There are many problems with our existing healthcare system that need to be addressed, but the major problem is that the system as a whole is based on the treatment of health and not actually on health. The entire system is set up to treat health related symptoms after they occur, instead of proactively trying to get people to be as healthy as they can be in the first place. A big part of the rise in healthcare insurance premiums is a simple case of supply and demand that is based on the fact that our society is now less healthy, and needs more healthcare services. Our current Healthcare industry wants the general public to be less healthy because it makes all of its money from treating unhealthy people. I am not saying that on a personal level that your doctor wants you to be sick and hurt all of the time, but the industry as a whole, makes more money when you are. So when the discussions about healthcare reform come from the point of view of people working in the existing healthcare system, there is certainly going to be some bias in their decision making process. I doubt many healthcare professionals are going to be pushing for any type of reform that decreases the demand for the products and services that they provide. Even though Preventive health is in the best interests of the health of our society, it is not in the best financial interests of current healthcare professionals. When you look at the big picture it is societies need for healthcare that ultimately pays the salaries of everyone in the healthcare industry. We know that on an individual basis sometimes the less healthy you are, or if you have some preexisting conditions, you may pay a higher premium for your healthcare insurance. However, on a larger scale, the overall health of society determines the overall prices we all pay for healthcare, and until we can make our society healthier there can be no long term solution to rising healthcare costs. It is not a coincidence that this country is as unhealthy as it has ever been, and healthcare costs are also at an all time high. One is causing the other. Our healthcare system has succeeded in making our society less healthy, and as a result has created an increased need for the products and services they provide. I realize this may seem like a malicious statement, but in actuality this is nothing more than “Big Business” and there is no more powerful or profitable business in this country than Healthcare. Our healthcare system is responsible for almost 20% of our whole economy. Unfortunately for it to be successful… an unhealthy person becomes more profitable than a healthy person to anyone in the business of Health.
Our current Healthcare system is not at all interested in trying to make our society healthier, and instead would rather keep spending more money, to give more treatment, to more unhealthy people. In the process any one who is employed by the healthcare system is getting richer, even though our societies health is getting poorer. If our current healthcare system is not changed, not only will healthcare insurance premiums continue to rise, but we can expect that the health of our country will continue to fall.
I do not think that too many people would disagree with the fact that if society were healthier, and thus decreased the demand for health treatment services, then healthcare costs would have to drop. So the bigger question about healthcare reform should be…how do we get society healthier? The answer has to be Preventive Health. There is only one small problem… There is no “Preventive Health” industry. Our current healthcare industry certainly does not offer preventive health services, so when we talk about preventive health, what we are really talking about is the “Fitness” industry. It is in this “Fitness/Preventive Care” industry that we find the Exercise, Nutrition, and Wellness industries, as well as any other industry that is designed make you healthier before a problem happens or symptoms occur. Unfortunately, the problem is that the entire Fitness/Preventive Health industry is not a part of our Healthcare System. We hear the term “Health and Fitness” used together all the time, but in actuality they are two entirely different industries. The biggest difference between the two is healthcare insurance. If your healthcare insurance can potentially pay for it, then it should be considered part of the health industry, and if your healthcare insurance will not cover it then it is usually because it is part of the fitness industry. In other words if you get hurt, get sick, or need drugs, then healthcare companies can help you out, but if you want to lead a healthy lifestyle and try to prevent health related illness than you are going to have to pay for it on your own. There is no reason for healthcare insurance companies to pay for fitness/preventive services, when from a business stand point the healthcare industry actually competes against the fitness/preventive care industry. The problem becomes that due to the restrictions of healthcare insurance, professionals of either industry never really interact with each other, and even though Health and Fitness are two very different industries, they are certainly two industries that affect each other, and in the process affect the overall health of our country.
