Martina Keens-Betts was previously a healthcare investment researcher and also campaigns for Dementia issues. She is also involved in raising awareness for chaplaincy and offers coaching to those interested in products and services in the healthcare arena. Martina also runs a Dementia Carers discussion group on LinkedIn.
"As far as I'm concerned, ObamaCare and many other issues relating to the healthcare provision and its associated expenditure are related to a lack of public and school-age education in self-care, personal money management, loving thy neighbour and to an extent, appropriate management of one's expectations in terms of how much tax it is appropriate to pay and the limits to the benefits of various treatments. If these requirements were properly addressed then these endless, boring debates which end in any or a combination of the wealthy not contributing enough to the less fortunate, the less fortunate not being motivated to improve their lot and a system of such complexity that no one with the right ideas can actually penetrate.
Take politics out of the equation and replace it with people AND make healthcare data more visible so that following the appropriate healthcare education, they can decide what's right for them - I'm sure they know."
Peter is an established entrepreneur, having grown and sold two businesses in the healthcare sector in the last 10 years; he was a founding member of global health management consultancy, vielife (acquired by CIGNA). He now runs Glasslyn Health Solutions, an independent health consulting company with a client base in Europe and the US, and is co-founder of nGage Health, a provider of technology driven patient engagement solutions to healthcare providers. He still practices medicine on a part-time basis at the Whittington Hospital in London.
"I think the Supreme Court's decision (despite being of predominantly Republican leaning) finally marks the realization in America that they have to do something different if they stand any hope of halting the inexorable rise in healthcare expenditure in the country. The US total healthcare expenditure is close to 18% of GDP, and although they look like they are doing better than us in Europe with regard to economic growth it is not nearly enough to keep pace with healthcare cost inflation. Almost 20 years since Hillary Clinton failed miserably in trying to change the healthcare landscape in the US it looks like they have finally woken up to the reality of a completely unsustainable model.
Possibly more interesting than mandating coverage is the shift in focus that the Patient Protection & Affordable Care Act is advocating. The central tenet is that there needs to be a shift away from the episodic, fee for service model to one where providers of care are going to be increasingly charged with managing the health of population groups within predefined cost parameters. There is a direct parallel with these "Accountable Care Organizations" and what is also happening in the UK, with CCGs being tasked with the very same thing.
Finally, the Act also makes an annual wellness visit to a primary care physician (or nurse practitioner) a fully covered service for all Medicare beneficiaries, which actually places proactive prevention right at the heart of the service. Something we would do well to consider here also."'