Making Healthcare Great Again
The SafeCare Group's 7-point Initiative
​By Yisrael M Safeek, MD, MBA​, FACPE

USA
​​October 16, 2016

          Rarely in the history of our nation has there been an urgency to address problems facing the US health care system. Most of these problems are not new; they have been discussed for decades by politicians. Most of these problems stem from a highly-fragmented US healthcare system, which due to reluctance (the inability) to act on the part of our leaders, led to a slow deterioration of our healthcare.
          Some of the most notable issues plaguing the US healthcare system include:

• its failure to properly treat chronic diseases,
• disappointment to provide preventative coverage for low-income people,
• and the soaring cost of life-saving drugs and medical devices.

          For too long, reliance on Obamacare to allocate health resources, to contain costs and to determine better healthcare for Americans has failed. The upshot is the US now spends more per capita on health services than any other country in the world, but lags behind many other countries on such health indicators as life expectancy and infant mortality.
          There are also new problems facing the US healthcare system like

• decreasing life expectancy from opioid addiction,
• the rise of intractable infections from superbugs,
• and the threat of potential outbreaks of new or resurgent pathogens from ever-increasing global trade and travel.

​          Listed below are seven policy initiatives, and for each, my plan outlining scope of the problems, policy priorities, deployment phases, special considerations, and accountability.

POLICY	DESCRIPTION	SCOPE OF THE PROBLEM	POLICY PRIORITIES	DEPLOYMENT PHASES	SPECIAL CONSIDERATIONS	GOVERNANCE
Policy Initiative I	Implement a Unique National Patient ID to Improve Care and Cost	Lack of a common unique patient ID contributes to the fragmentation of the current health care system leading to disrupted relationships, poor information flows, and misaligned incentives that combine to degrade quality and increase cost.
Policy Initiative II	Target the Opioid Addiction Crisis	Unintentional drug overdose has become the leading cause of injury-related death in the US. Drug overdose deaths in the United States more than tripled from 1999 to 2015, with over 52,000 drug overdose deaths occurring in 2015 alone.
Policy Initiative III	Invest in Pandemic Preparedness as Integral Part of National Security	Ever-increasing global trade and travel increase the potential for outbreaks of new or resurgent pathogens to turn into epidemics or pandemics. Globalization drives economic growth but also facilitates the spread of contagion.
Policy Initiative IV	Strengthen Public Health as the Foundation of Better Healthcare	Health Data administration and utilization is split across multiple state and local government jurisdictions, and this inefficient structure impedes innovation and lacks a clear point of healthcare.
Policy Initiative V	Advance Medicare & Medicaid Modernization and Cost Containment	Our current health care system is fragmented in a way that leads to disrupted relationships, poor information flows, and misaligned incentives that combine to degrade quality and increase cost.
Policy Initiative VI	Combat the Threat of Antimicrobial Resistance	Antimicrobial resistance may be the biggest healthcare threat to mankind and is a harmful consequences of antibiotic over prescription and the development of antibiotic-resistant organism, affecting more than 2 million Americans annually.
Policy Initiative VII	Engage Private Sector Partners for Better Health, Better Care, and Lower Costs	The US spend more per person on health care than most developed countries, yet higher spending is not resulting in better health outcomes for American citizens.