How to Cure Bureaucracy | Dr Alieta Eck | TEDxBedminster

One of our largest heath infections is bureaucracy. There can be a cure for it. And it starts with all of us.

Alieta Eck, MD is a physician innovator– she and her husband have a third-party free medical practice in Piscataway, NJ and have operated the Zarephath Health Center, a non-government free clinic for the past 11 years. She has been involved in health care reform since her Internal Medicine residency, and served as the President of the Association of American Physicians and Surgeons in 2012. She views the Medicaid system as an ineffective, bloated, bureaucratic nightmare that does not increase access to care and fleeces the taxpayers. She would like to present an alternative to the Affordable Care Act once it is ruled unConsitutional, or simply does not work.

[jodimae]

Dr. Alieta Eck Is so Caring, A Wonderful Dr. Her passion to help those in need of Medical Care just Speaks Volume of how She is an Amazing Caring Dr. I give her so much credit. I ALWAYS look up to her & I trust her with my Health 100%.

[zimshah]

I completely agree with this common-sense approach, and tremendously admire the work they do for their community.

[priscillasieckman]

Most excellent video, Thank you Alieta Eck, MD

[hunteronnen]

although there are some ted talks i disagree with, most of the ones i have seen are absolutely perfect and are severely needed in this country. i will help find a way to get these to my government and get them to implement them.

[megustavophoto]

The problem is not the government it’s private insurance. Fact: Medicare administrative costs (ie bureaucracy) is 3-5%. Private insurance administrative costs are 17%.

[stefansemchyshyn]

Dr. offers great common sense diagnosis pf the problem as we as the solution. Government is good at waste and fraud and deception. Removing the middlemen, or rather meddlemen, telling doctors how to practice, would improve care as well as reduce the cost. Way to go Dr. Eck.

[walterdennisclark]

Excellent.
Key to keeping bureaucracies efficient is competition.

One definition of bureaucracy is funded group of workers
where the customers are not the people it serves.
That definition also includes bureaucracies inside private firms where like the government version only a tiny fraction must interface with the public. The only difference between government and private bureaucracies is that the gathered inefficiencies of the private firm bureaucracies cannot be hidden from competitors. Government of course, cannot have competitors so inefficiencies can never be found.

[hosspullerl]

The issue is the third party payer system.  When the patient pays directly,   they demand value for their payment.  Patient does not care about the scores a bureaucracy assigns a Dr. or facility.  There is no need for oversight bureaucracy, the patient provides that.  When payment is separated from the patient, there is no connection to care and results or costs.

[calcio]

This sounds wonderful. I disagree on her characterization about the jobs in the bureaucracy being legitimate. They're needed based on how the system currently runs, but that's part of the problem.

[mymommillie]

Miss the days when you called a doctor's office with a problem, made an appointment, saw the doctor, paid and left. That was it. How it turned into what is today is crazy.

[elisabethsmith]

Excellent.  The only way this can work is for prices to be readily available and transparent.  Insurance companies should be out of the picture until things reach a catastrophic level.  First-dollar processing has to be terribly expensive.

[wtk]

Just cut the federal budget by 1-5% each year. Let the useless paper-pushers retire out. Start getting out of things that have no reasonable government role, like healthcare. Keep cutting until we eventually get back to a justifiable budget at about 30% current size.

[chrismcfarland]

Doctor, I disagree. Your chart showing the explosion in bureaucrats in 1990 coincides exactly with the explosion in networked personal computers. You are in an information war, and the fact the number of available physicians stays flat is not a good thing for you or anyone, it's extremely bad. Why has the number of physicians stayed flat since 1990? Hasn't the population increased? Shouldn't there be more doctors? Is the shortage in doctors done to drive up physician salaries? Make you rarer and more important? Harry Truman stated in his biography the single largest disappointment of his presidency was failing at healthcare legislation, the AMA fought him bitterly and were going to control medical schools, and damn the consequences. Truman stated American doctors failed the US miserably during the depression, not enough doctors, and 20% of volunteers who wanted to serve in the military in world war 2 were turned away because of preventable diseases suffered because of a lack of doctors. And, Milton Freidman is an even worse reference. He alone is the most responsible person I know the for 'greed is good' of the 80's 90's and 00's in finance, the decline of manufacturing, and the destruction of unions and the disappearance of the middle class. He stated corporations have no stakeholders, only profits matter. And Friedman had a solution for healthcare? Doctor, I disagree.

[urbanwarchief]

MLTC is by far the worst organization in the ever