Our American Healthcare System is in Transition
… and here is what you can do about it
This website is designed to address American healthcare in transition and assist those who have to navigate its perilous topography. Whether you are a provider of healthcare, a healthcare decision maker or the person actually wondering how you can get to that needed healthcare, we all need advocates.
In my professional lifetime of almost 50 years in healthcare, I have been learning how to facilitate healthcare for my patients and clients.
My goal is simple … Help you become an informed consumer of healthcare.
Today, the for-profit health insurance model drives American healthcare in transition:
the Consumer (you — the patient) is left out of the decision-making process.
(Non-profits make money; they just don’t share it with stockholders).
This current model is broken!
What Does Our Current Three-party Healthcare Model Look Like?

THE PROVIDER
The Doctor or healthcare expert that provides the service

THE CONSUMER
The patient who receives the service

THE PAYOR
The Insurance Company or other third party that pays for the service
Join me in the discussion on the viability of other health care models
BOOKS, BLOG AND MORE
By Author Brian Casull, MD, MPA
COL (R) US Army Medical Corps
Physician Executive with 40+ years experience in
traditional and non-traditional physician environments

LEARN MORE … Follow my Blog
Insights, case studies, and suggestions on how to deal with the issue of
making our American Healthcare in Transition more efficient.
Are You Ready to Become an Informed Healthcare Consumer?
What Influences Access to Healthcare? Cost!
In last week's blog I talked about ROI (Return on Investment). Health outcomes (mortality, morbidity-how sick you are, life expectancy, healthcare status, functional limitations, etc.) are strongly impacted by [...]
Healthcare 2020 and Out of Pocket Costs
In my previous blog I talked about the three obvious and prominent components of our FOR-PROFIT HEALTHCARE INSURANCE MODEL. And no, it is not a free ride for the [...]
Introducing the Current Model of Healthcare
Today, I would like to introduce the current model of healthcare. It is the FOR-PROFIT HEALTHCARE INSURANCE MODEL. That model has three prominent components and one behind the scenes. [...]
Do We Need a Border Wall From a Healthcare Perspective?
Poppy tweets about healthcare 2020 ... where are we headed? The results of the 2018 mid-term elections solidified Health Care as an important topic. The recent federal judge ruling [...]
Decision Makers
The DECISION MAKERS ... Are you listening? Previously in my POSTSCRIPTS for the Consumers and Providers, I mentioned that we have come full cycle to the place where I as [...]
If six percent die from lack of healthcare insurance, 16,558 Americans could die from being UNINSURED or UNDERINSURED.
This website is designed to help you, the people who require healthcare coverage, become an informed consumer.
I wish to reach out not only to the healthcare consumer but to the providers of healthcare who wish to support their patients in the context of an Accountable Care Organization or Patient Centered Medical Home. Another group of folks who I would reach out to are those of you who are the policy makers and decision makers when it comes to American Healthcare in Transition. And above all, I would like to reach out to patient advocates and be able to provide usable information to help you support your constituency.
The healthcare posts on this website are the means of providing regular content to support the mission of becoming informed consumers of healthcare no matter what your particular emphasis might be. I invite you to check out my BLOG page or CONTACT me for additional discussion or to ask a question. I would like to be of assistance by knowing how best to reach your stakeholders or what your particular hot healthcare topic of concern might be.
As a practicing physician and now physician executive, I have had the benefit of a forty plus year journey experiencing most, if not all, of the disparate and diverse aspects of our American game of healthcare played on tectonic plates.

So please let me know how I can help you.
“Trust me. I’m a Doctor.”
More About Dr. Brian Casull
Books by Author Brian Casull, MD, MPA
“Victim? American Healthcare in Transition”
“This Can Kill You”
“Ghost From a Wishing Well”