Technology is revolutionizing health care – for better and for worse| Michael Dowling

Technology is revolutionizing health care – for better and for worse| Michael Dowling

Health care has been at the forefront of technological
development for decades. A lot of the technology has been after you
get sick and you come in. But where we have to be much, much more in
the forefront is how we connect the consumer to the service, to the provider, and how we
take care that was once done in a hospital or out into the community or into the home. So today, telemedicine is huge. Telehealth is huge, telepsych, Telestroke,
Tele-ICU – we have probably close to 100 ICUs all over the place. So we can actually, from one central location,
we can talk to the patient in an ICU bed at any one of our facilities. We can assess the condition of the patient. We can talk to the physician who is at the
bedside. We can provide more assistance to that physician
and those nurses as to what to do with that patient. It actually can reduce cost overall. It actually can reduce the percentage of people
in ICUs. Bioelectronic medicine is another area which
is a huge advance. And that’s the result of research has been
done over the years, most of it being done by physicians in our organization, where an
implantable device can actually moderate the immune system to deal with issues like arthritis,
lupus, Crohn’s, and many others, without the use of traditional medications. So I think, as we go forward, that wearable
devices, implantable devices, will become standard. The analogy I often use is you get into your
car. You turn on the car. A dashboard shows up that shows you the vital
signs of the car. So just imagine – and this technology is
available today in many cases, and it will be more available – that you have an implantable
device in your body. So when you get up in the morning, a dashboard
shows up on a Fitbit type piece of equipment or a watch that shows you all your vital signs. The danger with it, of course, is that you’ll
have an awful lot more people wanting more treatment when that happens. Because they will wake up thinking, oh, my
god, look at this. My blood pressure is higher than it should
be. I’m not one of those people that believes
that all this technology will actually reduce cost. The more that people are able to identify
what’s wrong with them, the more services that will be required to be delivered, which
could, of course, run contrary to what an awful lot of people talk about, which is,
how do we reduce overall cost of health care? I don’t think people make this connection. And these technologies will allow you to self-diagnose
or diagnose more. So therefore, you’ll have more people with
real and perceived problems that they did not know anything about before you had the
technological ability to actually identify it. So there is this vicious cycle, which, in
fact, becomes a big, big part of the discussion around health care costs. Because nothing is static. Everybody says, reduce the costs, but at the
same time we’re identifying more and more things that people can get treated with and
get treated for, which, of course, goes in the opposite direction.

Danny Hutson

33 thoughts on “Technology is revolutionizing health care – for better and for worse| Michael Dowling

  1. This video is mostly a commercial to promote "implantable devices" that will monitor your vital signs in real time (and possibly treat autoimmune diseases like lupus and arthritis by remotely stimulating the immune system).

    *Hilariously*, he thinks the real danger of such devices is that giving people constant access to their vital signs will massively increase the number of times that people complain to doctors.

    No, old guy. The number one danger of such implants is whether we can trust government and corporations to refrain from remotely killing people who effectively criticize them. And, no. We can't trust either of them.

  2. It is amazing what kind of technology we have access to. The phone I'm writing this on has more computational power than entire Apollo program (both the lunar module and mainframes used on the ground). And it's only going to get better as we get access to the advance AI and nanites that can be injected into the blood stream to fix whatever is wrong (including things like missing limbs, heavy spine injuries or birth defects).

  3. How about healthcare records portability or access. Faxing records is so 1980s and we're still there. Any doctor we go to should be able to have instant access to our records when we see them.

  4. Charting accurately is a problem for health care professionals. The use of augmented reality with cameras could serve us better than relying in memory to document everything to find accurate diagnosis

  5. How about a BigThink on what healthcare actually is, not marketed products and services. Healthcare is avoiding marketed products and services, as these are for people who do not CARE for their HEALTH. It is amazing to observe so many credentialed people so dumbed down by marketing campaigns from some of the biggest marketing budgets. #usefulidiots

  6. America isn’t Wild West anymore and needs to adapt. People 300 years ago don’t have authority the constitution just a piece of paper. Don’t be stupid yanks get health care

  7. This seems shortsighted. There will be a huge spike in cost as health care catches up (to the people who have needed it) but in a just a couple of years the overall cost should begin to plummet due to care and prevention. This conversation doesn't matter until after…

  8. Oh no, people might know what's wrong with them. Imagine if life expectancy actually increased in this country. The horror.

  9. When he mentioned cost increase associated with those who would otherwise be un-diagnosed, it bothered me that he grouped them with those who now think there is a problem when there isn't.Granted there might be a problem with an increase in hypochondriacs making appointments, but he makes it sound like increased appointments for actual problems is a negative because it would increase healthcare costs.

  10. Basic technology can be targeted at solving a significant issue in healthcare, patient compliance with treatment plans. Just over 20% of patients fail to follow their post diagnostic treatment and end up going back through the healthcare revolving door increasing costs. As a trial, a few systems are training EMS staff to provide followup services for high risk and those with high ER admissions rates to monitor treatment plans. Healthcare is advanced within the hospital and then falls apart when the patient hits the street.

  11. This adds more personal disconnect to the world. Alot of the pricings in health care are rigged by insurance companies. A mid sized band Ade that I didn't ask for that costs 40$ is the problem. I would feel highly offended if I had to deal with an intercom. I am very bothered by this. This needs to be very carefully implemented.

  12. The car analogy helps with understanding why these things will lead to more spending. The people who spend the most fixing thier cars are those quickest to notice little problems they can't fix themselves. Now imagine if we were required by law to pay for warranties on all cars, old or new, that covered every possible thing that could go wrong. There wouldnt be any sputtering rust buckets on the road as everyone would just exploit the warranty to keep the car in top form. This means more money spent on car repair and, therefore, higher prices for the required warranty.


  14. Please make sure that the description of the video details the man's qualifications, bio, publications so we can assess his perspective.

  15. This is very important for the medical care. Every time I have to rely on having my doctors be part of a large hospital company that have a single medical records system, but when it comes to being able to get care at competitive pricing, it would be impossible to make progress given the huge red tape placed by politicians when it comes to medical care. We need to improve the situation and have a good medical care reform that is not the kind of reform we saw from obamacare.

  16. Now this is a guy that does not really get it. If you had something that was diagnosing, then that would mean early intervention and not full blown pneumonia of stage 4 cancer which is comparatively much more expensive and much more life threatening than approaching it in its beginning stages. Not to mention savings that would come from the now healthier person than can contribute to society in services and paying taxes, etc.

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