Dollar driven decisions by administrators at hospitals, health insurance providers and pharmaceutical companies are wielding too much influence over our medical decisions as patients (and sadly as physicians as well). Alarmingly, one hospital CEO of a $1.5 billion healthcare system said, “People need primary care but not necessarily a physician relationship.” As patients, we are prone to place excessive importance on convenience and satisfaction, as well as the number of healthcare interventions we can obtain at the lowest personal expenditure in both dollars and effort. A 2012 study though showed that patients who were most satisfied with their healthcare had more hospital admissions, higher total healthcare and prescription drug expenditures, and even greater death rates than patients who were less satisfied. The link no doubt is that we report being satisfied when we get more medications, more healthcare services, and more hospitalizations, which then lead to an increased risk of death. In this book, I will explain why I passionately believe that it is only in partnership with an experienced, trusted physician that we can arrive at a joint decision regarding the medical interventions most appropriate for our condition.
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