Grassroots Education, Hidden Costs, and Health Care


As economic conditions conspire to engender an entrepreneurial spirit among those who would otherwise seek to be productive through traditional means of employment, I here present a dilemma endemic to our society, and a proposal that has been created with the intention of addressing this challenge.

The Problem I’m trying to solve:
There is insufficient political support for a health care delivery system that is more simple, streamlined, efficient, and adequate in addressing the health needs of those living within America's borders. The lay public has been insufficiently informed of the counter-intuitive reality that all persons living within the borders of the United States currently access health care (in Emergency Departments) regardless of their ability to pay or their citizenship status; much of this cost is already borne by taxpayers, and reorganization of the system can improve quality, access, and value.

Description of Project:
I will study the true costs of Emergency Department utilization (the effects of EMTALA, 1986), of forgone government revenues through the provision of uncompensated care by non-profit health institutions, and the extent of excess costs in the health care system that might have been avoided had the patient had access to adequate and appropriate care prior to and throughout an entire health episode. I will take this information and develop it into a lesson plan/presentation that is communicable to a lay audience. I will launch a multi-pronged communication and advocacy campaign through Maryland General Assembly testimony, submission of op-ed pieces, presentations to neighborhood associations, and through coalition building to raise awareness and political support for simpler, more equitable, solutions to health care delivery system organization and financing. Ultimately, I would like to generate sufficient political will to permit politicians to pass legislation that brings order, access, cost-control, and quality to health care in Maryland.

What, dear Reader, are you doing to improve society and lay claim to the title of your citizenship?