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Summit Talks Anna Golębicka

Waste in health care. Where is the money going missing?

MedExpress Team

Iwona Schymalla

Published March 24, 2025 12:01

Waste in health care. Where is the money going missing? - Header image
There is more money in the health care system than ever, yet it is still in short supply. On the one hand, growing needs, on the other, waste and inefficiency. Why are patients increasing, doctors scarce, and money... never enough? We discuss the paradoxes of health care financing and why we need to get out of our comfort zone with economist Anna Golębicka.

There is such a paradoxical situation that there is more money in the health care system and still not enough. How can this be explained?

This would seem to be an economic paradox, but it is not. In theory, the category of needs is unlimited. It's not that at some point we say STOP, it's just that the more we have, the more we want. In the case of health care, there are two such factors: not only that we want more. Let's put it bluntly: the patient is very demanding and we assume that everyone gets everything, and there are no such systems anywhere in the world! But the patient is not to blame for the health care situation. One factor is demographics, that is, we are getting older, sicker and need medical help more. And the other factor is that health care is getting more costly - the needs are higher.

This is one side, but also a lot of money is wasted. Now we are talking about so-called adherence, or adherence to medical recommendations, and it turns out that patients either don't buy the drugs or don't follow the recommendations, they worsen their condition, and a vicious cycle begins. How much of this money is wasted? Is there any way to improve it?

We certainly waste some amount of money. In any even well-organized enterprise, there are some losses. And systems of thought, namely LEAN and KAIZEN, say that you have to eliminate these inefficiencies, see where they are. In the health care system, such inefficiency is when, for example, one waits for the printer to print the doctor's recommendations. The doctor then sits, the patient sits and nothing happens. We waste quite a lot of this money in health care, unfortunately, because it is not optimized enough. We waste ...

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