About 'home health care medicare'|Home Health firms part of Medicare fraud
Ａｓ ｌｏｎｇ ａｓ ｗｅ'ｒｅ ｑｕｅｓｔｉｏｎｉｎｇ ｔｈｅ ａｓｔｏｕｎｄｉｎｇ ｇｒｏｗｔｈ ｉｎ ｈｅａｌｔｈ ｃａｒｅ ｃｏｓｔｓ, ｌｅｔ'ｓ ｇｅｔ ａ ｄｉｓｃｕｓｓｉｏｎ ｏｆ ＷＨＹ ｏｕｔ ｉｎ ｆｒｏｎｔ. Ｍｏｒｅ ｎｅｗ ｄｒｕｇｓ ｃｏｍｉｎｇ ｔｏ ｍａｒｋｅｔ, ａｌｌ ｆｏｒ ｓｙｍｐｔｏｍ ｒｅｌｉｅｆ, ｖｉｒｔｕａｌｌｙ ｎｏｎｅ ｆｏｒ ｃｕｒｅｓ. Ｄｏｅｓ ｔｈａｔ ｓｔｒｉｋｅ ｙｏｕ ｏｄｄｌｙ? Ｉｔ ｄｏｅｓ ｍｅ. Ａｎｄ ｃｏｎｓｉｄｅｒｉｎｇ ｔｈａｔ ｔｈｅ ｓｉｄｅ ｅｆｆｅｃｔｓ ｏｆ ｍａｎｙ ｏｆ ｔｈｅｓｅ ｄｒｕｇｓ ａｒｅ ｍｏｒｅ ｔｈｒｅａｔｅｎｉｎｇ ｔｈａｎ ｔｈｅ ｕｎｄｅｒｌｙｉｎｇ ｄｉｓｅａｓｅ, ｗｈｙ ｄｏ ｗｅ -ｔｈｅ ＦＤＡ, Ｃｏｎｇｒｅｓｓ, ｕｓ ａｓ Ｃｉｔｉｚｅｎｓ, ｃｏｎｔｉｎｕｅ ｔｏ ａｌｌｏｗ ｃｏｎｄｉｔｉｏｎｓ, ｐｒｏｇｒａｍｓ ａｎｄ ｐｒｏｃｅｓｓｅｓ ｔｈａｔ ａｒｅ ｓｏ ｏｂｖｉｏｕｓｌｙ ａｔ ｔｈｅ ｅｘｐｅｎｓｅ ｏｆ ｔｈｅ Ａｍｅｒｉｃａｎ ｐｕｂｌｉｃ, ｔｈｅ ｈｅａｌｔｈ ｃａｒｅ ｃｏｎｓｕｍｅｒｓ ｌｉｋｅ ｔｈｅ ｒｅｔｉｒｅｄ ａｎｄ ｄｉｓａｂｌｅｄ? Ｅｖｅｒｙｂｏｄｙ ｉｎ ｔｈｅ ｈｅａｌｔｈ "ｆｏｏｄ ｃｈａｉｎ" ｂｌａｍｅｓ ｔｈｅ ｏｔｈｅｒ ｇｕｙ; ｒｅｍｅｍｂｅｒ ｔｈｅ ｏｌｄ ｃｒｉｍｉｎａｌ ｄｅｆｅｎｓｅ, "ＳＯＤＤＩＴ" (Ｓｏｍｅ Ｏｔｈｅｒ Ｄｕｄｅ Ｄｉｄ ＩＴ)? Ｗｈｅｎ ｎｏｂｏｄｙ ｔａｋｅｓ ｒｅｓｐｏｎｓｉｂｉｌｉｔｙ, ｎｏｔｈｉｎｇ ｇｅｔｓ ｄｏｎｅ. Ｔｈｅ ｏｎｅ "ｃｕｒｅ" ｔｈａｔ ａｌｍｏｓｔ ｅｖｅｒｙｂｏｄｙ ｗｉｔｈ ａ ｖｅｓｔｅｄ ｉｎｔｅｒｅｓｔ ｓｅｅｍｓ ｔｏ ａｇｒｅｅ ｏｎ ｉｓ ｓｏｍｅ ｖｅｒｓｉｏｎ ｏｆ Ｕｎｉｖｅｒｓａｌ Ｈｅａｌｔｈ Ｃａｒｅ, ｗｉｔｈ"Ｕｎｃｌｅ" ｐａｙｉｎｇ ｔｈｅ ｂｉｌｌｓ. Ｔｈａｔ ｗｏｎ'ｔ ｗｏｒｋ, ｊｕｓｔ ｄｒｉｖｅｓ ｕｐ ｃｏｓｔｓ. Ａｎｄ ｗｅ ｃａｎ'ｔ ｋｅｅｐ ｓａｙｉｎｇ ｔｈｅ ｇｏｖｅｒｎｍｅｎｔ (ｍｅａｎｉｎｇ ｔａｘｐａｙｅｒｓ) ｊｕｓｔ ｈａｓ ｔｏ ｐａｙ ｆｏｒ ｉｔ. Ｉｔ ｉｓ ｏｎｌｙ ｗｈｅｎ ｗｅ ｇｅｔ ｉｎｄｉｖｉｄｕａｌ ｒｅｓｐｏｎｓｉｂｉｌｉｔｙ ｆｏｒ ｈｅａｌｔｈ ｃａｒｅ ｄｅｃｉｓｉｏｎｓ ａｎｄ ｐｅｒｓｏｎａｌ ｒｅｓｐｏｎｓｉｂｉｌｉｔｙ ｔｈａｔ ｗｅ ｗｉｌｌ ｇｅｔ ｔｈｅ ｓｙｓｔｅｍ ｕｎｄｅｒ ｃｏｎｔｒｏｌ. Ａｓ ｌｏｎｇ ａｓ ｓｏｍｅｂｏｄｙ ｅｌｓｅ ｐａｙｓ, ｅｖｅｒｙｂｏｄｙ ｗａｎｔｓ ａ ｐｉｅｃｅ, ａｎｄ ｔｈｅ ｂｉｇｇｅｒ ｔｈｅ ｂｅｔｔｅｒ. Ｌｏｔｓ ｏｆ ｐｅｏｐｌｅ ｒｅｍｅｍｂｅｒ ｗｈｅｎ "ｉｎｓｕｒａｎｃｅ" ｍｅａｎｔ ｊｕｓｔ ｔｈａｔ-ｙｏｕ ｐａｉｄ ｙｏｕｒ ｐｒｅｍｉｕｍｓ, ｔｈｅ ｉｎｓｕｒｅｒ ｐａｉｄ ｔｈｅ ｂｉｌｌｓ. Ｗｈａｔ ｗｅｎｔ ｗｒｏｎｇ? Ｌｏｔｓ ｏｆ ｐｅｏｐｌｅ ｃａｎ ａｄｄ, ａｎｄ ｔｈｅ ｃｏｓｔ ｏｆ ａ ｆａｍｉｌｙ ｏｆ ｆｏｕｒ ｈｅａｌｔｈ ｐｒｅｍｉｕｍ ｏｎ ａｖｅｒａｇｅ ｉｓ ｕｐ ｔｏ $8000.00 ａ ｙｅａｒ, ｉｎ ｓｏｍｅ ａｒｅａｓ ａｎｄ ｇｒｏｕｐｓ, ｕｐ ｔｏ $12,000, ｅｖｅｎ ｍｏｒｅ. Ｔｈｅ Ｕ.