Chijioke C. Nze, MD
Resident in BWH Internal Medicine
PGY-3
03/20/2020
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| Attendees of the COE Health Policy Course |
During medical school, it became obvious that of what we do
in the hospital and individual interactions with patients, though meaningful
only address a very small piece of the larger problems that cause illness and
morbidity. It is obvious that we need population level interventions.
In order to Change or influence the system, we have to
understand system; Interrogate our ignorance; Kick the tires and abandon our biases. In the
Last exercise, we went to negotiation table and try to emulate the process. It
became
obvious that all actors in the system are just acting in what is
perceived to be their best interest. In seeking individual best interests, the
system is unfortunately harmed! The system isn’t broken by wicked evil people
but by rational actors seeking their best interest. It is our job as policy
makers and advisers to help steer the ship towards Prado optimum.
The COE Health Policy Course was an absolute gem. The
insights into the current state of the healthcare system domestically and
internationally was incredible. Despite my MPH in health policy, I learned an
immense amount. The room was full of people with diverse experiences and contributions
to the course. The wealth of knowledge in the room was invigorating. Ryan and Zirui
are absolutely irreplaceable. Though we did not solve the mysteries of
healthcare reform, I feel like I left with a toolbox to start thinking about
and hopeful addressing my slice of the pie. I am re-energized to know how I as
a physician can pull some levers in the system.
They taught me that it is not you cannot influence behavior
by simply showing that it is the right thing to do. You must convince
stakeholder that certain actions are in their best interest and align
incentives to drive change. Another great quote “if it doesn’t make dollars it
doesn’t make Sense (cents)”
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