Udat yu dɔktɔ rili de wok fɔ? (Kɔpɔt Ɛlthkɛr)

Sɔntɛnde, yu go dɔn ɛkspiriɛns dis. Yu kin wet fɔ sɔm wiks fɔ go to dɔktɔ, ɛn we yu dɔn du am, yu nɔ kin ivin gɛt chans fɔ tɔk bɔt ɔl yu wɛlbɔdi prɔblɛm dɛn. I tan lɛk se di dɔktɔ na fayn man, bɔt i rili fred. I nɔ tan lɛk bifo, ɛn yu go dɔn fil lɛk se dɔktɔ dɛn tan lɛk mashin, we de chɛk ɔf tin dɛn we de na wan list. Wetin mek ɔltin chenj lɛk dis?

Fɔ tɔk am simpul wan, di ansa na: Bɔku tɛm, dɔktɔ dɛn ya nɔ kin wok fɔ yu. Dɛn de wok fɔ big big kɔpɔreshɔn dɛn.

Wetin mek dis de apin? Wetin dɔn apin to di wɛlbɔdi savis?

Insay di las sɔm dikɛd ia, di wɛlbɔdi biznɛs dɔn gɛt big chenj ɔlsay na di wɔl. Wan man we nem Dɔktɔ Jenɛt Zhu we de stɔdi bɔt dis tɔpik bin tɔk se di men tin we yu kin si we yu luk di wɛlbɔdi biznɛs na dat ɔltin de gɛt sɔntin fɔ du wit dɛnsɛf kwik kwik wan. Dat min se big big kɔpɔreshɔn dɛn dɔn bigin fɔ bay ɔspitul, os fɔ ol pipul dɛn, mɛdikal sɛnta dɛn, ɛn ivin famasi dɛn bɔku bɔku wan.

Insay kɔntri dɛn lɛk Amɛrika, tri-kwata pan di dɔktɔ dɛn naw de wok fɔ ɔspitul ɔ ɔda kɔmni dɛn. Nɔto dɔktɔ dɛn de kɔntrol dɛn institiushɔn ya, bɔt na pipul dɛn we de du biznɛs ɛn faynans de kɔntrol dɛn. Ivin di wan dɛn we dɛn kɔl nonprofit naw, dɛn de rul dɛn lɛk big biznɛs.

Wan ɔda rizin fɔ dis na wetin dɛn kɔl ‘prayvet ikwiti’. Fɔ tɔk am simpul wan, dis min fɔ bay big kɔmni wit mɔni, ɔspitul ɔ klinik we dɔn de, mek prɔfit kwik kwik wan, ɛn sɛl am fɔ ay prayz insay shɔt tɛm, lɛk 5 ia.

Wetin mek di tin dɛn we kin apin nɔ kin fayn pan ɔl we dɛn kin spɛn bɔku mɔni?

Fɔs, i go tan lɛk se i nɔ bad fɔ rul wɛlbɔdi biznɛs as biznɛs. Wan pɔsin kin tink se we pipul dɛn we sabi bɔt biznɛs de manej dɛn tin ya, di wan ol sistɛm go wok fayn. Dat min se, pɔsin kin agyu se if dɛn bin de manej mɛdikal savis dɛn lɛk ɔda biznɛs dɛn, sɔntɛm wɛlbɔdi biznɛs go bɛtɛ pas dat.

Bɔt fɔ tru, i bin bi di ɔda we.

As di ia dɛn de go, as wɛlbɔdi biznɛs bin de bi biznɛs, wi bin si di kɔst dɛn we de go ɔp, di bil dɛn we dɛn bin de pe fɔ mɛrɛsin we bin de mek pipul dɛn gɛt mɔ dɛt, ɛn leta di wɛlbɔdi biznɛs bin de po pas aw dɛn bin de tink.

Fɔ ɛgzampul, Amɛrika de spɛn mɔ mɔni pan wɛlbɔdi biznɛs pan di kɔntri dɛn na di wɔl we gɛt bɔku mɔni. Bɔt pipul dɛn na da kɔntri de kin liv shɔt layf pas ɔda kɔntri dɛn. Dɛn kin day bɔku tɛm wit sik dɛn we pɔsin kin ebul fɔ avɔyd. Dɛn gɛt bak ay rɛt fɔ mama ɛn pikin dɛn we de day. So wetin mek di tin dɛn we kin apin kin bad pan ɔl we dɛn kin spɛn bɔku mɔni?

Tu gol dɛn we nɔ gri wit dɛnsɛf

Na ya di at fɔ di prɔblɛm de. Di rizin fɔ mɛrɛsin ɛn di rizin fɔ biznɛs na tu tin dɛn we rili difrɛn. We dɛn tu tin ya rɔsh, di pɔsin in sayd fɔ kam fɔs ɔltɛm, bɔt yu tink se na dat rili kin apin?

As Dr. Shue se, "Di fawndeshɔnal risk fɔ kɔpɔt involvmɛnt pan wɛlbɔdi biznɛs na di risk fɔ put prɔfit pas ɔl ɔda tin." Infakt, insay dis biznɛs mɔdel, no we nɔ de we i nɔ go bi.

