You seem to be unclear on the basics of how this works. There's no need for any new laws. If you want to negotiate a value-based care agreement with a healthcare provider instead of paying on a fee-for-service basis then you're free to do so. Existing laws allow for that.
As for your absurd assertions about what every patient wants, you're just lying and making things up. Many patients (like me) don't want that or have no strong preference at all. Your comparison to North Korea is just deranged and bears no relationship to objective reality.
The fact nobody negotiates for results based treatment is similar to how everyone really needs insurance to afford medical treatments. It's not law to have medical insurance but basically everyone needs it regardless. The problem is systemic. It's not purely related to law. Side effects and incentives stemming both from law and outside of law force things to be this way.
Stop manipulating the conversation this way. You know what I mean. Any sane person pays for results, not for time and garbage results.
>As for your absurd assertions about what every patient wants, you're just lying and making things up. Many patients (like me) don't want that or have no strong preference at all. Your comparison to North Korea is just deranged and bears no relationship to objective reality.
No it's not a lie. It's obvious to anyone reading. I'm so confident about it that I'll even say you're lying about what you want.
You don't want to pay a doctor thousands of dollars for his time and wrong advice that can potentially kill you. No patient wants this. 800,000 patients per year die or are seriously injured from misdiagnosis. Every single one of those patients wants there money back. That is objectively reality. You're not stupid. You're not delusional. So you know this. At this point you're just arguing and lying.
>Your comparison to North Korea is just deranged and bears no relationship to objective reality.
800,000 patients injured/dead from misdiagnosis. 300,000k of that is deaths. That's equivalent to mass slaughter. One of these persons is my brother, imagine if it was yours.
It's not deranged. You're deranged for thinking it's NOT. The comparison is not only relevant as an analogy but relevant in degree of severity.
You seem to be assuming that a different payment model would reduce diagnostic errors. There is no evidence for that. Anything related to biology is necessarily probabilistic and highly error prone. Some care quality improvements are certainly possible but those aren't necessarily tied to payment models. It's more important to focus on evidence-based clinical practice guidelines.
>You seem to be assuming that a different payment model would reduce diagnostic errors.
No. The payment model should change to be fair, I never said the payment reduces diagnostic errors. The patient should be informed about the probabilistic nature of the diagnosis. A contract (not in fine print) to protect the doctor from lawsuits from misdiagnosis should be signed by the patient to reflect this. Then the payment should be Heavily reduced to reflect the unreliability of the diagnosis. By heavily I mean becoming a doctor should not be a profession that is associated with extreme wealth because the unreliability of their diagnosis/treatment does not convey that level of value.
>Some care quality improvements are certainly possible but those aren't necessarily tied to payment models.
I don't think it's "some" quality improvements. The US has some of the worst outcomes in the 1st world in terms of quality of care. There are massive improvements that can be made here.
>It's more important to focus on evidence-based clinical practice guidelines.
Agreed, and until the evidence, clinical practice guidelines and effectiveness of doctors rises to the level of significant reliability, both payment and respect should be adjusted to reflect the current level of low reliability.
As for your absurd assertions about what every patient wants, you're just lying and making things up. Many patients (like me) don't want that or have no strong preference at all. Your comparison to North Korea is just deranged and bears no relationship to objective reality.