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The Doctor of the Future

By: Chuck SalterMay 1, 2009
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Photograph by Jamie Chung | Prop Styling by Bryan Byrn

Cost, access, quality -- the prognosis for American health care may look grim, but innovation is the cure. The medicine of tomorrow is being born today.

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Photograph by Tanit Sakakini



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In March, President Obama identified "the biggest threat to our nation's balance sheet." Not major banks on the brink of insolvency. Not paralyzed credit markets. Not a bailout tab in the trillions. The biggest threat, he warned, "by a wide margin," is "the skyrocketing price of health care."

Health care accounts for $1 in every $6 spent in the United States -- and costs are climbing at twice the rate of inflation. Every year, an estimated 1.5 million families lose their homes because of medical bills. Although we have the world's most expensive health-care system, 24 countries have a longer life expectancy and 34 have a lower infant-mortality rate, according to the latest United Nations report.

But some physicians and surgeons have been quietly rethinking and reinventing medicine for the 21st century. Often collaborating with innovative companies, these pioneers are experimenting with cutting-edge technologies, from software to robots, that have the power to revolutionize the medical landscape -- producing better outcomes, lower costs, broader access, and greater convenience. And advances on a far greater scale could emerge from the stimulus package and the $634 billion the Obama administration proposes to invest in health-care reform; the much-discussed expansion of electronic medical records (see Why Electronic Health Records Are Worth the Hype--and the Price) is just the beginning. As these breakthroughs come together, they will change the world for patients, doctors, insurers, regulators -- all of us.

The doctor of the future will see you. Now.

From Issue 135 | May 2009

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Recent Comments | 19 Total

April 16, 2009 at 10:25am by Jim Jones

Added to EHRLinks.com

April 17, 2009 at 11:32pm by Bruce Brown

Telemedicine is the way of the future -- cheap and fast. If you live in NY check out www.swiftmd.com!

April 20, 2009 at 1:52am by David Wagoner

True the platform is important, but more important is the willingness of physicians and patients to change the system. The transformation comes from technology applied to meet real needs. Read more at: http://www.healdeal.com/blog/?p=33

April 21, 2009 at 3:52pm by Rob Lightner

This is exciting stuff! I've been using HealthVault ( http://www.healthvault.com/Personal/index.html ) for a while and I think this is finally enabling us to take control of our healthcare in the same way we have more control over our finances, real estate decisions, etc. It's good to see positive change instead of inertia.

April 25, 2009 at 11:13am by STEVEN TUCKER

I love the concept and have been doing e-medicine now for 10 years but remain skeptical about long term and universal success. The problems are both massive (the presumption that care should be free and universal) and minute (addressing protectionist laws about e-health prescribing and practicing across state lines or countries). Also, the solution described perpetuates and confirms the status quo without addressing fundamental change in personal responsibility for health and wellness. I worry that these models only become virtual urgent care clinics without support or vision for prevention. @drsteventucker

April 30, 2009 at 3:14pm by Joel DeJong

The Hello Health model brings convenience and affordability to primary
care via the internet without sacrificing the doctor patient
relationship. It also provides an alternative to general insurance
coverage which is currently costing my family of four over $800/month.
Being self-employed, I need alternatives. With Parkinson's model I
would be able to pay for affordable care when I need it and get
catastrophic coverage for under $200/month. Thank you Jay for
bringing primary care into the 21st Century.

April 30, 2009 at 3:17pm by Joel DeJong

Great Article! The Hello Health model brings convenience and affordability to primarycare via the internet without sacrificing the doctor patient relationship. It also provides an alternative to general insurance coverage which is currently costing my family of four over $800/month. Being self-employed, I need alternatives. With Parkinson's model I would be able to pay for affordable care when I need it and get
catastrophic coverage for around $200/month. Thank you Jay for
bringing primary care into the 21st Century.

May 3, 2009 at 1:21pm by Helen K

This service only offers a decent alternative for the healthcare needs of affluent young people. If the trend catches on and competition drives costs down for this type of health care service, maybe this will become more affordable for more people.

It drives away the insurance hassle for doctors and patients alike but it preserves the same philosophy of insurers. The doctors help most those who need help least, and getting rich thereby. So it's basically just another bloodthirsty vampire scheme, hardly the innovative solution we need in the national healthcare crisis we are experiencing today.

May 8, 2009 at 1:05am by House Doc

Technology by itself is no panacea. It could make things more complicated and difficult if not used properly. Health vault, for example, would be pretty useless if its packed with hundreds of pages of irrelevant details, as is the case with hospital records nowadays. Technology can help make the system more efficient, however, as for example, using the on line service www.housedoc.us to communicate with the doctor by email instead of by phone.

