Quote:
Originally Posted by NuclearFart
Yes, this will inevitably lead to more unecessary diagnostic imaging use, but thats not what the UCP is concerned with on the big picture.
Its largely about pushing costs outside of AH/AHS. Some hack chiro ordering a pelvic ultrasound and not knowing what do with the result, is significantly cheaper than also paying GP/Gynecologists fees + further treatment/follow up.
Its also about taking away oversight and agency from MDs on healthcare issues. MD's are expensive, not only in fees, but also because their decisions are primarily healthcare driven, moreso than cheapest option. The paramedical fields are much more controllable under the shroud of non-government services.
Modern diagnostic imaging is also >90% digital, meaning it is easily commoditized, and ripe for cheap private outsourcing to India etc, thereby mitigating the cost of increased imaging utilization. I presume this is the long game.
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Related to this is that paramedical (and arguably private healthcare in general) is more driven by 'customer service' than 'medicine'. Of course there are plenty of public docs who end up placating annoying patients by ordering non-necessary tests, but there is generally a better dynamic that allows MDs to more appropriately manage resources without worrying about their next Google review.
Which isn't to say the public system is perfect - unfortunately patients do often need to advocate for themselves strongly at times. But in a for-profit setting the healthcare best-practices become secondary to patients 'feeling' well served.