Tuesday, November 01, 2011

Half-formed idea: how to incentivize clinical testing of alternative medicine

I previously came up with the idea that they should incentivize clinical testing of natural remedies and other alternative medicine.

Here's about half a solution: everything that has been clinically proven gets covered by OHIP.

The advantage for practitioners of alternative medicine and for patients is that treatment is no longer limited by the patient's budget. Patients can receive - and practitioners can be paid for - what treatment is needed.

The advantage for social responsibility is that this makes it easier to get things that have been tested than things that haven't been tested.

The advantage for OHIP is that alternative medicine would probably be in many areas cheaper. Pharmaceuticals and medical technology can be hellaciously expensive. If herbs or acupuncture can be proven to do just as good a job, even if it's in just 10% of situations, that would save significant money.

This would mean that OHIP would have to cover a wider range of things than it currently does, such as medication and dental care. But that's a good thing - everyone needs those things and they represent significant expenses for people who don't have benefits through their jobs. Broader coverage would be more in line with OHIP's actual mandate.

One change that would be necessary is coming up with a mechanism for OHIP to cover over-the-counter medications. Many of them have been clinically tested, and we don't want to clog up the health care system by forcing people to go to the doctor for a prescription for vitamins or decongestant. But that shouldn't be too difficult to work out. Our health cards have magnetic strips, so why not just swipe them at point of sale?

In this plan, things that have not undergone any clinical testing will still remain available and paid for at the patient's expense, like they are now. Things that have gone through testing and have been proven ineffective but harmless will also continue to be available at the patient's expense. Only things proven to be actively harmful will be pulled. So, for proponents of alternative medicine, there's no downside unless they're peddling snake venom.

The missing link in this plan is still funding and facilities for conducting the research in the first place. It's likely a significant start-up expense and I doubt there are labs just sitting around waiting to be used. They'd still have to work out that part.

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