- Costs are rising. For patients, insurance premiums are rising. Those denied coverage or lacking sufficiently comprehensive coverage for an illness may find themselves bankrupted and unemployed because they got sick.
- An industry is growing and hiring. For employees in the healthcare professions, a growing industry creates good jobs for doctors, nurses, insurers, researchers, benefits administrators and others. Our systemic inefficiencies serve as a form of economic stimulus.
On the other hand, as a nation increases its standard of living, what else should people spend money on? Shouldn't we all want to spend money on staying healthy rather than acquiring more possessions than we have any use for?
The fact that health costs, profits and jobs are increasing is not itself the problem. That so many people are unable to get medical attention anywhere other than at an emergency room is a problem. Receiving unnecessary tests and treatment is a problem. Overpaying for the quality of care delivered is a problem. Running unsustainable government and family debt is a problem.
To all of the problems, personalized medicine offers part of a solution: getting the right treatment, to the right patient, at the right time.
Special thanks to Matt Cooper (@Matt_T_Cooper) for the inspiration for this post.
Related posts:
Three Paths to Personalized Medicine
Unintended Consequences of Medical Innovation
Perfect Pills: Big Pharma in Crisis

Yes, but right now we are paying the most of any industrialized country for results that are among the worst. I hope you're right about personalized medicine, but I think we have to start with allowing practitioners to have the time to actually communicate well with each person seeking medical care. Then personalized medication, data sharing, etc. may make a contribution. It starts with a personal relationship, however; something most doctors have little time for these days, it seems.
ReplyDeleteThe idea of a personal relationship between doctor and patient is certainly appealing. It's possible though that we're moving irrevocably in the exact opposite direction, toward internet and webcam-based care, in which case our best hope may be to make that work as well as it can.
ReplyDeleteHmm. Thanks for the comment. I may have an idea for another blog post!
I do share the unhappiness expressed by "Anonymous on July 24, 1:03pm" due to decreasing personal interactions between doctor-patient. One interesting positive of webcam based care is that it is the next best to doctor making house calls with trade-offs due to lack of personal touch. Several studies have shown that medical outcomes are far better when doctor visits a patient in their home. This is because the need to ask a lot of questions is minimized and doctor can potentially gain new insights by observing something that he/she would not have thought of asking in an interview setting. Short of that visit, remote webcam model could be very helpful. I'm still a fan of personal interactions which unfortunately is not as scalable & cost effective!
ReplyDeleteI hope that they find a solution for this situation so that the people would be happy.
ReplyDelete