HCI3 Update from the Field: The Incentive Cure

Submitted by francois.debrantes@hci3.org on Friday, January 18, 2013 - 12:59

Newtown, CT – January 18, 2013

"Americans used to do big things together. We squared our shoulders and met our challenges. Now it's time to mobilize for a new national project: Fixing our health care system once and for all." The Incentive Cure, by François de Brantes and Bob Conte, illustrated by Kriss Wittmann and edited/researched by Jenna Sirkin.

For most of 2012, with the help of the talented people mentioned above, I've worked on a book to explain what ails the US health care system and what might cure it. The Incentive Cure, as its name indicates, focuses on how to mend the current incentives that cause otherwise good people and organizations to behave badly. It's not particularly long or difficult to read because I don't believe you need hundreds of pages of complex sets of theories and theses to expose the failings of the system and some simple solutions. Furthermore, we don't need to always infuse the obscure jargon that peppers most of the papers and reports that are published about health care. What we do need is to activate the American public into the fight of today's generation. Our lack of action to fix what we know, and have known, is wrong with health care, has impoverished the lives of millions and cost the lives of thousands. Shame on all of us.

What this means to youThe Incentive Cure (which can be purchased for the astronomical sum of 99 cents at Smashwords or Amazon), is an educational tool and also a call to action. The final recipe it provides is simple:

  1. Pay for value instead of volume to encourage physicians to do right.
  2. Change health insurance benefit designs to encourage patients to do right.
  3. Make all price and quality information easy to get and act upon, to create a real health care market.
  4. Remove the regulatory and legislative barriers that impede payers and providers from innovating.

And yet applying that recipe always seems so complicated. Why? Because the agents of the status quo who benefit from the yearly $750 billion that are overspent by all of us – by the impoverished average American families – fight (and will continue to fight) tooth and nail to protect the size and depth of the trough from which they feed. They'll use the old "rope-a-dope" tactics, feigning collaboration while obfuscating, crawling one step forward and jumping two steps back, clamoring for consensus before action is taken while exercising a veto against all action. To effectively fight against these special interests, we must again square our shoulders and meet our challenges. The Incentive Cure is a tool to activate the legions we will need to win this battle. And those legions will need leaders. Will you be one?


Francois de Brantes
Executive Director
Health Care Incentives Improvement Institute, Inc.
w: www.hci3.org