tag:blogger.com,1999:blog-3980421295592818922.post7136930320665344263..comments2023-10-23T14:15:29.331-07:00Comments on Shallow Cogitations: Proposition 4 - Right To Affordable Preventive HealthcareHank Greerhttp://www.blogger.com/profile/15243840232233423724noreply@blogger.comBlogger2125tag:blogger.com,1999:blog-3980421295592818922.post-34940854131387274132009-10-12T20:59:57.662-07:002009-10-12T20:59:57.662-07:00Another point where I think this one misses the ma...Another point where I think this one misses the mark--fee-for-service is a broken model. There was an article in the Spokesman about the struggling hospital in Garfield County trying to make it, and thinking about whether it would make more sense to be paid to keep people healthy, instead of paid for over-treatment (which is incentivized under fee-for-service models).<br /><br />This really isn't the most progressive healthcare reform that could be considered--it's practically conservative :D.<br /><br />What I could really get excited about is more effort by the city--working on its core services such as street design/engineering--to create an infrastructure more oriented toward overall HEALTH (to which medical services contribute only a small portion of your outcomes). <br /><br />If more streets had bike lanes, or enough shoulder/lane width for cyclists to share the road--if all our sidewalks were actually complete so people could walk to a transit stop (which would also make sidewalks more accessible for people in wheelchairs)--if we emphasized design standards that draw people into walking rather than driving--we'd be healthier. We'd lower the cost to the system of preventable diseases like obesity, diabetes and cardiovascular disease that are expensive epidemics.<br /><br />That's the kind of thing you could actually call on the city to do while staying within the appropriate scope of authority and responsibility for city government. Put a Complete Streets amendment up--as a single-subject measure, not weighed down with other unrelated issues--and let's see what happens.<br /><br />Not that I feel strongly about this or anything.<br /><br />@BarbChamberlain<br />http://bit.ly/NoProp4Barb Chamberlainhttps://www.blogger.com/profile/09000768706045663322noreply@blogger.comtag:blogger.com,1999:blog-3980421295592818922.post-13690168259609949612009-10-02T01:00:04.772-07:002009-10-02T01:00:04.772-07:00Recent issue of The Atlantic Monthly has a really ...Recent issue of The Atlantic Monthly has a really interesting in-depth article about health care reform. Author's nutshell is that trying to tweak the current system will not produce meaningful, necessary changes, and we need a complete start from scratch.Sherrynoreply@blogger.com