May 8, 2009 at 1:05am by House Doc

Technology by itself is no panacea. It could make things more complicated and difficult if not used properly. Health vault, for example, would be pretty useless if its packed with hundreds of pages of irrelevant details, as is the case with hospital records nowadays. Technology can help make the system more efficient, however, as for example, using the on line service www.housedoc.us to communicate with the doctor by email instead of by phone.

July 13, 2009 at 3:19pm by Ken Fyre

More doctors are circumventing the entire health care system and coming up innovative business models to help their practice. Gone is the sole reliance on insurance based business models where patients are herding in the door and herded out like cattle. Does doctors who do house calls or those with flat-rate pricing often are paid directly by their clients and hence the doctors practice more preventive medicine.
Doctor Reviews

September 29, 2009 at 3:08pm by Jack Bronson

Thanks for an amazing article. It is really a big issue nowadays in the United States. Maybe, after Obama’s health care reform, things will get better. For example, just few weeks ago I was trying to pass some medical tests at the local hospital, but when I saw prices, it was a real shock for me. More than a half thousand dollars for simple procedures. It is not a good at all.
Those ideas about e-hospitals look very interesting. I would be pleased to have a conversation with my doctor through the internet. Moreover, I would have a chance to look through my test results or diagnoses any time I want to. In conclusion, I want to say that this article presents some really great solutions for our health care system, so I want to thank one more time to the author.

Sincerely,

Jack Slighton from no prescription pharmacy

September 29, 2009 at 3:10pm by Jack Bronson

Thanks for an amazing article. It is really a big issue nowadays in the United States. Maybe, after Obama’s health care reform, things will get better. For example, just few weeks ago I was trying to pass some medical tests at the local hospital, but when I saw prices, it was a real shock for me. More than a half thousand dollars for simple procedures. It is not a good at all.
Those ideas about e-hospitals look very interesting. I would be pleased to have a conversation with my doctor through the internet. Moreover, I would have a chance to look through my test results or diagnoses any time I want to. In conclusion, I want to say that this article presents some really great solutions for our health care system, so I want to thank one more time to the author.

Sincerely,

Jack Slighton from no prescription pharmacy

September 30, 2009 at 1:25pm by Marry Lohlin

Sometimes it looks like that everyone is complaining about health care problems now, but I don't see any problem here. Yes, we are paying a lot for our health, but I don't agree that the quality of our health care system is poor. I would say that it is the best in the whole world. I am traveling a lot, I was in Europe, South America, Asia, and I didn't see any hospital which would have such a high quality of medicine as we have. They sometimes lack simple vaccination or simple things that are the MUST for health care problems nowadays. So the conclusion is that we want to pay less money for better health care? It sounds like the Utopian idea. But we will wait and see what Obama's health care reform will provide us. Good luck to everyone and thanks for the great and interesting article!

Marry Lohlin from letrozole

November 3, 2009 at 9:47am by Andrew Eriksen

@mary I agree with you, our healthcare system overall is actually great. I know that if I was to get sick, I can actually trust my doctors to make good decisions on behalf of my health. The confidence I have in the competency of our doctors is worth a lot of money. There are many things that can be fixed but an overall at the proposed scale is just not logical at this time for our country. We should take a history lesson and look back at other government ventures of this magnitude. They were always on the heels of economic woes and always far exceeded the initial estimates. I think that we need to slow down and take our time to create a comprehensive healthcare reform package that will solve many problems. The proposed plan is a patch work plan only designed to mend the system and satisfy the desire of the administration to pass healthcare reform.

--
Andrew Eriksen, CEO
Physician Practice Management Services
http://freeEMRsolution.com EMR Reviews & Free Solutions
http://PhysicianCredentialingServices.com Practice Start Up Assistance

November 22, 2009 at 1:46pm by Benetta Anthony

Nice post I Like your site very well and continue to do so. I have bookmarked your site.

January 28, 2010 at 10:00pm by

Thanks for a tremendous article. In the end, healthcare is all about the doctor-patient relationship and anything that can improve or facilitate that is going to succeed.

Thanks,
Steve Rojas
Mitochon Systems EMR
http://www.mitochonsystems.com/

February 7, 2010 at 11:03pm by Andrew Eriksen

There is a related article about the iPad that is worth reading if you are interested in seeing where tablet EMR is going. Thank you Fast Company for keeping us informed.

--
Andrew Eriksen, CEO
Physician Practice Management Services
http://freeEMRsolution.com EMR Reviews & Free Solutions
http://PhysicianCredentialingServices.com Practice Start Up Assistance

February 8, 2010 at 1:47pm by Melissa Martone

Great post. Thanks for your effort Chuck!

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