Big Business Can Be Hazardous to Your Health

By Alex Gibney

I recently produced a film, called "Money-Driven Medicine," based on the book of the same name by Maggie Mahar, which looks at the way that our business model for medicine has badly damaged the patient doctor relationship. See web-only content:
http://www.theatlantic.com/entertainment/archive/2009/06/big-business-can-be-hazardous-to-your-health/18910/



"What's that?" you may say.  I thought that it was those damn government bureaucrats that were trying to get in between me and my doctor. 

Well, the director of this film, Andy Fredericks, followed doctors all over the country who are deeply frustrated that the current system, whose goals favor profits over good, efficient and humane health care.   In one scene, for example, a hospital refuses to share a possibly life-saving protocol with another hospital for fear it would lose its "competitive advantage." In many other sequences, doctors complain that, in the current system, they are forced to embrace wasteful and expensive (and extremely profitable) procedures while patients wonder why it is that they can quickly get expensive tests - like MRIs - but have to wait weeks to see primary care physicians (who are the most in demand) because so few doctors can afford to become general practitioners. 

"Money-Driven Medicine" explores how a profit-driven health care system squanders billions of health care dollars, while exposing millions of patients to unnecessary or redundant tests, unproven, sometimes unwanted procedures, and over-priced drugs and devices that, too often are no better than the less expensive products that they have replaced.  

More than two decades of research done by the Dartmouth Institute for Health Policy and Clinical Practice  reveals that one out of three roughly one-third of our health care dollars - or nearly $600 900 billion of the $1.7 $2.6 trillion that we spend annually - is wasted on products and procedures that provide no benefit to the patient. 

"But this isn't just a waste of money.  This is hazardous waste - waste that is hazardous to  our health," says Mahar, a healthcare fellow at the Century Foundation where she writes the healthbeat blog

"When a patient is subjected to an ineffective treatment he is, by definition exposed to risk without benefit. We need to squeeze this waste out of the system. If we do, we have enough money to provide high quality, affordable and sustainable care for everyone." 

Here's a clip from the film, in which Dr. Don Berwick, warns about the dangers of an unregulated competitive "war," in which, too often, the patient is "collateral damage."  
See web-only content:
http://www.theatlantic.com/entertainment/archive/2009/06/big-business-can-be-hazardous-to-your-health/18910/

In the days ahead, as insurance companies and pharmaceutical firms try to prevent any "government interference" in health care, it will be important to remember, that the goal of our health care system is not to reward providers; it is to deliver the best and most cost-effective health care to patients.  Assuming that profit-oriented corporations always have patients' best interests at heart could be a fatal mistake. 
 






This article available online at:

http://www.theatlantic.com/entertainment/archive/2009/06/big-business-can-be-hazardous-to-your-health/18910/