Missing home triage

For ten years that was my complaint about Obamacare, it discouraged home triage, mom and dad reading WebMD or another site for good advice on when and where to go see the doctor, or treat at home.

Home triage is queue management for the emergency rooms, and it cuts down on disease spread, as we are finding out in Italy where emergency rooms spread the stuff. We have a mess, two freight trains colliding as we speak. Obamacare is sending masses to emergency rooms where they get sick. Nutty, nutty and this was a well known problem discussed by most pros. Our favorite economists covered up the problem, deliberately in one if their bizarre expectation theories.

What sandbox says:

The medical system is a value added chain, thus treated as a generator that keeps the medical baskets optimally full at the retail end, congestion management. We have the coding problem and the solution says the most frequent medical delivery is home triage, if that drops out than the value chain is much less flexible, delivery uncertainty much higher. The epidemiologist cannot count home triage anymore in his spread calculations because Obamacare sends us all to emergency room. Which now seems to be a very bad idea and we would prefer home triage at the moment.

Medical is the second critical sector in need of congestion theory, after banking.  The medical pros get this wrong often, more money to them is less common knolwedge to us, we have limited attention span on this. There was a well known physician who emphasized this, a Dr. Cummins, gave speeches on teaching the patients home triage.  Hospital are one huge congestion management problem, made far worse by crowded, chaotic emergency rooms.  The eight hour wait for care at emergency is often worse than the illness. A it of home triage goes a long way in this system.