Besides health and fitness being two different industries, they are also two industries that know very little about each other. Most people assume that healthcare professionals are knowledgeable about health. This is simply not true. They are really only knowledgeable about the treatment of health, and have no more knowledge about fitness and preventive health than the average person would. I know this because doctors are a big part of the clientele that come to me for advice about preventive health. 75 years ago people would go to their family doctor for anything relating to the body what so ever, but as science has progressed over the years we have seen more and more specialization among doctors, and the same is true as it relates to Fitness and Preventive health. There is simply way to much information available and education needed within ones own profession, without trying to learn a different one. There is really no way to ever allow healthcare professionals to try to practice teaching Preventive Health because they do not have the specific education needed to do it, and they have been trained to work in a system that succeeds from not doing it. This is also true of fitness professionals as it relates to healthcare. Even though professionals of both industries have studied course work in anatomy, a doctor would know about as much about a muscular endurance test as an Exercise Physiologist would know about open heart surgery. The problem becomes that when someone goes to their doctor with common health related illnesses like obesity, hypertension, or diabetes (for the most part all preventable lifestyle diseases) they are going to be limited by the options that a healthcare professional presents to them. A doctor can not send them to a fitness or nutrition specialist because it is not covered by healthcare insurance. It is not because fitness and proper nutrition will not help these conditions, it is because this is how the system works. What can the doctor do? They can treat your symptoms with drugs or surgeries or… they can tell you that you need to exercise and eat better, but what they can not do is give you any specifics, or send you in the right direction to get what you really need because they just don’t know. This is not their fault, it is not their job to know, they are simply limited by the system in which they work, and if they send you outside their system then it makes them no money.
I am not completely narrow minded in my views on our current healthcare system. I do realize that our country still needs a lot of the existing services that our healthcare system does provide, and there is obviously a need for a lot of healthcare reform that has nothing to do with Preventive health and the health of our society. It would be silly for me to think that preventive health could ever be an absolute replacement for health treatment, but I do believe that the two should be working together and not competing against each other. As a country we are always going to need to have treatment available for our health issues, and in general our healthcare system has become very good at treating health. Advancements in medicine and medical technologies are providing people with better options then they used to have, and the future of medicine does seam limitless. However, there needs to be a big shift in the way this country views health, and needs to start with our government. There needs to be steps taken to ensure that people are exposed to the correct information that will help them to be proactive about their health, instead of relying on our healthcare system to help them after problems occur. As individuals we all need to take more responsibility for our own health. I do not think that people that take a greater interest in their own health and use less healthcare services should be expected to pay the same insurance premiums as people that neglect their health and using more healthcare services. There are certainly circumstances where people can not always control all of their health issues, but as a whole there are a huge percentage of people that are making poor lifestyle choices, and are expecting everyone else to pay for it. With other insurances like “life” and “auto” it is accepted that we reward people with low risk, and charge more to people that are at high risk. Why not make this the norm for healthcare insurance. We should be giving people options that can result in lower healthcare costs, if they can show an increased health capacity and therefore a decreased likelihood for healthcare treatment. It is not an exact formula, but neither is auto or life insurance, and like most things in life it is based on probability. At the very least we would have is a lot of people that could be motivated to be healthier for financial reasons as well as for their own personal health . So my solution to healthcare would not only involve the reform of the existing system, but also include the addition of a qualified Preventive Health workforce to our healthcare system. This would ensure that the overall health of our society would continue to improve, decreasing the overall demand for healthcare treatment, and as a result lower healthcare costs.
While it is absolutely essential for us to make our population healthier so that our insurance premiums can drop, there are some major problems with the Preventive Health/ Fitness industries that are supposed to be responsible for trying to make this happen. As Science has progressed in the last 25 years we have seen major scientific advancements in the fitness industry. It is now possible to get masters and or doctorate degrees in multiple Health Sciences (non Healthcare) including Exercise Physiology, Kinesiology, Biomechanics, Athletic Training, and Nutrition. The problem is that even though there are numerous college degrees relating to fitness that can be obtained, the people that have these degrees represent less than 5% of the entire Fitness/Preventive health work force. That means that there are a lot of undereducated people responsible for trying to get our society healthier. In fact, I can not think of any other industry (let alone one this big, profitable, and important) that is represented by such an unqualified workforce. The truth is that there is absolutely no governing body or organization in the Fitness/Preventive health industry. It is an absolute “free for all.” Anyone can and does claim to be a part of these industries. What qualifications do they need to do so? None! While different persons or institutions may have their own qualifications or standards, there is no set guideline that everyone must adhere to, and this is where the problem comes from. There is so much important info about health and fitness that is available at the university level that is not making its way into society. I am not talking about cutting edge research, or complex anatomy and physiology, but rather the most basic and foundational information that being taught to the most highly educated professionals in the industry, but is not making its way to the general population. This important information is being lost, because it is so out numbered by all of the misinformation that exists in the industry. If I had to guess, I would have to say that the information and techniques that I teach today will be the normal practice for the general population in about 15 years. The Science and education is here now, but it will take that long for there to be enough qualified people to effectively relay the info to the public. So what I am proposing is not so much a prediction of what a future trend will be… but rather me absolutely knowing what the trend will be, and trying to capitalize on it now instead of trying to play “catch up” later.
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