Dollars and Sense (sic)

This article will be something of a departure from many of the above articles. Previous articles emphasized the unusually inefficient system we have and the enormous cost savings our system could achieve by reform. However, this magazine is called OMRUM (Optimal...

A Brave New (Medical) World

Years ago, Charles de Gaulle of France famously said “How can you govern a country which has 246 varieties of cheese?” In a similar fashion, one might ask how can we improve our current healthcare system when it is so heterogeneous, i.e. has so many different...

Necessity As the Mother of Invention

As noted often, the goal of OMRUM is to reduce the cost of healthcare while maintaining or (better yet) improving quality. However, any time one hears about reducing costs while improving quality, human experience urges caution if not overt doubt. After all, if...

Recidivism (in the Medical Sense)

In order to develop properly the idea of either outpatient or inpatient recidivism, some background is necessary. In this case, it involves who is responsible for the patient and who is responsible for patient care transitions. 1 of the most important concepts in a...

Vaccinations 2025

In finance, one hears the term “return on investment” frequently. A more colloquial expression might be “bang for the buck”. Another angle in the same discussion, especially when discussing the healthcare system, would be for a patient to reduce negative behavior and...

…Whither Do We Go

As reviewed in the previous piece (itself a summary of previous articles), the medical system in the United States has fallen far behind its first world neighbors in cost, coverage, and quality. Few of us are surprised by this information. In this article, I would...