Ｓ. ｈａｓ ｔｈｅ ｍｏｓｔ ｅｘｐｅｎｓｉｖｅ ｈｅａｌｔｈ ｃａｒｅ ｓｙｓｔｅｍ ｉｎ ｔｈｅ ｗｏｒｌｄ, ｙｅｔ ｒａｎｋｓ ｉｎ ｔｈｅ ｌｏｗｅｒ ｅｎｄ ｏｆ ｍｏｄｅｒｎ ｓｏｃｉｅｔｉｅｓ ｉｎ Ｏｕｔｃｏｍｅｓ ａｎｄ Ｅｆｆｉｃｉｅｎｃｙ, ａｓ ｗｅｌｌ ａｓ ｃｏｖｅｒａｇｅ. Ｗｈｏ ｃａｎ ｐａｙ ｔｈｅｓｅ ｒｉｄｉｃｕｌｏｕｓ ｐｒｅｍｉｕｍｓ, ａｎｄ ｔｈｅｎ ｈａｖｅ ｔｏ ｐａｙ ｄｅｄｕｃｔｉｂｌｅｓ ａｎｄ ｈａｖｅ ｃａｐｓ ｏｎ ｂｅｎｅｆｉｔｓ ｅｖｅｎ ａｆｔｅｒ ａｌｌ ｔｈａｔ? Ｈｏｗ ｍｕｃｈ ｉｎｄｉｖｉｄｕａｌ ｃａｒｅ ｗｏｕｌｄ ｔｈａｔ $8,000 ｂｕｙ ｉｆ ｃｏｎｓｕｍｅｒｓ ｍａｄｅ ｔｈｅ ｄｅｃｉｓｉｏｎｓ? Ｉ'ｌｌ ｂｅｔ ｉｆ ｗｅ ｇａｖｅ ｃｏｎｓｕｍｅｒｓ ｔｈｅ ｃｈａｎｃｅ ｉｔ ｗｏｕｌｄ ｓｕｒｐｒｉｓｅ ｕｓ, ａｓ ｌｏｎｇ ａｓ ｔｈｅ ｄｅｌｉｖｅｒｙ ｓｙｓｔｅｍ ｗｅｒｅ ｓｔｒｕｃｔｕｒｅｄ ａｌｏｎｇ ｍｏｄｅｒｎ ｄｅｓｉｇｎｓ. Ｙｅｓ, ｔｈｅ "ｈｅａｌｔｈ ｄｅｎｉａｌ" ｓｙｓｔｅｍ ｎｅｅｄｓ ｒｅｆｏｒｍ; ｙｅｓ, ｔｈｅｒｅ ｉｓ ａ ｓｔｒｕｃｔｕｒｅ ｗｈｉｃｈ ｗｏｕｌｄ ｕｓｅ ｆｒｅｅ ｍａｒｋｅｔ ｅｃｏｎｏｍｉｃｓ ｔｏ ｃｏｎｔｒｏｌ ｃｏｓｔ, ｗｈｉｌｅ ＩＮＣＲＥＡＳＩＮＧ ｔｈｅ ｑｕａｌｉｔｙ ｏｆ ｈｅａｌｔｈ ｃａｒｅ ａｎｄ ｄｅｌｉｖｅｒｙ. Ａｎｄ, ｈｏｗ ａｂｏｕｔ ｓｔｉｌｌ ｕｓｉｎｇ ｍｏｓｔｌｙ ｈｕｎｄｒｅｄ-ｙｅａｒ-ｏｌｄ ｉｎｆｒａｓｔｒｕｃｔｕｒｅ ｉｎ ｔｈｅ ｈｅａｌｔｈ ｃａｒｅ ｉｎｄｕｓｔｒｙ, ｗｈｅｎ ｗｅ ｈａｖｅ ａ ｎｅｗ ｔｗｅｎｔｙ-ｆｉｒｓｔ ｃｅｎｔｕｒｙ ｃａｐａｂｉｌｉｔｙ ｔｏ ｄｅｌｉｖｅｒ ｍｏｒｅ, ｆｏｒ ｌｅｓｓ. (Ｉｆ ｔｈｅ Ｉｎｔｅｒｎｅｔ ａｎｄ Ｃｏｍｐｕｔｅｒ ｉｎｄｕｓｔｒｙ ｃｈａｎｇｅｄ ａｔ ｔｈｅ ｓａｍｅ ｒａｔｅ ａｓ ｔｈｅ ｍｅｄｉｃａｌ ｉｎｄｕｓｔｒｙ, ｗｅ'ｄ ｓｔｉｌｌ ｂｅ ｕｓｉｎｇ Ａｂａｃｕｓ, ｓｈｅｅｐｓｋｉｎｓ ａｎｄ ｑｕｉｌｌｓ) Ｉｆ ｔｈｅ ｓｙｓｔｅｍ ｗｅｒｅ ｒｅｓｔｒｕｃｔｕｒｅｄ, ｄｏｃｔｏｒｓ ｍｉｇｈｔ ｗｅｌｃｏｍｅ Ｍｅｄｉｃａｉｄ ａｎｄ Ｍｅｄｉｃａｒｅ (Ｕｎｉｖｅｒｓａｌ ｃａｒｅ) ｐａｔｉｅｎｔｓ, ｒａｔｈｅｒ ｔｈａｎ ｆｉｎｄｉｎｇ ｗａｙｓ ｔｏ "ｂｅａｔ" ｔｈｅ ｓｙｓｔｅｍ ｔｏ ｇｅｔ ｐａｉｄ. Ｗｅ ｃａｎ ｄｏ ｂｅｔｔｅｒ; ｗｅ ｍｕｓｔ, ｉｆ ｔｈｅ ｓｙｓｔｅｍ ｉｓ ｔｏ ｓｕｒｖｉｖｅ ｆｏｒ ａｌｌ ｏｆ ｕｓ. Ａｍｅｒｉｃａ ｓｐｅｎｄｓ ｍｏｒｅ ｏｎ ｈｅａｌｔｈ ｃａｒｅ ｔｈａｎ ａｎｙ ｏｔｈｅｒ ｃｏｕｎｔｒｙ, ｙｅｔ ｒａｎｋｓ 12ｔｈ ｔｏ 15ｔｈ ｉｎ Ｑｕａｌｉｔｙ ｏｆ Ｃａｒｅ ａｎｄ ｉｎ ｏｖｅｒａｌｌ ｒａｎｋｉｎｇ. Ｈｏｗ ｃａｎ ｔｈａｔ ｍａｋｅ ｓｅｎｓｅ? Ｔｈｒｏｗｉｎｇ ｍｏｒｅ ｔａｘｐａｙｅｒ ｍｏｎｅｙ ａｔ ｔｈｅ ｐｒｏｂｌｅｍｓ ｉｓ ｊｕｓｔ ｎｏｔ ｇｏｉｎｇ ｔｏ ｗｏｒｋ ｗｉｔｈｏｕｔ ｃｏｎｓｕｍｅｒ-ｄｒｉｖｅｎ ｒｅｆｏｒｍｓ.Ｔｈｅｒｅ ｉｓ ａ ｓｏｌｕｔｉｏｎ ｔｈａｔ ｗｏｕｌｄ ｗｏｒｋ, ｉｆ ｗｅ ｃａｎ ｇｅｔ ｐａｓｔ ｔｈｅ "ｗｈｏｓｅ ｏｘ ｉｓ ｂｅｉｎｇ ｇｏｒｅｄ" ｐｈｅｎｏｍｅｎｏｎ. Ｈｅｒｅ ｉｔ ｉｓ. Ｆｉｒｓｔ, ｎａｔｉｏｎａｌｉｚｅ ｔｈｅ Ｈｅａｌｔｈ Ｉｎｓｕｒａｎｃｅ ｉｎｄｕｓｔｒｙ, ｏｒ ｍａｋｅ ｔｈｅｍ ｐａｒｔ ｏｆ ｔｈｅ ｒｅｓｔｒｕｃｔｕｒｉｎｇ ｐｒｏｃｅｓｓ ｂｙ ｉｎｔｅｇｒａｔｉｎｇ ｉｎｓｕｒａｎｃｅ ｗｉｔｈ ｔｈｅ ｈｅａｌｔｈ ｃａｒｅ ｄｅｌｉｖｅｒｙ ｐｒｏｃｅｓｓ ｔｈｒｏｕｇｈ ｏｗｎｅｒｓｈｉｐ ｏｆ ｈｅａｌｔｈ ｃａｒｅ ｆａｃｉｌｉｔｉｅｓ. Ｉｎｓｕｒｅｒｓ ｃｏｌｌｅｃｔ ｈｕｎｄｒｅｄｓ ｏｆ Ｂｉｌｌｉｏｎｓ ｏｆ ｄｏｌｌａｒｓ ｉｎ ｐｒｅｍｉｕｍｓ ａｎｄ ｈｕｇｅ ｐｒｏｆｉｔｓ ｆｏｒ ｍａｎａｇｉｎｇ ｔｈｅ ｃｌａｉｍｓ ｐｒｏｃｅｓｓ ａｎｄ ｍａｋｉｎｇ ｎｏｎ-ｍｅｄｉｃａｌ ｃｏｖｅｒａｇｅ ｄｅｃｉｓｉｏｎｓ, ｓｏｍｅ ｕｎｆａｉｒｌｙ, ｓｏｍｅ ｅｆｆｉｃｉｅｎｔｌｙ, ｉｆ ｎｏｔ ｃｏｎｓｉｄｅｒａｔｅｌｙ. Ｓｅｃｏｎｄ, ｃｈａｎｇｅ ｔｈｅ ｄｅｌｉｖｅｒｙ ｏｆ ｈｅａｌｔｈ Ｃａｒｅ ｂｙ ｉｎｓｔｉｔｕｔｉｎｇ ａ ｎａｔｉｏｎａｌ ｓｙｓｔｅｍ ｏｆ ｐｒｉｖａｔｅｌｙ-ｏｗｎｅｄ ｗａｌｋ-ｉｎ ｃｌｉｎｉｃｓ, ｕｔｉｌｉｚｉｎｇ ａｃｃｅｐｔｅｄ ｎａｔｉｏｎａｌ ｓｔａｎｄａｒｄｓ ｏｆ ｈｅａｌｔｈ ｃａｒｅ, ａｎｄ ｓｔａｆｆｅｄ ｍｏｓｔｌｙ ｂｙ ｆｕｌｌｙ ｔｒａｉｎｅｄ ａｎｄ ｌｉｃｅｎｓｅｄ Ｒｅｇｉｓｔｅｒｅｄ ａｎｄ Ｐｒａｃｔｉｃａｌ ｎｕｒｓｅｓ, ａｌｏｎｇ ｗｉｔｈ ｓａｌａｒｉｅｄ ｍｅｄｉｃａｌ ｐｒｏｆｅｓｓｉｏｎａｌｓ, ｉｎｃｌｕｄｉｎｇ ａｎ Ｉｎｔｅｒｎｉｓｔｓ ｏｒ ＧＰ'ｓ, ａ Ｐｅｄｉａｔｒｉｃｉａｎｓ, ａｎｄ ａｎ ＯＢ/Ｇｙｎ'ｓ. Ｔｈｅｓｅ ｆｏｌｋｓ ｗｏｕｌｄ ｂｅ ｒｅｗａｒｄｅｄ ｂｙ ｔｙｐｉｃａｌ ｐｒｉｖａｔｅ ｂｕｓｉｎｅｓｓ ｉｎｃｅｎｔｉｖｅｓ ｌｉｋｅ ｐｒｏｆｉｔ ｓｈａｒｉｎｇ, ｂｏｎｕｓｅｓ ａｎｄ ｓｏ ｏｎ, ｂａｓｅｄ ｏｎ ｔｙｐｉｃａｌ ｈｅａｌｔｈ ｃａｒｅ ｍｅａｓｕｒｅｍｅｎｔ ｓｔａｎｄａｒｄｓ ｌｉｋｅ ｏｕｔｃｏｍｅｓ, ｉｎｃｌｕｄｉｎｇ ｑｕａｎｔｉｔａｔｉｖｅ ａｎｄ ｑｕａｌｉｔａｔｉｖｅ ｓｔａｎｄａｒｄｓ ｏｆ ｈｅａｌｔｈ ｃａｒｅ. Ｉｎ ａｒｅａｓ ｗｈｅｒｅ ｐｒｉｖａｔｅｌｙ ｏｗｎｅｄ ｃｌｉｎｉｃｓ ｄｏ ｎｏｔ ｃｈｏｏｓｅ ｔｏ ｏｐｅｒａｔｅ, ａｎｄ ｔｈｅｒｅ ｓｈｏｕｌｄ ｂｅ ｆｅｗ ｏｆ ｔｈｅｓｅ ｃｏｎｓｉｄｅｒｉｎｇ ｔｈｅ ｐｒｏｆｉｔ ｐｏｔｅｎｔｉａｌ, ｇｏｖｅｒｎｍｅｎｔ-ｓｐｏｎｓｏｒｅｄ ｃｌｉｎｉｃｓ ｗｉｔｈ ｓａｌａｒｉｅｄ ｐｒｏｆｅｓｓｉｏｎａｌｓ ｗｏｕｌｄ ｐｒａｃｔｉｃｅ. Ｉｔ ｉｓ ｎｏｔ ｈａｒｄ ｔｏ ｂｕｄｇｅｔ ｔｈｉｓ ａｐｐｒｏａｃｈ ｓｉｎｃｅ ａｌｌ ｔｈｅ ｌｏｇｉｓｔｉｃｓ ａｒｅ ｋｎｏｗｎ(ｎｕｍｂｅｒ ｏｆ ｐｅｏｐｌｅ ｔｏ ｂｅ ｓｅｒｖｅｄ ｐｅｒ ｃｌｉｎｉｃ, ｓｑｕａｒｅ ｆｏｏｔａｇｅ ａｎｄ ｅｑｕｉｐｍｅｎｔ ｎｅｅｄｅｄ, ｍｉｎｉｍｕｍ ｓｔａｆｆｉｎｇ ｒｅｑｕｉｒｅｍｅｎｔｓ). Ｔｈｅｓｅ ａｒｅ ＮＯＴ ｈｏｓｐｉｔａｌｓ, ｂｕｔ ｃｌｉｎｉｃｓ ｗｈｏ ｃａｎ ｔａｋｅ ａｄｖａｎｔａｇｅ ｏｆ ｔｈｅ ｖｏｌｕｍｅ ｏｆ "ｃｕｓｔｏｍｅｒｓ" ｔｏ ａｃｈｉｅｖｅ ｅｃｏｎｏｍｉｅｓ ｏｆ ｓｃａｌｅ. Ｓｉｎｃｅ ｔｈｅｓｅ ｃｌｉｎｉｃｓ ａｒｅ ｔｈｅ "ｆｉｒｓｔ ｌｉｎｅ" ｉｎ ｈｅａｌｔｈ ｃａｒｅ, ｔｈｅｙ ｗｏｕｌｄ ｂｅ ｔｈｅ ｅｍｅｒｇｅｎｃｙ ｃｅｎｔｅｒｓ ａｓ ｗｅｌｌ, ａｂｌｅ ｔｏ ｄｉａｇｎｏｓｅ ｃｏｎｄｉｔｉｏｎｓ, ａｎｄ ｆｏｒｗａｒｄ ｐａｔｉｅｎｔｓ ｔｏ ｈｏｓｐｉｔａｌｓ ａｓ ｎｅｃｅｓｓａｒｙ. Ｔｈｉｓ ｗｏｕｌｄ ｂｅ ｔｈｅ Ｉｎｔａｋｅ ｐｏｉｎｔ-ｏｆ-ｃｏｎｔａｃｔ ｆｏｒ ｉｎｄｉｇｅｎｔｓ, ｉｍｍｉｇｒａｎｔｓ ａｎｄ ｏｔｈｅｒｓ, ｗｈｏｓｅ ｕｓｅ ｏｆ ｈｉｇｈ-ｃｏｓｔ ｅｍｅｒｇｅｎｃｙ ｃａｒｅ ｉｎ ｐｌａｃｅ ｏｆ ｄｏｃｔｏｒｓ ｏｒ ｏｔｈｅｒ ｍｅｄｉｃａｌ ａｌｔｅｒｎａｔｉｖｅｓ ａｒｅ ａ ｓｉｇｎｉｆｉｃａｎｔ ｕｐｗａｒｄ ｃｏｓｔ ｄｒｉｖｅｒ. Ｔｈｉｓ ｗｏｕｌｄ ａｌｓｏ ｂｅ ａ ｇｏｏｄ ｐｌａｃｅ ｔｏ ｉｎｉｔｉａｔｅ ｈｏｍｅ ｃｏｕｎｔｒｙ ｂｉｌｌ-ｂａｃｋ ｆｏｒ ｃａｒｅ ｏｆ ｉｌｌｅｇａｌｓ. Ｎｏ ｒｅｆｕｓａｌ ｏｆ ｃａｒｅ, ｊｕｓｔ ａ ｂｅｔｔｅｒ ｍｅｔｈｏｄ ｏｆ ｄｅｌｉｖｅｒｉｎｇ ｎｅｅｄｅｄ ｃａｒｅ, ａｎｄ ａ ｗａｙ ｔｏ ｍａｋｅ ｓｏｍｅｏｎｅ ｒｅｓｐｏｎｓｉｂｌｅ ｆｏｒ ｔｈｅ ｃｏｓｔ. Ｗｈａｔ ｈａｐｐｅｎｓ ｔｏ ｔｈｅ ｅｘｉｓｔｉｎｇ Ｄｏｃｔｏｒ/Ｓｐｅｃｉａｌｔｙ Ｐｒａｃｔｉｃｅ/ｈｏｓｐｉｔａｌ ｉｎｔｅｇｒａｔｅｄ ｓｙｓｔｅｍ? Ｉｔ ｇｅｔｓ ｃｈａｎｇｅｄ ｔｏ ａｃｃｏｍｍｏｄａｔｅ ｔｈｅ ｎｅｅｄｓ ｏｆ ｔｗｅｎｔｙ-ｆｉｒｓｔ ｃｅｎｔｕｒｙ ｈｅａｌｔｈ ｃａｒｅ ｂｕｓｉｎｅｓｓ ｍｏｄｅｌｓ. Ｉｎ ｔｈｅ ｔｒａｎｓｉｔｉｏｎ, ｔｈｅ ｅｘｉｓｔｉｎｇ ｍｅｄｉｃａｌ ｉｎｆｒａｓｔｒｕｃｔｕｒｅ ｍｕｓｔ ｃｈａｎｇｅ ｔｏ ａｃｃｏｍｍｏｄａｔｅ ｔｈｅ ｎｅｗ. Ｔｈｅｒｅ ｍａｙ ｂｅ ｍｕｃｈ ｃｒｙｉｎｇ, ａｎｄ ｇｎａｓｈｉｎｇ ｔｏ ｔｅｅｔｈ, ａｎｄ ｈｕｇｅ ｌｏｂｂｙｉｓｔ ｅｘｐｅｎｄｉｔｕｒｅｓ ｔｏ ｐｒｅｓｅｒｖｅ ｔｈｅ ｓｔａｔｕｓ ｑｕｏ. Ｔｈｅ ｓｔａｔｕｓ ｑｕｏ ｄｏｅｓｎ'ｔ ｗｏｒｋ. Ｆｕｌｌ-ｓｅｒｖｉｃｅ ｈｏｓｐｉｔａｌｓ ｗｏｕｌｄ ｈａｎｄｌｅ ｔｒｕｅ ｅｍｅｒｇｅｎｃｉｅｓ ｌｉｋｅ ｈｅａｒｔ ａｔｔａｃｋｓ, ａｃｃｉｄｅｎｔｓ, ｍａｊｏｒ ｉｎｃｉｄｅｎｔｓ ｔｈａｔ ｒｅｑｕｉｒｅ ｔｒａｉｎｅｄ ｓｔａｆｆ ｐｒｏｆｅｓｓｉｏｎａｌｓ ｔｏ ｈａｎｄｌｅ, ａｎｄ ｓｕｒｇｅｒｉｅｓ, Ｉｎｔｅｎｓｉｖｅ Ｃａｒｅ, ａｎｄ ｔｈｅ ｏｔｈｅｒ ｔｈｉｎｇｓ ｔｈａｔ ｈｏｓｐｉｔａｌｓ ａｒｅ ｅｑｕｉｐｐｅｄ ｔｏ ｄｏ. Ｆｕｔｕｒｅ ｈｏｓｐｉｔａｌ ｄｅｓｉｇｎｓ ａｎｄ ｒｅｍｏｄｅｌｉｎｇ ｏｆ ｅｘｉｓｔｉｎｇ ｆａｃｉｌｉｔｉｅｓ ｃｏｕｌｄ ｉｎｃｏｒｐｏｒａｔｅ ｔｈｅ ｗａｌｋ-ｉｎ ｍｏｄｅｌ, ｃｏｕｌｄ ｅｖｅｎ ｔａｋｅ ｏｖｅｒ ｔｈｅ ｗａｌｋ-ｉｎ ｍｏｄｅｌ ｉｆ ｔｈｅｙ ｗｅｒｅ ｐｒｏｐｅｒｌｙ ｒｅｓｔｒｕｃｔｕｒｅｄ. Ｔｈｅ ｉｄｅａ ｈｅｒｅ ｉｓ ｔｏ ｌｏｗｅｒ ｔｈｅ ｃｏｓｔ ｏｆ Ｉｎｔａｋｅ ａｎｄ Ｍａｎａｇｅｍｅｎｔ ｔｈｒｏｕｇｈ ｌｏｗｅｒ-ｃｏｓｔ ｏｐｅｒａｔｉｏｎｓ ａｎｄ ｏｖｅｒｈｅａｄ, ｗｈｉｌｅ ａｔ ｔｈｅ ｓａｍｅ ｔｉｍｅ ｉｎｃｒｅａｓｉｎｇ ｅｆｆｉｃｉｅｎｃｙ ｔｏ ｈａｎｄｌｅ ｔｈｅ ｒｅｑｕｉｒｅｄ ｗｅｌｌ-ｐｅｒｓｏｎ ｍａｉｎｔｅｎａｎｃｅ. Ｔｈｒｅｅ. Ａｌｔｅｒｎａｔｉｖｅｌｙ, ａｓ ｎｏｔｅｄ ａｂｏｖｅ, ｅｘｉｓｔｉｎｇ ｈｏｓｐｉｔａｌｓ ｃｏｕｌｄ ｂｅ ｆｏｒｍａｌｌｙ ｒｅｓｔｒｕｃｔｕｒｅｄ ｔｏ ｂｅｃｏｍｅ ｐａｒｔ ｏｆ ｔｈｅ Ｗｅｌｌ Ｐｅｒｓｏｎ ｍａｎａｇｅｍｅｎｔ ａｎｄ Ｉｎｔａｋｅ ｐｒｏｃｅｓｓ. Ｈｏｗｅｖｅｒ, ｈｏｓｐｉｔａｌｓ ｃａｎｎｏｔ ｂｅ ａｌｌｏｗｅｄ ｔｏ ｕｓｅ ｔｈｅｉｒ ｔｒａｄｉｔｉｏｎａｌ, ｈｉｇｈ-ｃｏｓｔ ｍｏｄｅｌ ｏｆ Ｏｐｅｒａｔｉｏｎｓ ａｎｄ Ａｄｍｉｎｉｓｔｒａｔｉｏｎ ｔｏ ｓｅｔ ｒａｔｅｓ; ｒａｔｅｓ ｍｕｓｔ ｂｅ ｓｅｔ ｏｎ ｔｈｅ Ｃｌｉｎｉｃ Ｉｎｔａｋｅ ｍｏｄｅｌ, ｅｖｅｎ ｉｆ ａｔ ａ ｌａｔｅｒ ｓｔａｇｅ, ｐａｔｉｅｎｔｓ ａｒｅ ａｄｍｉｔｔｅｄ ｆｏｒ ｔｅｓｔｓ, ｐｒｏｃｅｄｕｒｅｓ ａｎｄ ｓｕｒｇｅｒｉｅｓ ｔｈａｔ ｗｏｕｌｄ ｍｏｒｅ ｌｉｋｅｌｙ ｈａｖｅ ｔｈｅ ｈｉｇｈｅｒ ｃｏｓｔｓ ａｓｓｏｃｉａｔｅｄ ｗｉｔｈ ｔｈｅｍ. Ａｎｙ ｒｅｓｔｒｕｃｔｕｒｉｎｇ ｏｆ ｈｅａｌｔｈ ｃａｒｅ ｍｕｓｔ ｉｎｃｌｕｄｅ ｂｒｉｎｇｉｎｇ Ｄｅｎｔｉｓｔｓ ａｎｄ Ｅｙｅ Ｃａｒｅ ｉｎｔｏ ｔｈｅ ｐｒｏｃｅｓｓ. Ｔｏｏ ｍａｎｙ ｐｅｏｐｌｅ ｇｅｔ ｓｉｇｎｉｆｉｃａｎｔ ｍｅｄｉｃａｌ ｐｒｏｂｌｅｍｓ ｔｈｒｏｕｇｈ ａ ｌａｃｋ ｏｆ ｐｒｏｐｅｒ ｄｅｎｔａｌ ｃａｒｅ ａｎｄ ｗｅｌｌ-ｍｏｕｔｈ ｍａｎａｇｅｍｅｎｔ. Ｓｉｍｉｌａｒｌｙ, ｓｉｎｃｅ ｗｅ ｓｅｅ ｐｅｏｐｌｅ ｐａｙｉｎｇ ｆｏｒ ｔｈｅｉｒ ｖｉｓｉｔｓ ａｎｄ ｗｅｌｌ-ｃａｒｅ, ｅｙｅ ｅｘａｍｉｎａｔｉｏｎｓ ｓｈｏｕｌｄ ｂｅ ｐａｒｔ ｏｆ ｔｈｅ Ａｎｎｕａｌ Ｃｈｅｃｋｕｐ ｐｒｏｃｅｓｓ, ａｓ ｎｅｃｅｓｓａｒｙ, ｅｖｅｎ ｉｆ ｅｙｅｇｌａｓｓｅｓ ａｒｅ ｐｕｒｃｈａｓｅｄ ｏｕｔ-ｏｆ-ｐｏｃｋｅｔ. Ｔｈｅ ｃｏｎｃｅｐｔ ｉｓ ｔｏ ｉｎｔｒｏｄｕｃｅ ｔｈｅ ｅｆｆｉｃｉｅｎｃｉｅｓ ｏｆ ａ ｌａｒｇｅ -ｓｃａｌｅ ｈｅａｌｔｈ ｃａｒｅ ｂｕｓｉｎｅｓｓ ｍｏｄｅｌ, ａｎｄ ｔｈｅ ｍｏｄｅｒｎ ｔｅｃｈｎｏｌｏｇｉｅｓ ｔｈａｔ ｓｕｃｈ ａ ｓｔｒｕｃｔｕｒｅ ｗｏｕｌｄ ｖｉｒｔｕａｌｌｙ ｆｏｒｃｅ ｉｎｔｏ ｔｈｅ ｍａｒｋｅｔｐｌａｃｅ, ｌｉｋｅ ｃｏｍｐｕｔｅｒ ａｉｄｅｄ ｐｒｏｃｅｄｕｒｅｓ, ｅｖｅｎ ｉｎｃｌｕｄｉｎｇ ｃｏｍｐｕｔｅｒ-ａｉｄｅｄ ｄｉａｇｎｏｓｔｉｃｓ. Ｍｏｄｅｒｎ ｍｅｄｉｃａｌ ｔｅｃｈｎｏｌｏｇｙ ａｐｐｌｉｅｄ ａｔ ｔｈｅ Ｉｎｔａｋｅ ｐｏｉｎｔ ｏｆ ｃｏｎｔａｃｔ ｗｉｔｈ ｔｈｅ ｈｅａｌｔｈ ｃａｒｅ ｃｏｎｓｕｍｅｒ ｓｈｏｕｌｄ ｒｅｖｏｌｕｔｉｏｎｉｚｅ ｔｈｅ ｉｎｄｕｓｔｒｙ, ｔｏ ｔｈｅ ｓｕｂｓｔａｎｔｉａｌ ｂｅｔｔｅｒｍｅｎｔ ｏｆ ｔｈｅ ｈｅａｌｔｈ ｃａｒｅ ｃｏｎｓｕｍｅｒ. (Ｉｔ ｓｈｏｕｌｄ ｂｅ ｎｏｔｅｄ ｈｅｒｅ ｔｈａｔ ｏｎｅ ｏｆ ｔｈｅ ｍｏｓｔ ｔａｌｋｅｄ ａｂｏｕｔ Ｃｌｏｕｄ Ｃｏｍｐｕｔｉｎｇ ａｐｐｌｉｃａｔｉｏｎｓ ｉｎｃｌｕｄｅｓ ｍｅｄｉｃａｌ ｄｅｖｉｃｅｓ ｆｏｒ ｈｏｍｅ ｕｓｅ ｔｈａｔ ｍｏｎｉｔｏｒ, ｍｅａｓｕｒｅ ａｎｄ ｍａｎａｇｅ ａ ｃｏｎｓｕｍｅｒ'ｓ ｅｖｅｒｙｄａｙ ｈｅａｌｔｈ ｃａｒｅ, ｅｖｅｎ ｐｒｏｖｉｄｉｎｇ ａｌｅｒｔｓ ｗｈｅｎ ｃｏｎｄｉｔｉｏｎｓ ｗａｒｒａｎｔ, ｌｉｋｅ ｈｅａｒｔ ａｔｔａｃｋｓ, ｅｌｄｅｒｌｙ ｆａｌｌｓ, ｏｔｈｅｒ ｒｅａｓｏｎｓ. Ｍｏｒｅ ｏｎ ｔｈｉｓ ａｎｏｔｈｅｒ ｔｉｍｅ). Ｉｆ ｗｅ ｃｏｎｓｉｄｅｒ ｔｈａｔ ａ "ｔｉｅｒｅｄ" ｈｅａｌｔｈ ｃａｒｅ ｓｙｓｔｅｍ ｏｆｆｅｒｓ ｒｅａｌ ｅｆｆｉｃｉｅｎｃｙ, ｗｈｉｌｅ ｂｒｉｎｇｉｎｇ ｔｈｅ ｌｅｖｅｌ ａｎｄ ｃａｐａｂｉｌｉｔｙ ｏｆ ｒｅｓｏｕｒｃｅｓ ｗｈｅｎ ａｎｄ ａｓ ｎｅｅｄｅｄ, ｗｅ ｃｏｕｌｄ ｐｒｏｖｉｄｅ ｍｏｒｅ ｈｅａｌｔｈ ｃａｒｅ ｗｉｔｈ ｌｅｓｓ ｅｘｐｅｎｓｅ. Ａｔ ｔｈｅ ｖｅｒｙ ｌｅａｓｔ, ｍｏｒｅ ｐｅｏｐｌｅ ｗｏｕｌｄ ｇｅｔ ｈｅａｌｔｈ ａｄｖｉｃｅ ａｎｄ ａｎｎｕａｌ ｃｈｅｃｋ-ｕｐｓ ａｔ ｏｖｅｒａｌｌ ｃｏｓｔｓ ｔｈａｔ ｗｏｕｌｄ ａｌｌｏｗ ｍｏｒｅ ｅｌｉｇｉｂｌｅ ｐｅｏｐｌｅ ｔｏ ｂｅ ｃｏｖｅｒｅｄ. Ｓｉｎｃｅ ｔｈｅ ｃｕｒｒｅｎｔ ｓｙｓｔｅｍ ｉｓ ｆｏｒｃｅｄ ｔｏ ｄｅａｌ ｗｉｔｈ ｔｈｅ ｅｆｆｅｃｔｓ ｏｆ ｄｅｍａｎｄｓ ｏｆ ｈｉｇｈ-ｃｏｓｔ ｃａｒｅ ｆｒｏｍ ｕｎｉｎｓｕｒｅｄ ａｎｄ ｕｎｄｅｒ-ｉｎｓｕｒｅｄ ｃｏｎｓｕｍｅｒｓ, ｔｈｅ ｏｐｐｏｒｔｕｎｉｔｙ ｆｏｒ ｂｅｔｔｅｒ ｃａｒｅ, ｍｏｒｅ ｃｏｎｓｉｓｔｅｎｔｌｙ, ａｔ ｌｅｓｓｅｒ ｃｏｓｔ, ｉｓ ｏｖｅｒｗｈｅｌｍｉｎｇ. Ｔｈｅ ｃｕｒｒｅｎｔ ｓｙｓｔｅｍ ｕｓｅｓ ｔｈｅ ｈｉｇｈｅｓｔ ｃｏｓｔ ｃａｒｅ ｍｏｄｅｌ, ａｔ ａｌｌ ｌｅｖｅｌｓ ｏｆ ｉｎｔａｋｅ, ｗｈｉｃｈ ｏｂｖｉｏｕｓｌｙ ｍａｋｅｓ ｌｉｔｔｌｅ ｓｅｎｓｅ. Ｅｖｅｎ ｈｅａｌｔｈ ｐｒｏｆｅｓｓｉｏｎａｌｓ ａｄｍｉｔ ｔｈａｔ ｔａｋｉｎｇ ｔｈｅ ｈｉｇｈｅｓｔ ｃｏｓｔ ｄｅｔｅｒｍｉｎａｎｔ ｏｕｔ ｏｆ ｔｈｅ ｅｑｕａｔｉｏｎ, ｔｈｅ Ｄｏｃｔｏｒ, ａｎｄ ｒｅｐｌａｃｉｎｇ ｈｉｍ ａｔ ｔｈｅ ｉｎｉｔｉａｌ ｃｏｎｔａｃｔ ｐｏｉｎｔ ｗｉｔｈ ｅｘｐｅｒｉｅｎｃｅｄ ｉｎｔａｋｅ ｐｒａｃｔｉｔｉｏｎｅｒｓ ｌｉｋｅ ｐｒｏｐｅｒｌｙ ｅｄｕｃａｔｅｄ ａｎｄ ｃｒｅｄｅｎｔｉａｌｅｄ Ｎｕｒｓｅｓ, ａｎｄ ｔｅｃｈｎｏｌｏｇｉｃａｌｌｙ-ｅｎｈａｎｃｅｄ ｄｉａｇｎｏｓｔｉｃ ｔｅｃｈｎｉｑｕｅｓ,ｗｏｕｌｄ ｒｅｄｕｃｅ ｃｏｓｔｓ ｄｒａｍａｔｉｃａｌｌｙ.Ｔｈｅ Ｄｏｃｔｏｒ ｉｓｎ'ｔ ｓｉｄｅｌｉｎｅｄ, ｂｕｔ ｒｅｓｅｒｖｅｄ ｆｏｒ ｎｅｃｅｓｓａｒｙ ｆｕｒｔｈｅｒ ｅｖａｌｕａｔｉｏｎｓ ｗｈｅｎ ｔｈｅ ｉｎｔａｋｅ ａｎｄ ｄｉａｇｎｏｓｔｉｃ ｐｒｏｃｅｓｓ ｗａｒｒａｎｔｓ.Ｔｈｅ ｃｕｒｒｅｎｔ, ｐｒａｃｔｉｃｅ-ｂａｓｅｄ ｍｅｄｉｃａｌ ｂｕｓｉｎｅｓｓ ｍｏｄｅｌ, ａｌｏｎｇ ｗｉｔｈ ｔｈｅ ｕｎｒｅａｓｏｎａｂｌｅ ｃｏｓｔ ｏｆ ｕｓｉｎｇ ｔｈｅ ｈｉｇｈｅｓｔ ｃｏｓｔ- ｄｅｔｅｒｍｉｎａｔｉｏｎ ｍｏｄｅｌ ｏｆ ｃａｒｅ- ｔｈｅ ｈｏｓｐｉｔａｌ ｃｏｍｐｌｅｘ-ｃａｎ ｂｅ ｒｅｓｔｒｕｃｔｕｒｅｄ ｔｏ ｔｈｅ "ｂｅｓｔ ｐｒａｃｔｉｃｅｓ" ｍｅｄｉｃａｌ ｂｕｓｉｎｅｓｓ ｍｏｄｅｌ, ｄｅｌｉｖｅｒｉｎｇ ｂｅｔｔｅｒ ｃａｒｅ, ｔｏ ｍｏｒｅ ｐｅｏｐｌｅ, ａｔ ｌｏｗｅｒ ｐｅｒ-ｐａｔｉｅｎｔ ａｎｄ ｏｖｅｒａｌｌ ａｎｎｕａｌ ａｎｄ ｃｏｎｔｉｎｕｉｎｇ ｃｏｓｔｓ. Ｃｕｒｒｅｎｔ ｈｅａｌｔｈ ｃａｒｅ ｐｒａｃｔｉｃｅｓ, ｐｒｉｍａｒｉｌｙ ｔｈｅ ｉｎｓｕｒａｎｃｅ ｃｏｓｔｓ, ａｒｅ ｉｎ ｒｅａｌｉｔｙ ａ "ｔａｘ" ｏｎ ｅａｃｈ ｏｆ ｕｓ, ａ ｈｕｇｅ ｔａｘ ａｎｄ ｃｏｓｔ ｎｏｔ ｊｕｓｔｉｆｉｅｄ ｂｙ ｔｈｅ ｓｏｃｉａｌ ａｎｄ ｅｃｏｎｏｍｉｃ ｎｅｅｄｓ ｆｏｒ ｈｅａｌｔｈ ｃａｒｅ ｂｙ Ａｍｅｒｉｃａｎ Ｃｉｔｉｚｅｎｓ. Ｔｈｉｓ ｒｅｓｔｒｕｃｔｕｒｉｎｇ ｏｆ ｔｈｅ ｓｙｓｔｅｍ, ａｔ ｔｈｅ ｏｕｔｓｅｔ, ｗｏｕｌｄ ｉｎｃｕｒ ｓｏｍｅ ｅｘｐｅｎｓｅ, ｐｒｉｍａｒｉｌｙ ｄｕｒｉｎｇ ｔｈｅ ｔｒａｎｓｉｔｉｏｎ ｔｏ ｔｉｅｒｅｄ ｃａｒｅ, ａｎｄ ｔｈｅ ｂｕｉｌｄｉｎｇ ｏｆ ｔｈｅ ｉｎｆｒａｓｔｒｕｃｔｕｒｅ. Ｂｕｔ, ｒａｐｉｄｌｙ, ｔｈｅ ｃｏｓｔ ｐｅｒ ｐａｔｉｅｎｔ ａｎｄ ｔｈｅ ｃｏｎｔｉｎｕｉｎｇ ｃｏｓｔ ｏｆ ｃａｒｅ ｐｒｏｖｉｓｉｏｎ ｗｏｕｌｄ ｄｅｃｌｉｎｅ ａｓ ｂｅｔｔｅｒ ｈｅａｌｔｈ ｃａｒｅ ｏｕｔｃｏｍｅｓ, ｒｅｄｕｃｅｄ ａｎｄ ｕｎｄｉａｇｎｏｓｅｄ ｄｉｓｅａｓｅ ａｎｄ ｗｅｌｌ-ｐｅｒｓｏｎ ｍａｉｎｔｅｎａｎｃｅ ｐｒｏｇｒａｍｓ ｂｅｃｏｍｅ ｐａｒｔ ｏｆ ｔｈｅ ｍａｉｎｓｔｒｅａｍ. Ｓｏｍｅ ｂａｃｋ ｏｆ ｔｈｅ ｅｎｖｅｌｏｐｅ ｃａｌｃｕｌａｔｉｏｎｓ ｉｎｄｉｃａｔｅ ｔｈａｔ ｃｏｎｓｕｍｅｒｓ ｃｏｕｌｄ ｐａｙ ｏｕｔ-ｏｆ-ｐｏｃｋｅｔ ｆｏｒ ａｌｌ ｎｏｒｍａｌ ｃｏｓｔｓ ｌｉｋｅ Ａｎｎｕａｌ Ｈｅａｌｔｈ Ｃｈｅｃｋｕｐｓ, Ｏｖｅｒ-Ｔｈｅ-Ｃｏｕｎｔｅｒ ｍｅｄｉｃｉｎｅｓ, ａｎｄ ｍｏｓｔ ｐｒｅｓｃｒｉｐｔｉｏｎ ｍｅｄｉｃｉｎｅｓ, ａｓ ｗｅｌｌ ａｓ ｐａｙ ａ ｎｏｍｉｎａｌ ａｍｏｕｎｔ ｆｏｒ Ｃａｔａｓｔｒｏｐｈｉｃ Ｃａｒｅ Ｃｏｖｅｒａｇｅ, ａｎｄ ｈａｖｅ ｓｅｖｅｒａｌ ｔｈｏｕｓａｎｄ ｄｏｌｌａｒｓ ｌｅｆｔ ｏｖｅｒ. Ｒｉｇｈｔ ｎｏｗ, ｈｅａｌｔｈｙ ｐｅｏｐｌｅ ｐａｙ ｆｏｒ ｓｉｃｋ, ｉｎｓｕｒｅｄ ｐａｙ ｆｏｒ ｕｎｉｎｓｕｒｅｄ, ａｎｄ ｔｈｅ ｓｙｓｔｅｍ ｄｏｅｓｎ'ｔ ｗｏｒｋ. Ｉｆ ｙｏｕ ｂｅｌｉｅｖｅ ｔｈａｔ ａｃｃｅｓｓ ｔｏ ａｆｆｏｒｄａｂｌｅ ｈｅａｌｔｈ ｃａｒｅ ｉｓ ａ Ｃｉｔｉｚｅｎ'ｓ ｒｉｇｈｔ, ｔｈｅｎ ｔｈｅ ｓｙｓｔｅｍ ｈａｓ ｔｏ ｂｅ ｒｅｓｔｒｕｃｔｕｒｅｄ. Ｔｈｉｓ ｉｓ ｏｎｅ ｗａｙ. Ａｓ ｐａｒｔ ｏｆ ｔｈｅ ｒｅｓｔｒｕｃｔｕｒｉｎｇ ａｎｄ ｐｒｏｖｉｓｉｏｎｉｎｇ ｏｆ ｃａｒｅ, ｒｅｑｕｉｒｅ/ｓｕｇｇｅｓｔ ｔｈａｔ ＥＶＥＲＹ ｐｅｒｓｏｎ ｉｎ ｔｈｅ Ｕ.Ｓ. ｗｈｏ ｉｓ ａ Ｃｉｔｉｚｅｎ ｇｅｔｓ ａｎ ａｎｎｕａｌ ｐｈｙｓｉｃａｌ ｔｈｒｏｕｇｈ ｔｈｅ ｃｌｉｎｉｃｓ. Ｔｈｉｓ ｐｒｏｃｅｓｓ ｗｏｕｌｄ ｅｎａｂｌｅ ｅａｒｌｙ ｉｎｔｅｒｖｅｎｔｉｏｎ ｗｈｅｎ ｉｎｔｅｒｖｅｎｔｉｏｎ-ｔｙｐｅ ｃａｒｅ ｃｏｕｌｄ ｂｅ ｍｏｓｔ ｎｅｅｄｅｄ, ｐｒｏｖｉｄｉｎｇ "ｗｅｌｌ-ｐｅｒｓｏｎ" ｈｅａｌｔｈ ａｄｖｉｃｅ, ｌｏｏｋｉｎｇ ａｔ ａ ｐｅｒｓｏｎ'ｓ ｏｒ ｃｈｉｌｄ'ｓ ｈｅａｌｔｈ ａｎｄ ｄｉｓｃｅｒｎｉｎｇ ｃｏｎｄｉｔｉｏｎｓ ｏｒ ｃｈａｎｇｅｓ ｔｈａｔ ｔｈｅ ｐｅｒｓｏｎ ｍｉｇｈｔ ｎｏｔ ｈａｖｅ ｎｏｔｉｃｅｄ, ｏｒ ｗｈｏｍ ｗｏｕｌｄ ｂｅｎｅｆｉｔ ｆｒｏｍ ｔｈｉｓ ｔｙｐｅ ｏｆ ｈｅａｌｔｈ ｃａｒｅ ａｄｖｉｃｅ. Ｃｌｉｎｉｃｓ ｗｏｕｌｄ ｂｅ ｔｈｅ ｐｅｒｆｅｃｔ ｐｌａｃｅ ｆｏｒ ｈｅａｌｔｈ ｃａｒｅ ｃｏｕｎｓｅｌｉｎｇ ｒｅｇａｒｄｉｎｇ ｄｉｅｔ, ｆａｍｉｌｙ ｐｌａｎｎｉｎｇ, ａｎｄ ａｌｌ ｔｈｅ ｔｈｉｎｇｓ ｔｈａｔ ｍｅｄｉｃａｌ ｐｒｏｆｅｓｓｉｏｎａｌｓ ａｇｒｅｅ ｗｏｕｌｄ ｍｉｔｉｇａｔｅ, ｅｖｅｎ ｈｅｌｐ ｐｒｅｖｅｎｔ, ｔｈｅ ｒａｐｉｄｌｙ ｇｒｏｗｉｎｇ ｎｕｍｂｅｒｓ ａｎｄ ｋｉｎｄｓ ｏｆ ｃｏｎｄｉｔｉｏｎｓ ａｎｄ ｄｉｓｅａｓｅｓ ｔｈａｔ ａｒｅ ａｆｆｅｃｔｉｎｇ ｏｕｒ ｓｏｃｉｅｔｙ. |
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