Friday, July 17, 2009

Healthcare Reform 2009 Wait Times

I recently saw many oponents of healthcare payment reform, using a survey produced by Merrit Hawkins and Associates (linked here) which shows Boston with the highest wait times for physician appointments. Although I applaud using metrics to track basic access to care, I am concerned as to the sample set size - several of these determinations are made with as few responses at ten and at most twenty one per geographic area.

Do they really think that 21 responses is a representative sample of all the physician appointments made?

For 5 years of employment, I was insured with Kaiser Healthplan in California - and I believe I had some of the best care of my life. For a year after, I moved to Anthem (Blue Cross) and was disapointed by the lack of preventative care and the basic lack of access. Now, once again I am happily back at Kaiser. The reason I bring that up is I would much rather use the Kaiser system of total care for health care reform, with mandatory insurance requirements, as opposed to an expansion of the Medicare system as it is currently run.

I've never waited more than a week for care at Kaiser, usually because of my schedule, not the physician's.