Updated: Oct 16
Disconnecting with insurers means freedom for doctors and patients. Instead of a government bureaucrat in Washington, DC deciding what you need, you and your doctors can come up with care plans, screening protocols, and treatments that are right for you. Moreover, our doctors will have the freedom to apply population-level initiatives that make sense for the local community, based on their demographics, genetics, current events, environment, disease profile, and felt needs. And, without the middle man (or middle hundreds of people) everything is simplified and more cost-effective.
For example, if a doctor has an obese pediatric patient, he will often order cholesterol tests. There is no evidence that this does anyone any good, since it is uncommon to start children on cholesterol-lowering medication and everyone knows they need to lose weight. It is almost never a cognitive problem, when a child is obese. The problem is usually multifactorial, and is very often related to the patient’s income, zip code, race, parents’ weight, and history of trauma. What if that doctor was able to provide a basketball team for the patient to join at a very low cost? What if the doctor invited the parents for group cooking classes in the evenings at the clinic, in which parents taught each other their favorite recipes while a culturally humble nutritionist watched, making small suggestions (canola oil instead of lard, or soy chorizo instead of pork, for example)? What if the whole community got together at the clinic and wrote letters to the school district asking them to open the local elementary school’s gates on Saturdays and Sundays so the kids could play there? These kinds of interventions could be life-changing.
The beauty of the insurance-free model is that we can be creative about meeting needs and we aren't confined to the stethoscope and the exam room. The possibilities of how to improve health are endless.