This past week Utah Republican Jason Chaffetz made comments concerning healthcare reform that illustrates JUST how out of touch Congress is with modern medicine. In a press conference addressing the ongoing debate over Obamacare repeal, he stated that Americans should make a choice between purchasing health insurance and an iPhone—in the Congressman’s own words “rather than getting that new iPhone that they just love…Americans should invest…in their own healthcare.” As expected, Chaffetz was met with sharp criticism for comparing the cost of a phone to the cost of healthcare. However, I think that most everyone missed the real fallacy in his statement—iPhones and other mobile devices can be a real asset to managing chronic disease and ARE now beginning to be an integral part of healthcare. Rep Chaffetz should learn more about healthcare before he and his colleagues begin to try to create sweeping reform. For instance—ask doctors and patients what is most important to THEM and work WITH us to create meaningful reform. Statements such as the iPhone comments demonstrate JUST how LITTLE Congress really knows about the nuts and bolts of healthcare.
The Digital Revolution in Healthcare: Improving Outcomes and Cutting Costs
Engaging patients in their own care through individual accountability—a sentiment that Rep Chaffetz actually got right (in a roundabout way)—has been shown to improve outcomes. When patients actively participate in their own healthcare and understand the goals of therapy, they tend to experience fewer hospitalizations and fewer complications related to their chronic diseases. Fewer hospitalizations and fewer complications result in much lower healthcare costs.
Physicians are now prescribing apps for tracking blood pressure, activity, heart rate and blood pressure—just to name a few. Other applications such as MyRxProfile are being used to help patients monitor for adverse drug interactions—a leading cause of Emergency Room visits in patients over the age of 65. All of these applications can potentially help patients and physicians focus on PREVENTION—ultimately saving healthcare dollars. New devices are being created every single day to incorporate smartphones into collecting important medical and biologic data. For example, the AliveCor device allows patients to get a real time Electrocardiogram (EKG) simply by touching their fingertips to and electrode that is installed on their smartphone—often obviating the need for an ER visit or hospitalization. Apple’s Health Kit is now being used to help encourage medical app development and to collect important health and wellness data. In addition, Apple’s Research Kit is being used for important groundbreaking medical research by several leading academic medical centers across the United States. Patients are more internet-savvy and many come well prepared to office visits armed with information obtained from the internet. According to the Pew research center, nearly 75% of all patients go to the internet either before or after a visit with their healthcare provider. These patients—now called “e-patients” are well connected, well informed and digitally proficient in the healthcare space.
So Rep Chaffetz, Learn from Doctors and Patients—iPhones are PART of Healthcare…
It is my hope that Congress—both Republicans and Democrats–will stop the fighting and political posturing and do their jobs. They must stop grandstanding and making daily speeches aimed at providing soundbites and creating a media buzz. EVERYONE in Congress must work together to create legislation that will provide high quality, affordable and accessible healthcare for all Americans. There is no longer any place for comments such as those from Chaffetz and his colleagues in a discussion of meaningful reform. We must embrace technology and promote its use among our patients. As doctors become increasingly overwhelmed by paperwork and other mandated clerical activities, it is essential that we continue to develop digital tools to assist and engage patients in the management of their diseases. SO, in my view, you should be able to have your healthcare….and your iPhone too!