Where Does It Hurt? | Jonathan Bush

Summary of: Where Does It Hurt?: An Entrepreneur’s Guide to Fixing Health Care
By: Jonathan Bush

Introduction

Welcome to the summary of ‘Where Does It Hurt?: An Entrepreneur’s Guide to Fixing Health Care’ by Jonathan Bush. This book examines the healthcare system’s inefficiencies and proposes change through competition and openness. It highlights how boutique health care services, data transparency, and technological advancements can revolutionize the industry. The summary will dive into LASIK eye surgery’s success as a model for the system, the rise of community hospitals and health-oriented start-ups, the importance of focusing on primary and wraparound care, and the potential of technology in transforming healthcare.

The Benefits of Health Care Competition

Hospitals function like department stores but lack competition, resulting in frustrating hospital visits. LASIK surgery’s industry development could act as a model for the whole health care system: competition results in better service and lower prices, leading to customer satisfaction. People should have the freedom to choose what their insurance covers and hospitals need to improve their services to retain patients. Entrepreneurs have limited access to medical information which prevents the development of higher quality health care. More choices for medical care could avoid the issues of bigger hospitals. Ultimately, more competition in the health care industry would enhance it and cultivate an environment of customer satisfaction.

The Power of Alternative Healthcare Services

A whole network of healthcare businesses can improve the healthcare system by offering affordable and accessible alternatives. Businesses like Athenahealth, Steward Health, Walgreens, and CVS have already provided patients with more choices in healthcare services. This can make prices more transparent, boost competition, and result in better healthcare for everyone. When alternative services exist, hospitals will have to adapt and improve their services.

The Importance of Primary Care

Hospitals are overcrowded with people who don’t need to be there. Rushika Fernandopulle, a leader in healthcare reform, believes that we need more primary care in our lives. Having a primary doctor who knows you and your health needs is key in obtaining holistic care. Rushika found that many people visit specialists too early, leading to expensive treatments and prescriptions that could have been prevented with proper primary care. More primary care would prevent situations like taking 27 kinds of medicine prescribed by 11 different specialists. Additionally, wraparound care that focuses on overall health instead of just problem areas is essential. In one example, Fernandopulle coached Boeing employees to monitor and treat their chronic illnesses themselves through lifestyle changes, saving the company money on hospital expenses. The message is clear: if we make primary care a priority, we will not only respond better to illness but become healthier as a whole.

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