary care because it pays significantly less than other specialties. Worse still, a lower number of primary care doctors is linked to 85 deaths every day, according to a study published by the National Academy of Sciences. Can primary care doctors make more money? “Under the current system of payment via employer funded health insurance it will be challenging to make that case,” Dr. Goldstein said. “But there may be a chance for new primary care doctors to ignore most of the insurance companies and their accompanying rules and work on a cash basis.”

Cash Only Please

Even patients who have their own health insurance can often save themselves money by paying cash. Doctors will not have to hire staff to process insurance claims, hassle with them over payment or non-payments. Patients save money on premiums and the doctors have fewer expenses. Patients pay less, doctors keep more of the fees because of lower expenses.

Covid Pandemic Bankrupts Many Practices

In addition to a shortage of practicing doctors, primary care visits declined significantly during the COVID-19 pandemic. Add to that a good number of primary care practices were not able to access federal funds and relief and went under. “If these trends continue, it will have a very negative impact,” Dr. Steven Goldstein told his listeners. “Regular visits to the primary care or family doctor allows that physician the chance to know his or her patients better. What are their medical histories, prescribed medication, allergies, or family histories that could affect a diagnosis? These are details that the primary care doctor will know because he or she has a history with patients.”

What Difference Does It Make?

A single visit to a primary care doctor makes a difference for the patient. “When you get sick, that doctor knows how to treat you,” Dr. Goldstein said. Primary care is a health care component where an increased supply is associated with better population health and more equitable outcomes. “For this reason, primary care is a common good, which makes the strength and quality of the country’s primary care services, or its lack, a public concern.”

About the Houston Healthcare Initiative Podcast                                                                   The Houston Healthcare Initiative podcast with Dr. Steven Goldstein is an information vehicle for people who want to know all medical options for themselves and are interested in reforming the healthcare industry. To hear the podcast go to: SoundCloud, iHeartRadio, Stitcher, Backtracks, LibSyn, or the website at www.houstonhealthcareinitiative.org. Dr. Goldstein insists that for the health and welfare of the American public, the congress must pass reforms that limit the influence of the pharmaceutical industry and its lobby.

Healthcare Payment Reform is Critical to Improving Primary Care

Backs of doctors
Doctors are leaving the primary care practice in numbers that lead to 85 deaths per day. Better pay will retain more for this important healthcare function.

Access to and paying for healthcare is a topic that Dr. Goldstein talks about a lot on the podcast and this one is no exception. But in this case access to primary care is a matter of the number of doctors who choose to pursue primary care as a career. Pay for those roles is lower than it is for most specialists. A lower number of primary care doctors are linked to 85 deaths every day according to a study published by the National Academy of Sciences. In addition to a shortage of practicing doctors, primary care visits declined significantly during the COVID-19 pandemic. Add to that a good number of primary care practices were not able to access federal funds and relief and went under. How can we manage all this? For answers we turn to respected neurologist and the founder of the Houston Healthcare Initiative, Dr. Steven Goldstein.

Listen to the Houston Healthcare Initiative podcast about primary care physicians here. Healthcare Reform is Critical to Retain Primary Care Docotrs