Is change coming to American health care irrespective of AHA or White House Budgetary Cuts?

The Oliver C. Schroeder Scholar-in-Residence Lecture
Monday, October 30, 20174:30-5:30 PM
Moot Courtroom (A59)
Dean Ali S. Khan, MD, MPH
Retired Assistant Surgeon General USPHS
College of Public Health
University of Nebraska Medical Center
1-hour CLE credit pending approval 

Witchdoctors, Zombies and Wizards: Rethinking Health in America 

To the extent we can even refer to an American healthcare “system,” it functions brilliantly…to make money for executives and majority shareholders. American healthcare is already twice as costly as other comparable nations and these costs are growing faster than inflation or wages while one third is a result of waste, fraud, and abuse. With a rapidly aging population, healthcare will soon surpass a fifth of our economy.  Of course, the American healthcare system does not function brilliantly when one considers the perspective of patients and over-extended primary care providers.  Health is incidental and often an unexpected  (but welcome!) outcome of the system given trailing national health indicators, disparities, millions of uninsured and underinsured persons, and that healthcare itself is our nation’s third leading cause of death.  This current healthcare model is unsustainable and undergoing profound change, irrespective of the proposed American Healthcare Act and White House budgetary cuts for health and science research.  Changes in payment models, technology, decentralization, wellness, public health approaches, and data availability have the potential to meaningfully address social determinants of health and an embrace of a new holistic approach to health. However, implementing this change will be “complicated,” as it will entail a profound reordering of economic, policy, and legal priorities to place the interests of individual and public health first.