With the economy in the spotlight more attention is being paid to costs of healthcare

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Just how bad is the economy? Well the President went on national TV last night to urge passage of the $750 billion bailout package and the stock market has been on a roller coaster ride. According to an article earlier this week people are are cutting back on going to the doctor and now patient empowerment is taking a new turn as in "My Healthcare is Killing Me", a new book that urges patients to work with medical providers and hospitals to lower health care costs. Other websites are urging patients to ask for generics as a way to reduce costs as pressures of an aging population and rising healthcare costs conflict with an economy in trouble.



The healthcare model used to be so simple: you get sick or have a concern about your health, you go to you doctor get an Rx and pay the deductible. Today however the landscape has changed. Now you have to be worried if the medication your doctor prescribes is covered in full by your insurance. A branded medication may have a higher deductible which a lot of people cannot afford to pay today because they are cutting back. Pharma assistance programs are no help because the people that are cutting back are usually not the target audience and don't meet the requirements for assistance. My co-pay, for example, for Lipitor has gone from $5 to over $40 because I chose to take the brand over the generic.


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Charts like this are starting to pop-up all over the Web urging consumers to ask for generics




Now in addition to doing research on medical conditions and medications patients and consumers are going to have to go online to see how much money their doctor maybe getting from pharma companies? How many patients have the time to do this and besides aren't physicians supposed to prescribe medications based on what they feel is best for us (not because they receive money from pharma companies)? Could healthcare be any more of a mess right now for patients and consumers trying to sought through all the claims and social media?

The number one source of medical information is HCP's. When people visit their HCP's they need to believe that they are getting treatment based on what is best for them not what is best for the HCP's wallet. While there maybe some HCP's that succumb to the mighty dollars influence my guess is that these represent a very small percentage of practicing HCP's. When I conducted research with patients earlier this year the most common complaint that I heard was that HCP's were not spending enough time to talk with them about their health problems and treatment options. Obviously doctors today have to meet with as many patients as possible in order to make their practice profitable but this leads patients to believe that they may not be getting the whole story and is a key reason why so many of them are turning to the Web.

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Books and articles are now appearing everywhere on healthcare and patient empowerment. CNN.com is running a series called the "empowered patient" and one of the recent articles was titled "Don't become a victim of medical marketing". The article was targeted at medial device makers but still it would be a mistake to underestimate the key message of this article and its viral impact.

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You can download a free copy of this book here




As I have written here before the pharma and medical device market needs to change their business models and change it fast. This does not mean launching a website with payments to doctors; it means that the fundamental way in which consumers and patients get healthcare information, and the relationship with pharma companies, needs to change and change dramatically. Pharma needs to prove they are more interested in patient health and less interested in protecting sales of products. It means that pharma needs to engage patients and customers as never before; it means that pharma marketers need to get into a two way conversation with consumers and patients rather than a push information model that is outdated.

Unless pharma, and the healthcare industry, start to take a serious look at what they can do NOW to make a better future for all of us we are in danger of having costs continue to rise while quality of care declines.

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