You may have noticed the absence of my usual posts to HealthBlog. Here’s why. I was preparing for an out of town business trip on Monday of last week when I learned that my adult daughter needed an emergency appendectomy. As coincidence would have it, my business trip just happened to be to a city very close to where my daughter lives. I was able to keep my business meeting in the morning and still arrive at my daughter’s apartment soon after she was discharged from the hospital.
You may have noticed the absence of my usual posts to HealthBlog. Here’s why. I was preparing for an out of town business trip on Monday of last week when I learned that my adult daughter needed an emergency appendectomy. As coincidence would have it, my business trip just happened to be to a city very close to where my daughter lives. I was able to keep my business meeting in the morning and still arrive at my daughter’s apartment soon after she was discharged from the hospital. I spent the rest of the week helping her get in and out of bed, doing some cooking, walking her dog, and making sure that she was well enough to be on her own before I headed home.
It’s at times like this that one is very grateful for access to good healthcare. After all, there was a time before modern surgery and the availability of antibiotics that appendicitis was often a death sentence. Today, that rarely happens if the patient receives timely care.
As a physician I know from the get-go that patient engagement is hard to achieve. First of all, we need to understand that healthcare is something most people view as a kind of “grudge buy”. Just as I dread going to see my dentist, I also don’t particularly enjoy anything about visits with my doctor. While both my dentist and doctor are very nice human beings, the reasons I go so see them aren’t on my list of fun things to do. I imagine most people feel the same way. Likewise, I suspect most people hate paying medical bills. Who wants to pay for something they don’t enjoy? One person I recently met likened buying healthcare services to purchasing tires for her car—necessary but definitely not satisfying.
Engagement is made even worse by the fact that medical billing is such a nightmare and paying for, and dealing with, health insurance companies is absolutely no fun at all. The insurance industry long ago trained most of us to expect someone else (government or insurance) to pay for a lot of the healthcare services we received. Now the tables have turned. More and more of our healthcare costs are not covered by insurance until we reach a yearly high deductible. This has consumers feeling even more disgruntled about doctors and hospitals and high healthcare costs. Is it any wonder that people are not “engaged”?