The Principles

EL CAMINO HOSPITAL SHOULD REMAIN INDEPENDENT AND ACCOUNTABLE ONLY TO DISTRICT RESIDENTS

  • ECH is a public, non-profit community asset, accountable only to District residents.

  • Like all independent hospitals, it depends on referring physicians for its business.

  • If most of its referring physicians belong to one outside organization, that organization would control the ECH agenda more than the District residents.

  • ECH needs a cadre of physicians beholden to no other organization to keep it independent.

    Read More on Clinical Partnerships →

 

UNIVERSAL HEALTHCARE.

  • I believe affordable essential healthcare should be available to all citizens and residents of this country.

  • There are tremendous political and financial pressures to maintain the status quo, but universal healthcare is available in every other first world country, and we can do it here too.

SINGLE PAYER WITH COMPETING PROVIDERS IS THE BEST WAY TO PROVIDE HIGH QUALITY AFFORDABLE CARE.

  • Competition in healthcare should be at the integrated provider level, not the payer level.

  • Competing payers would charge different premiums, offer different services, and create inequality and confusion.

  • Fewer payers, or a single one, can set clearer rules and payments for covered services. Then integrated provider groups can compete to deliver the best clinical outcomes, and highest patient satisfaction.

  • It represents “managed non-profit market competition”.

NOT FOR PROFIT

  • The only way to make a profit in healthcare is to maximize premiums, and limit payments for care.

  • Making money should not result in inadequate or no healthcare for so many Americans.

  • There are many ways to make a profit in America. Healthcare should not be one of them.

MEDICARE FEE FOR SERVICE IS NOT THE BEST PAYMENT SYSTEM – MEDICARE MANAGED CARE IS.

  • Medicare is fee for service, with no cost containment for volume of services.

  • Medicare Managed Care has a fixed budget, and provides care within that budget.

  • Having a fixed dollar amount, a budget cap, is the only way to truly control healthcare costs.

  • Insurers would raise every imaginable objection, but the fact is we already spend more per person than any country in the world. And other industrialized countries have better outcomes than we do.

INCENTIVES MUST BE ALIGNED AND REWARD OUTCOMES AND SATISFACTION.

  • When doctors, hospitals and ancillary services are integrated, they function as a unit, not competing entities. Healthcare efficiency and cost control depends on individual providers working together.