When we first met Alice two years ago, she suffered from schizophrenia, depression, uncontrolled diabetes, hypertension, and high cholesterol. Even though we set up pill boxes for her and arranged home health aides, she chose to seek treatment only in emergency rooms. Her health continued to deteriorate.
Last year, Alice finally began to engage in treatment for her diabetes by phone, but her nurse practitioner provided this treatment on her own time, without government funding. Alice’s serious health problems put her squarely in the high-need, high-cost category of patients who demand innovative treatment approaches. But our 20th century regulatory system held her back. […]