Frustrated With Health Care

Just when I think I’ve gotten it all out of my system and I’m ready to start talking about some positive, constructive stuff another article comes across my desk that I feel compelled to discuss.  This is yet another article that adds to my frustration, and yet, supports my moving forward plans.

The newest article was in this past weekend’s Parade; “Don’t Let the Economy Endanger Your Health”.  This hard-hitting story reports some sobering facts about how people are reacting to the economy relative to their health.  In fact, based upon conversations I’ve had with many other doctors these figures come as no surprise. 

Startling results of a survey from the American Heart Association reveal that 57% of those surveyed report that the economy has affected their ability to take care of their health.  The impact is obviously greater amount those with lower incomes, although 33% of those earning $75,000 or more say that they also feel the squeeze.  People are forgoing lifesaving care; 10% have reportedly stopped or reduced their medication for chronic diseases such as high cholesterol and asthma.  13% have elected to not get a flu shot, while 18% have avoided getting needed exams like mammograms. 

However, in reality the state of our economy may not be completely to blame for this; health care has just gotten to be so freakin’ expensive.  In 1970, Americans spent approximately 7% of their budget on health care.  At 17% for 2008, this represents a 2.4 trillion dollar outlay, which exceeded our spending on housing or food.  The truth is that the U.S. leads the world in advanced specialty care; as such, we spend more money on health care than any other nation in the world, and what do we have to show for it?  In spite of our huge price tag, the World Health Organization reports that the U.S. is ranked 31st in over all health as compared to all other industrialized nations; a very sad commentary!

So, what does the author, George Anders, recommend us to do?  He suggests that prevention must be our priority and that we should find creative efforts to encourage wellness; sound familiar?  To me, this sounds like it is right out of a chiropractor’s mouth, after all, isn’t this what chiropractic is?  All we need to do is demonstrate that our care is wellness orientated and that we are a great health care option; that’s all it should take, right?  Well, actually, I believe that because of the economy another part of this puzzle is to demonstrate affordability and possibly re-think our fees in these tight economic times.

Like most chiropractors my desire has always been to help as many people as possible.  In fact, in my career there have been times where it was not uncommon for me to see upwards of 90-100 patients a day in my practice.  Today, I’m lucky if I see 30-40 a day; clearly a significant drop.  So what happen?  Did these patient’s condition get better?  Do they all-of-a-sudden no longer require my services?  Obviously not!  The solution?  We just have to find newer more modern ways to communicate with our patients to bring them back in.  Lightening bolts in the Yellow Pages doesn’t work.