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As featured on p. 218 of "Bloggers on the Bus," under the name "a MyDD blogger."

Friday, December 28, 2007

medFICO

Big hat tip to Turkana at The Left Coaster for higlighting this story.

Mortgage lenders aren't the only ones showing more interest in your credit score these days – the health industry is creating its own score to judge your ability to pay.

The new medFICO score, being designed with the help of credit industry giant Fair Isaac Corp., could debut as early as this summer in some hospitals.

Healthcare Analytics, a Waltham, Mass., health technology firm, is developing the score. It is backed by funding from Fair Isaac, of Minneapolis; Dallas-based Tenet Healthcare Corp.; and venture capital firm North Bridge Venture Partners, also based in Waltham. Each kicked in $10 million for the project.

The score is already raising questions from consumer advocacy groups that fear it will be checked before patients are treated. People with low medical credit scores could receive lower-quality care than those with a healthy medFICO, they argue.


First of all, if you're looking for fiscal stability, I can't think of a better industry to imitate than the mortgage lending industry. But why stop at medFICO scores? How about we add in some subprime diagnosis and treatment, and interest-only leg surgeries, and I know, how about a whole new class of medical debt-backed securities, which banks can sell to investors, and try to get bailed out of when they turn to crap? They could call it "Big Medical Shitpile" and park it on a beach in New Jersey! (hey, I've lived in Jersey, so I can say that...)

Seriously, this is hideous. It used to be that the medical care industry, particularly the insurance companies had to use some prior injury as a basis to deny coverage. Now it's some years-old debt that hospitals can use to hang over your head and deny care. Enough. Health care is a human right. It's not a privilege of the wealthy. Willingness to pay is a metric that can be abused to the nth degree to deny treatment to the sick. It will create another tier to the medical system; you have the uninsured, the wealthy who can afford the best, and now the discount class who can't afford access to the good stuff.

I guess this is what Rudy Giuliani meant by private solutions.

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