RightCare Alliance Mission and Strategy

PREAMBLE

Our healthcare system is capable of providing incredible care, and yet we see a wide gulf between the healthcare America has today and the healthcare that it could and should have. The RightCare Alliance was formed out of a sense of moral distress and feel an obligation to speak out about the deep dysfunctions and injustice of our current system. We are coming together in a broad-based grassroots organization because we see an unmet need for advocacy, education, and collective action to improve the health of the nation.

OUR MISSION

The RightCare Alliance (RCA) aims to restore trust, balance, professional ethics and principles of justice and equality to healthcare in the United States.

We seek to reduce the twin epidemics of overuse and underuse.

We seek to eliminate the burden of harmful care and promote clinical interventions and care we can be proud of while strengthening the role of prevention to avoid illness and disability.

The trust, respect, and mutual understanding between patients and health professionals need to be strengthened. They are too often eroded.

We are convinced that our health system can deliver better results, be more affordable, improve access to more efficient treatment options, improve the wellbeing of all our communities, and offer meaningful and satisfying jobs.

We are creating a space where we can talk about healthcare as a public good and as an instrument of social justice. In that place we are building a community of people coming from all of our individual places. We are seeking to end the business-minded arms race that American healthcare has become and to reinvigorate a professional ethic and trust in the health professions. As a group we stand for better science and better, more informed medical decisions.

OUR STRATEGY

The RCA aims to transform the healthcare system through a therapeutic alliance between providers and communities, using the power of organized people, one community and one policy at a time.

We will address the problems of the healthcare system by making distinctions between problems and issues. Problems are myriad and represent the obstacles that all of us face to obtaining the right care. Issues are the specific things that can be addressed through problem solving and action, and that are winnable.

We plan to work together to build a network that empowers each of us to succeed in tackling our chosen issues, while linking us all together in a common purpose larger than any single person. [By lifting up relational power and pursuing adaptive change and cultural change]

Our initial focus has been the waste and poor value we encounter everywhere in our current healthcare system. We increasingly recognize that this waste is a symptom of a much wider dysfunction and that our work to reduce overuse must be seen in the context of achieving the right care for all Americans.

We will do this by:

  • Building a broad-based grassroots movement, fostering conversations and debate, and energizing and empowering people so that they can be in control of and at the center of their health and healthcare.
  • Promoting evidence-based care and unconflicted research that embraces skepticism so that patients and healthcare providers are better informed about the benefits, harms, and costs of medical care.

We are different from other approaches to these problems because our method is to organize people to build power for the ideas and perspectives we are developing together in order to improve the healthcare system [by injecting democracy into the reform process].

OUR TACTICS

We understand that achieving the right care for all will take a long time and be a very long journey. We have decided to begin our work by focusing on some of the worst parts of our current system as key issues:

  • Too often, we don’t know the patient well enough
  • The price of drugs is through the roof
  • Hospital charges are outrageous
  • Medical mistakes are common
  • Too often, end-of-life care is not what people want
  • Too often, patients’ goals and preferences are not known or respected
  • Insurance coverage is not universal. All of these are issues that are important and are winnable.

It is not too much to insist that we know how much things cost. It is not too much to know the success and complication rates of individual doctors or hospital systems. The experience of care from both the patient and provider side is measurable and should be a key indicator of quality. It is not too much to demand an experience of care that is humane, caring, friendly, affordable, effective, just, rational, and personal.

To paraphrase Michael Pollan: “See doctors, not too often, mostly when you are sick.”

We are committed to this mission through a process of democracy, dialog, creativity, and publicly visible collective action.

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