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If you tie health insurance to employment in a country where the median employee tenure is 4-5 years, ofc no one will pay for preventative care
IMO this is one of the most harmful and most underestimated incentive misalignments in US health
IMO this is one of the most harmful and most underestimated incentive misalignments in US health
Chronic disease makes up 75% of spending, and could be dramatically cut with improvements on nutrition, stress, etc.
But drs almost never intervene on social determinants of health, even though those interventions are comparatively dirt cheap
But drs almost never intervene on social determinants of health, even though those interventions are comparatively dirt cheap
In the NHS, which is single payer, they have “social prescribing”, where primary care providers in the UK can connect patients to social & community services reimbursable by insurance
Ex: if you’re prediabetic and living in a food desert, your PCP might “prescribe” you produce delivery, or transportation resources + vouchers to get you to a grocery store, all at no cost
It’s a young program, but there’s some good early evidence that it saves $ on an 18 month horizon, and improves patient well being especially in mental health
Have been lucky enough to spend time the last few weeks thinking/learning about this through @joininteract with the incredible @dfmorse23 @evadoraz @joannezpeng + Erin Smith, who are doing some very cool research to bring social prescribing to the US!
