If competition may not be the best way to approach our American healthcare in transition, what would? Perhaps we need to take a look at other healthcare delivery models besides our current Multi-Payer model?
And what type of scorecard should we use? Perhaps RETURN ON INVESTMENT (ROI) might be a better way to approach our choices.
ROI has four main basis of competition discussed previously:
- PRICE (COST)
- CONSUMER CHOICE
- ACCESS AND STYLE OF CARE
- QUALITY OF CARE
It also goes further adding the NON MEDICAL DRIVERS OF HEALTH CARE. Using ROI as our basis for choice, let us take a closer look at the different models. Remember who’s who on the political spectrum.
Medical care is relatively less important than are other factors in determining health outcomes for a population. Of the 30-year increase in average U.S. life expectancy since 1900, only about two years, or 17 percent are attributable to better medical care. Socio-economic status (40 percent) and health behaviors (29 percent) have a greater impact. The three important social determinants of health (SDOH) are poverty, education level, and housing.
 www.aafp.org/content/dam/AAFP/documents/about_us/congress/restricted/2017/BoardReportF-SinglePayerHealthCareSystem.pdf Accessed Aug. 30 2017
 “Achievements in Public Health, 1900-1999: Control of Infectious Diseases.” Centers for Disease Control and Prevention, Centers for Disease Control and Prevention, 30 July 1999, www.cdc.gov/mmwr/preview/mmwrhtml/mm4829a1.htm.