Whose Will?

Do we trust God to do our will for our lives, or His will? Do we know what is good or wise better than He does?

The teenaged son of a good friend seems to be wasting away; not of cancer, AIDS, or drug addiction, but of an inability to keep down what he eats. The boy has seen the best specialists in the US, has had every reasonable medical test, and has tried a panoply of medications, procedures, exercises, and behavioral health interventions. Hundreds of people have prayed earnestly for his healing. Still, the food comes up and his weight goes down.

The middle-aged wife of our music minister was diagnosed with metastatic melanoma. She had surgery, radiation, chemotherapy, and a variety of experimental therapies. Christians in churches across the country prayed for her healing, and hundreds of us joined hands in a prayer chain around her house. Nonetheless, in Jan 2017, this wonderful woman slipped the bounds of this earth and into glory.

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Healing the Health Care Cost Conundrum

A prescription for making US health care better quality, more accessible, and less expensive for all of us. 

The military health care system is different in many ways from the civilian system, but a primary difference is the income incentive. Simply put, health care providers and other medical professionals are not paid based on the number of patients that they see or the number of procedures that they do. Instead they receive a fixed salary with few if any bonuses for productivity or quality. The budgets for military health care institutions, and many others in the Federal government, are based on Congressional appropriations, not on productivity. This has been changing in the past decade but remains largely true today.

Civilian medicine is not so. They are paid for what they did, patients seen and procedures done, and everyone on staff is usually highly motivated to do more. Some have described such fee-for-service reimbursement arrangements as “you eat what you kill.” In some practices, that can equate to more visits and more procedures, even if some are not medically required.

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