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Gerard Nash's avatar

Increased revenue will not save us, as is proof from the last 20 plus years of spending increases. Controlling spending is what is needed. Given healthcare is our biggest budget line item, start there. Biggest opportunity to save is a more efficient healthcare system. Few Ideas:

EPIC is OK, but there are more technology solutions that are more efficient. A reduction in nurse admin time in particular would allow coverage of more patients per nurse unit.

It would also allow you to reduce or eliminate paperwork, which makes delivery more efficient. Train all nurses and doctors in school with the technology.

Use tech to triage people. Use AI to assist in risk scoring someone. Plug that AI right into the patient's MCP account. More efficient way to manage Emergency Rooms. Use score to determine if you need ER or doctors appointment. If you do need a doctors appointment soon, have a pool of docs who's only job is to provide TeleHealth.

Train more nurse practitioners/pharmacists who can do more of the doctors work more efficiently and at lower costs. If you have been on the same BP Meds for 20 years, and they have been working, and your BP is normal, you do not need to see a doctor for your renewal.

Edward Hollett's avatar

More money won't fix the problems. Absolutely agreed.

The problems in health care are not in the care. NPs and pharmacists cannot replace MDs.

It's the bureaucracy above the patient treatment spaces that drives the costs.

100%.

But nothing will change because no one wants to change. Voters don;t want change. They elect politicians who would rather close their eyes than make good decisions that cause even minor pushback. They are not even willing to find people to help them make better decisions. Not hard ones. Better ones.

Most of them come to office with no clue of the world around them, are overwhelmed by everything, and then just find it easier to go along to get along. They get their moment of fame and power in the best jobs they will ever have and are 100% not qualified for and then get out or get punted to the cheap seats in the House.

Jim Candow thinks the best and the brightest stayed in NL. Well, that might be true but fewer of them than ever get into politics. 2003 marked a sea change in NL politics. it was clear at the time and has gotten more clear as time goes by.