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Prognosis: Misconception

Fixing Health Care for the People It Often Fails

Prognosis: Misconception

Bloomberg

Health & Fitness, Science

4.1838 Ratings

🗓️ 23 January 2020

⏱️ 23 minutes

🧾️ Download transcript

Summary

In America, poverty is linked to shorter lifespans. The wealthiest 1% of Americans live more than a decade longer than the poorest 1%, and the longevity gap has expanded in recent years. The medical community is increasingly examining the role that poverty and difficult social circumstances play in illness. Some people are asking whether the health care system could do more to address the things that influence people’s health beyond their medical care.

This week on Prognosis, we look at one startup that’s trying to redesign care for some of the most vulnerable patients, taking into account the complex realities of their lives. The company is trying to improve care for people and communities the medical system often fails – and it believes that fixing those failures will not only make people healthier, it will also save money.

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Transcript

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0:29.6

In the United States, poor people tend to die younger.

0:38.3

The wealthiest 1% of Americans live more than a decade longer than the poorest 1%.

0:44.3

And that gap has grown wider in recent years.

0:48.3

There isn't just one reason why this is the case.

0:51.3

Where a person lives, how much money they make, and how socially

0:55.4

connected they are, all affect their well-being. There's an argument in the medical world

1:00.8

that people would live longer if health care providers could address patients' social needs,

1:05.6

like food, housing, and transportation. Welcome to Prognosis, Bloomberg's podcast about the future of health care.

1:13.4

I'm your host, Michelle Faye Cortez. Some health care companies are trying to create new ways of

1:19.6

caring for people with complex social and medical needs. They're betting that improving care

1:25.3

for these patients will cut costs in the long run by avoiding unnecessary hospital stays.

1:30.3

They're also grappling with systemic problems like inadequate housing, low wages, and even discrimination.

1:37.3

On this episode of Prognosis, Bloomberg News Health Reporter John Tauzy takes us to Brooklyn,

1:43.3

where a new company is trying to overhaul the way medical care is delivered.

1:52.0

Toyin Ajayi was a young medical resident when she saw up close how the health care system fails people.

1:59.7

She was training to be a family doctor in Boston,

2:02.6

working in a community clinic and a safety net hospital. A lot of her patients were poor,

2:08.1

and they had serious needs that doctors and hospitals weren't helping them with.

...

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