Some have noted 'bottlenecks' at the MD entrance level.
There is an opportunity to allow for procedural specialization so that 'techs' can do a lot of the work normally done by docs and nurses.
'Early detection' is a new, major shift in how medicine works, because the things we get now 'come on slowly in a hidden way'. Allowing for technical specialists to run operationalized testing with standards, clear rules etc. may enable us to get costs down and possibly improve outcomes.
My bet is that someone with very narrow and focused training may be even 'better' at that thing - so long as we can put a nice dotted line around it because of course it's always more complicated than just 'one thing'.
Perhaps requiring 'best price' for all so that individual payers can get the same price as insurers might work, though it's not exactly 'free market' it mostly is. Transparency - so that everything is published and public might work as well.
It may also be worth not billing specifically for low-cost materials used, and just roll it into the type of visit.
There is an opportunity to allow for procedural specialization so that 'techs' can do a lot of the work normally done by docs and nurses.
'Early detection' is a new, major shift in how medicine works, because the things we get now 'come on slowly in a hidden way'. Allowing for technical specialists to run operationalized testing with standards, clear rules etc. may enable us to get costs down and possibly improve outcomes.
My bet is that someone with very narrow and focused training may be even 'better' at that thing - so long as we can put a nice dotted line around it because of course it's always more complicated than just 'one thing'.
Perhaps requiring 'best price' for all so that individual payers can get the same price as insurers might work, though it's not exactly 'free market' it mostly is. Transparency - so that everything is published and public might work as well.
It may also be worth not billing specifically for low-cost materials used, and just roll it into the type of visit.