Cohousing-L Mailing List: Re: Insurance-free healthcare

[Martin Sheehy (martinsheehy]

I do think that if we had a cadre of dedicated physicans, preferably resident 
in CoHousing communities, and several communities electronically networked 
together, that better ( than now) medical CARE could be rendered to our 
residents telemedically ( The AMIA/Am. Medical Informatics Assoc. has its Sprng 
Congress here in Phoenix AZ next week: Theme: EDR/electronic digital medical 
record, telemedicine, & rural care---I'll be there!) with the availabilty of 
part-time practise of Medicine & CARE by these self-identifed physicans. These 
physicians could have " physician extenders " ( RNs LPNs NPs, PAs etc.) 
resident full- or part-time in cohousing communities--perhaps in suites/rooms 
in the Common House ear-marked just for this purpose?. Yes. THAT would attract 
the frail elderly to such assisted-CARE CoHousing communites, & others besides.
  ( Dr.) Marty

ken <gebser [at] speakeasy.net> wrote:
  
Sharon,

Interesting thoughts. One problem with the US healthcare system (as I
see it) is that typical/universal mindset that everything must be
handled by some mega-corporation, generally the one(s) which provide the
largest campaign contributions.

Would you consider taking on a practice consisting only of patients who
were individually self-insured? I.e., everyone would simply pay you
out-of-pocket when using your services. How many patients typically
comprise a physician's practice? How many nurses and other medical
support personnel does a family practice generally require?




Saramandaia Farm wrote:
> I'm in complete agreement with Martin about the US medical system(s),
> and have run up against the proverbial brick wall trying to combine
> solutions for our own long-term needs (we're 60 and 71, no health
> problems at all) with affordable housing in the US and my wish to
> practice medicine on a very part-time basis for chunks of time...kind
> of like job-sharing/co-housing/home exchange. This seems not really
> to be the right forum for discussing personal solutions. But I'll
> post anyway...maybe someone would like to respond off-list:)
> 
> I'm a family doctor living outside the US (less expensive, less
> government intrusion, and it's my home after 35 years here). I have
> no health insurance coverage in the US and couldn't afford to buy a
> home at the prices I see in co-housing communities...unless we sold
> what we already own, or I worked full-time. We designed our lives
> to date to be much more flexible than that. We could just stay
> where we are, but we also have 2 grown kids living in the US, and
> grandchildren there (Seattle area). So it's a funny situation for
> us. We'd like to live for several months of the year in a
> co-housing setting. I'm a board-certified family doc, US trained
> and licensed, and would enjoy working for a few months of the year.
> We're debt-free and own our own home and farm...lots of land, 3
> houses. Also, we have a 16 year old homeschooled daughter. How
> to put that into a plan that suits all needs, or at least some of
> them, has thus far escaped us. ....
> 
> Sharon


-- 
"This world ain't big enough for the both of us,"
said the big noema to the little noema.

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