I used to be a healthcare architect. after the great recession, i got downgraded to working on ADA compliance retrofits, low tier stuff. in and out of many departments on a weekly basis. nasty working conditions, never been sick more often in my entire life. Our firm received training on HAI. Hosptial Acquired Infection.
Did you know HAI kills 99,000+ people per year?
Think about the ratio. we have over 100 milllion autos on the roads and people drive very day, or at least every week, and there are 36k auto fatalities similar for firearms, 100 million plus in civilian hands. we are a nation of 12k homicides.
How many folks check into a hospital per year? 7.6% of the US population, or less than 30 million people.
SO HAI is my #1 fix for Health Care.
Next i saw the difference in business model between Kaiser Permanente and Sutter Healtlh.
Kaiser membership has an incentive to keep the person healthy, and they have all sorts of programs to education and promote healthy life choices. Sutter just rakes in insurance money and has a vested interest on making as much per patient as possible.
This business model difference was highly noticable anywhere i went among over a dozen facilities. at Kaiser the elevator has posting of all sorts of exercise classes, de-stress training, healthy food prep....
so that sort of business model, where the company takes in membership fees form partiscipants and then has an incentive to spend as little of the fees by improving folks overall health seems right (but note this can be corrupted too by denial of care, or other)
So thats my #2 to do item for US Healthcare
#3 is the pharmaceutical industry. I work for Abbot Labs ealier as an architect and saw how that works, the sales force taking doctors golfing and offering "training trips" to resort locations. its a type of lobbying.
The drugs are often rife with unintended consequences. so folks end up on other drugs to counter act these consequences. The entire way that part of the typical "treatment" program works needs to be thrown out.
For HAI the biggest failure is human error and poor choices with capital. Nurses and Docs to arrogant to do the right thing. Adminstration to profit driven to do the right thing.
but that would become a rant.
wearing surgical gown, hat and booties outside the surgical unit, out on the sidewalk for a smoke break, to go back inside the surgical suite wearing the same shit it a huge example of arrogant staff causing cross contamination. the Declined $700k extra on a $140 million hospital expansion (0.5%) to upgrade both the expansion and the adjacent existing hospital to "anti microbial copper touch surfaces" (door knobs, faucets etc) . the anti microbial copper can look like stainless steel or pewter with a nickel mix, but has the attribute of killing 99.99% of microbes on surfaces very quickly.
So i could do this, but whose ever going to ask me, I'm nobody.