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Global Trend in Diabetes Could Exact Catastrophic Toll on Emerging Global Healthcare Systems
Date:11/2/2011

means to more efficiently engage patients.

"The concept of telemedicine hasn't really taken off because of the old model of payment where you only get paid if you see the patient," says Dr. Fonseca.  "You're seeing the patient by a video screen, and talking to the patient by telephone.  I think you should still be rewarded in some way."

Dr. Edelman cited the extreme wastage in the current system that manifests in time and financial resources:  "We go through a whole laundry list of things [during visits with patients]and sometimes they're required for billing to get paid by insurance companies, but we waste a lot of time in those visits."

"People with diabetes should be able to eat anything they want"

A number of controversial issues were also raised, as each of the three physicians took stances that vary from commonly held views ranging from diet to weight management to complications from the disease, challenging many long-held beliefs.

Dr. Fonseca proposes an active role for government in diabetes prevention but cautions against intervention he believes would be inappropriate and counter-productive.

"The government shouldn't be telling an individual this is what your weight should be," says Dr. Fonseca.  "They should provide the tools for people to get to the weight they want to be.  What the government should be doing is providing the strategies for societal change and make it available.  So, bike paths, exercise in schools, the government can easily do that."

Dr. Edelman takes aim at conventional wisdom on dietary management.

"People with diabetes should be able to eat anything they want," says Dr. Edelman.  "We are not what we eat, we are how much we eat.  It comes down to portion control and everything in moderation."

Dr. Raskin believes that all complications can be prevented, but that too many people don't do enough to address the issue
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SOURCE Medco Health Solutions, Inc.
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