Charles Hoskinson, the founder of Cardano and early co-founder of Ethereum, says that the American Healthcare System is not broken as designed. And that, he says, is the problem.
“Healthcare is just fucked in America. It’s just fucked. Everyone knows it’s true,” said Hoskinson in an interview with Coindesk TV on the Rare Evo conference in Las Vegas. “Yet they all try to keep the system going because it is just too profitable.”
Although it may sound like a harsh criticism, Hoskinson stops his money where his mouth is: he pours $ 200 million investment in a medical center in Gillette, Wyoming, which now serves about a third of the city of the city.
His vision on his investment of several millions of dollars? “If they can’t pay, don’t charge them,” he said.
The ‘terrible’ problem
So, what are the most important problems with the current health care system, which means that it pours millions into a new type of system? According to Hoskinson it is how doctors are paid.
“All financial incentives are just terrible and wrong in health care,” he told Coindesk TV, with the help of an example of how doctors are encouraged to treat their patients, regardless of their needs.
“Let’s say you are 75 years old and you have a lot of cool morbidity and you just don’t feel good … Your doctor gets exactly the same amount paid to see you … Because he or she is paid to see a 16-year-old girl coming in for a UTI and just needs five minutes and some antibiotics.”
That economic structure, he said, discourages coordination, conversation and long -term planning. “They have all the incentive to keep you as sick as possible for as long as possible because they have developed chronic treatments for all those things,” Hoskinson claimed.
And what is the source that has built up its destructive claims about the health care system? “Because my father is a doctor, my brother is a doctor. Grandfather was a doctor, Uncle is a doctor,” said Hoskinson
The patient -oriented solution
To solve this, Hoskinson proposes to build a facility that is aimed at the patient, not billing codes or bureaucracies and the use of advanced technologies such as artificial intelligence and blockchain.
“Let’s build a clinic where we place the patient in the center. We build care teams, we use AI and we do everything we can to try to make the patient -oriented care that is affordable.”
AI will be used for this new system to support the doctors – not to replace -. “Every day it can be spent by the totality of all medical knowledge, and you can have agents who represent any specialty of medicine … and give an updated care plan to the provider at the start of the day.”
The system, he said, can catch “subtle signals in patient history” and help with real -time auditing. He also described plans for AI tools that can mark interactions between drugs into drugs, can transcribe patient visits and ultimately act as an “AI-companion” to help people interpret food labels, medicines and supplements.
The architecture of the project can also include blockchain.
Hoskinson referred to selective disclosure and zero-Kennist technology-Cryptographic tools that can verify facts (such as age or citizenship) without exposing underlying personal data. “You can satisfy the intention and philosophy of those buckets without revealing the underlying customer,” he said.
He is also planning to open the entire model-included protocols and software-to make replication elsewhere. ‘We are not here to make money [it]”Hoskinson said.” The goal is to open them, to open the software, you know that care system beyond. “
He also insists on a broader policy reset. “The health insurance policy should be the same way if you buy it in case you really get damn sick,” said Hoskinson. “It makes no sense to say, well, it’s for when you get a paper cut or for that when you want to get birth control or something.”
However, Hoskinson claims that this new health care model is confronted with pushback from the traditional medical system.
“The hospital there is trying to kill us,” he claims.
“They do everything they can to make our lives miserable. Uh, they will not charge our doctors. So it takes six months to 12 months to get references to have them practice.
Although Hoskinson’s fight to renew the health care system, can be a David versus Goliath scenario, he sees this as part of the inheritance of him and his family. “I put $ 200 million of my own money in my clinic and we have built over the past three years, and I want to solve this problem legitimate,” he said.
“I think it is my legacy and it is the legacy of the family and it is also the most important thing in America.”