Dɛn kin si dɛn denja tin ya ɔlsay na di wɛlbɔdi biznɛs.

• Ridyus di wokman dɛm: Fɔ mek di prɔfit go ɔp, dɛn de ridyus di nɔmba fɔ di dɔktɔ dɛm na di imejensi tritmɛnt yunit dɛm (ETU). Di rizɔlt? Di wan dɛn we sik kin wet fɔ lɔng tɛm na layn ɛn dɛn nɔ kin gɛt bɛtɛ tɛm fɔ tɔk to dɔktɔ.
• Mɔ pasɛnt, smɔl tɛm: Dɔktɔ dɛn de ɔnda prɛshɔn fɔ si mɔ pasɛnt dɛn ɛvride, we de ridyus di tɛm ɛn atɛnshɔn we dɛn kin gi to ɛni pasɛnt. Sɔntɛnde, di dɔktɔ kin fil bad fɔ di tɛm we dɛn gɛt fɔ ansa ɛni kwɛstyɔn we yu gɛt.
• Fɔ avɔyd sik dɛn we izi fɔ mɛn if yu kech am kwik: Dɛn nɔ go no sik lɛk dayabitis te dɛn gɛt fɔ kɔt yu leg, bikɔs tɛm nɔ de fɔ tɔk fayn ɛn lisin to di ditil dɛm.
• Tɛst dɛn we nɔ nid: Sɔntɛnde, fɔ mek dɛn go ɔp di bil, dɛn kin du lab tɛst dɛn we nɔ nid fɔ du na klinik ɛnDɛn kin prɛs dɔktɔ dɛn fɔ du skan (imaging tests).

Dis prɛshɔn dɔn mek yu maynd strɛs bad bad wan ɛn ivin pan dɔktɔ dɛn dɔn bɔn.

Yu tink se dɔktɔ dɛn de tɔk agens dis?

Pan ɔl we wi as pasɛnt dɛn dɔn bigin fɔ ɔndastand dɛn tin ya naw, dɔktɔ dɛn de fes dis ɛvride. Bɔt fɔ tɔk bɔt dis rili denja. Bikɔs, bɔku dɔktɔ dɛn kin wok pan kɔntrakt. So if dɛn kɔndɛm di we aw di kɔmni de du tin, dɛn kin pul dɛn na wok witout ɛni rizin.

Fɔ ɛgzampul, insay 2017, dɛn bin pul wan Amɛrikin dɔktɔ we nem Dɔktɔ Remɔnd Brɔvont na wok afta we i bin tɔk se di Pediatric ETU usay i de wok nɔ gɛt bɛtɛ wokman dɛn ɛn i de mek pikin dɛn sef.

Dis na big prɔblɛm fɔ dɔktɔ dɛm, bikɔs dɛn prɔfɛshɔnal ɔth na fɔ "nɔ du ɛni bad tin, ɛn put di bɛst intɛres fɔ di pɔsin fɔs."

Bɔt naw, dɔktɔ dɛn de tinap agens dis.

• Ligal akshɔn: Insay sɔm kɔntri dɛn, lɔ dɛn de we se pipul dɛn we nɔto dɔktɔ nɔ fɔ gi dɛn mɛrɛsin. We sɔm mɛdikal ɔganayzeshɔn dɛn de yuz dɛn lɔ ya, dɛn de kɛr dɛn big big kɔmni dɛn ya go na kɔt.
• Tred Yunion: Dɔktɔ dɛn de jɔyn tred union dɛn mɔ ɛn mɔ, bikɔs dɛn no se fɔ mek dɛn gɛt kɔlektif bargayn na di bɛst we fɔ protɛkt dɛn rayt ɛn dɛn pasɛnt dɛn rayt.

Wetin wi, as pasɛnt dɛn, kin du?

Di las sɔlvishɔn de na di pipul dɛn an. Wi nid fɔ no bɔt dis. Wi nid fɔ aks kwɛstyɔn dɛn.

Di ``No Surprises Act'' na Amerika, we na lɔ we de protɛkt pasɛnt dɛn frɔm big bil dɛn we dɛn nɔ bin de ɛkspɛkt, dɛn pas am bikɔs ɔdinari pipul dɛn kam togɛda ɛn rayz dɛn vɔys fɔ am. Pan ɔl we big big kɔmni dɛn bin de lobi agens am, di gɔvmɛnt bin de lisin to di pipul dɛn.

Wi ɔl nid fɔ aks wisɛf dis kwɛstyɔn:

"Yu want profit-driven, komershal heltkeya sistem we di onli purpose na to mek moni off yu? O yu want soshal risponsibul heltkeya sistem we di onli purpose na to helep yu?"

Fɔ tink bɔt dis, tɔk bɔt am, ɛn fɔ no na di biginin fɔ chenj. Di nɛks tɛm we yu go to dɔktɔ, mɛmba dɛn tin ya. Aks yu kwɛstyɔn dɛn klia wan, ɔndastand di tritmɛnt, ɛn tek rispɔnsibiliti fɔ yu wɛlbɔdi.