Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

3 ways you can advocate for better health care

Suneel Dhand, MD
Physician
January 16, 2017
Share
Tweet
Share

Being sick is a horrible enough time without having to worry about how much it’s going to cost you. Unfortunately, the United States is unique among developed nations in not ensuring that the populace has a safety net that will protect them against exorbitant personal health care expenses. It’s a terrible thing to have to deal with as a physician. I went to medical school to learn how to take care of people and give them whatever care they needed. It’s heartbreaking to hear stories patients getting hit with ridiculously high health care bills that they haven’t got a hope in hell of paying back. People who have worked hard all their lives go bankrupt because of medical costs, in a country as wealthy as this, is unacceptable.

While I don’t pretend to have all the answers, I think the best health care system for patients probably lies somewhere in-between a heavily centralized system like the United Kingdom’s National Health Service (which I don’t think any country should aspire to copy) and an insurance/private-based system like the United States. The closest I’ve ever experienced to that type of health care system is in Australia — a system I worked in when I did my final year medical school elective in trauma care with the Royal Flying Doctor Service in Adelaide.

Patients in the United States, unfortunately, continue to suffer. Here are three ways they can do everything in their power to improve things and make health care more affordable:

1. Shame those exorbitant-charge merchants. In the age of social media, there is no need to suffer in silence. Even if it’s not your bill, but a loved ones’ (e.g., grandma), expose those institutions which are doing crazy things. Shame them. A good example of a story which went viral recently was when a hospital in Utah tried to charge for holding a baby soon after birth. Let the world find out about what’s happening and let the backlash take care of the rest.

2. Negotiate. Many hospitals and clinics have payment plans designed to spread out health care costs. While it’s a less than satisfactory situation to be in, sometimes there’s no choice but to attempt a negotiation. They would rather be paid than not paid at all, but you have to ask and be persistent in your assertions that you can’t pay the full bill.

3. Become politically active. You are a citizen in one of the greatest democracies that’s ever existed. Write letters and arrange meetings with your local congressmen and women. Be relentless in getting your message across and force them to listen to your stories. Speaking as someone who has been to Capitol Hill a couple of times to advocate on behalf of my medical specialty and patient concerns, I don’t think people realize how open our democracy is and how you can easily get your viewpoint heard if you want to.

Our health care system fails our patients on a daily basis. While I think there are a lot of great things about U.S. health care that we totally take for granted, cost is the single biggest area where we need to really do better. At this current time of massive transition politically, we must continue to make this one of the biggest drivers of health care policy, while also realizing that increasing bureaucracy and adding layers of administration is not the answer (something that is tempting for many policy folks to do instantly). We need to stay patient-centered and not place more barriers in between patients and their doctors. Politicians must also resist the special interests and lobbying groups, and do what’s best for their constituents. It’s going to be very complicated, but sooner or later, something will have to give if our patients are all feeling the same way.

Suneel Dhand is an internal medicine physician and author of three books, including Thomas Jefferson: Lessons from a Secret Buddha. He is the founder and director, HealthITImprove, and blogs at his self-titled site, Suneel Dhand.

Image credit: Shutterstock.com

Prev

A day in the life of a radiologist

January 16, 2017 Kevin 0
…
Next

A millennial's guide to medical school

January 16, 2017 Kevin 4
…

Tagged as: Primary Care

Post navigation

< Previous Post
A day in the life of a radiologist
Next Post >
A millennial's guide to medical school

ADVERTISEMENT

More by Suneel Dhand, MD

  • The dream patient that makes a doctor very happy

    Suneel Dhand, MD
  • When the family wants to speak to the doctor

    Suneel Dhand, MD
  • 3 reasons why patients are unhappy

    Suneel Dhand, MD

Related Posts

  • How social media can help or hurt your health care career

    Health eCareers
  • Why health care replaced physician care

    Michael Weiss, MD
  • Turn physicians into powerful health care influencers

    Kevin Pho, MD
  • Health care needs more physician CEOs

    Alexi Nazem, MD
  • Health care is not a service commodity

    Peter Spence, MD, MBA
  • The health care system will cause its own physician shortage

    Advait Suvarnakar and Aashka Suvarnakar

More in Physician

  • Why the heart of medicine is more than science

    Ryan Nadelson, MD
  • How Ukrainian doctors kept diabetes care alive during the war

    Dr. Daryna Bahriy
  • How women physicians can go from burnout to thriving

    Diane W. Shannon, MD, MPH
  • Why more doctors are choosing direct care over traditional health care

    Grace Torres-Hodges, DPM, MBA
  • How to handle chronically late patients in your medical practice

    Neil Baum, MD
  • How early meetings and after-hours events penalize physician-mothers

    Samira Jeimy, MD, PhD and Menaka Pai, MD
  • Most Popular

  • Past Week

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • America’s ER crisis: Why the system is collapsing from within

      Kristen Cline, BSN, RN | Conditions
    • Why timing, not surgery, determines patient survival

      Michael Karch, MD | Conditions
    • How early meetings and after-hours events penalize physician-mothers

      Samira Jeimy, MD, PhD and Menaka Pai, MD | Physician
  • Past 6 Months

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
  • Recent Posts

    • Why the heart of medicine is more than science

      Ryan Nadelson, MD | Physician
    • How Ukrainian doctors kept diabetes care alive during the war

      Dr. Daryna Bahriy | Physician
    • Why Grok 4 could be the next leap for HIPAA-compliant clinical AI

      Harvey Castro, MD, MBA | Tech
    • How women physicians can go from burnout to thriving

      Diane W. Shannon, MD, MPH | Physician
    • What a childhood stroke taught me about the future of neurosurgery and the promise of vagus nerve stimulation

      William J. Bannon IV | Conditions
    • Beyond burnout: Understanding the triangle of exhaustion [PODCAST]

      The Podcast by KevinMD | Podcast

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 1 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • America’s ER crisis: Why the system is collapsing from within

      Kristen Cline, BSN, RN | Conditions
    • Why timing, not surgery, determines patient survival

      Michael Karch, MD | Conditions
    • How early meetings and after-hours events penalize physician-mothers

      Samira Jeimy, MD, PhD and Menaka Pai, MD | Physician
  • Past 6 Months

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
  • Recent Posts

    • Why the heart of medicine is more than science

      Ryan Nadelson, MD | Physician
    • How Ukrainian doctors kept diabetes care alive during the war

      Dr. Daryna Bahriy | Physician
    • Why Grok 4 could be the next leap for HIPAA-compliant clinical AI

      Harvey Castro, MD, MBA | Tech
    • How women physicians can go from burnout to thriving

      Diane W. Shannon, MD, MPH | Physician
    • What a childhood stroke taught me about the future of neurosurgery and the promise of vagus nerve stimulation

      William J. Bannon IV | Conditions
    • Beyond burnout: Understanding the triangle of exhaustion [PODCAST]

      The Podcast by KevinMD | Podcast

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

3 ways you can advocate for better health care
1 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...