Here I explain why Health Savings Accounts and Direct Primary Care (ala Qliance of Seattle and Hello Health of New York) are the cure for what ails the American health care industry. Which is, again in short: insurance run amok. I prepared these slide for "Sound Off" at the New Hampshire Liberty Forum, and the talk was delivered in just 6 minutes.

1. FLICKR: QUIPASHI
Saving Health Care, today
(in 6 minutes)

2. THE HERITAGE FOUNDATION
We have a problem
(costs are too high)

3. Doctors are fed up
60% of general practice physicians surveyed said
they would not recommend medicine as a career.
Up to 50% of primary care docs intend to cut
back or quit.
Only 2% of medical students are considering
going into primary care as internists.
Since 1997, 50% fewer newly graduated U.S.
medical students chose primary care as a career

4. Many other problems
(which I’ll get to)

5. THE GOVERNMENT FLICKR: SILENCE99
CREATED THE PROBLEM (SURPRISE SURPRISE)

6. The Status Quo
Employer-provided,
1)
All-encompassing
2)
Health Insurance

7. 1) Employer-provided
Insurance
Leading To...
Less Diversity of Choice
Less Accountability to Action
Less Competition

8. 2) All-encompassing
Health Insurance

9. 2) All-encompassing
Health Insurance
...is not insurance...

10. 2) All-encompassing
Health Insurance
Car Insurance doesn’t pay for Gas
Flood Insurance doesn’t pay for Umbrellas
Life Insurance doesn’t pay for the flu

11. 2) All-encompassing
Health Insurance
Car Insurance doesn’t pay for Gas
Flood Insurance doesn’t pay for Umbrellas
Life Insurance doesn’t pay for the flu
THIS WOULD BE WASTEFUL

12. 2) All-encompassing
Health Insurance
quot;Insuring primary care is like insuring lunch. You know
you're going to need it. You know you can afford it. Why
on earth would you pay a third party to pay the
restaurant on your behalf, adding overhead and taking a
big chunk out of the money you pay?quot;
- Nick Hanauer of 2nd Ave. Partners

13. Tremendous Inefficiency
“The insurance companies are blind, they have no
idea what we’re doing, so what they want is paper.
Lots of it, buckets of it, tons of it. [We] put out
pounds of paper, to confound the people of the
insurance world.”
- Dr. Garrison Bliss

14. Tremendous Inefficiency

15. Terrible Incentives
“We’re not paid to do our job well. [...] Since we
only get paid for visits, the effective and efficient
doctors simply get paid less, because we don’t
see you as often. For asthma, I get $200 to
prevent your asthma, but I get $10,000 to treat it.”
- Dr. Jay Parkinson

16. No judge of value
“The higher spending is due to the provision of
unneeded and sometimes harmful care:
hospitalizations that could have been avoided with
better primary care; frivolous specialist consults;
overuse of diagnostic tests.”
- Elliott S. Fisher, Dartmouth Medical School

17. The Solution:
HSA + HDHP + DPC

18. 1) Health Savings Account-
CASH FOR CARE

19. 2) High-Deductible Health Plan -
JUST IN CASE

20. 3) Direct Primary Care -
CARE FOR CASH

21. Tremendously Efficient

22. You’re the Customer
Email
Instant Message
Phone Calls
House Calls
24-hour access

23. FLICKR: GREYLOCH
YES, THATS RIGHT
HOUSE CALLS

24. Did I say Efficient?
You can save thousands per year, for a single
patient
Dr. Jay Parkinson ran the numbers, and got
TOTAL SAVINGS over 10 years = $54,395.60

25. THE HERITAGE FOUNDATION
We can turn this slope around
Lower costs dramatically, for better care

26. FLICKR: CISTAL
Live healthier
In better contact with our physicians

27. All by embracing the market
It’s about time, no?

28. ?
All by embracing the market
It’s about time, no?