As the new year unfolds, lawmakers have delivered crucial addresses, with Governor Whitmer recently presenting her annual State of the State, and President Biden slated to share the State of the Union on March 7. While these speeches touch on vital issues like the economy, housing, education, border security, and climate change, healthcare remains a paramount concern for millions of Americans. As the election year progresses, elected officials at both state and federal levels will undoubtedly keep healthcare at the forefront.
The pandemic laid bare the vulnerabilities of the healthcare system, and even four years later, its aftershocks continue to reverberate. Several key issues define the state of healthcare in 2024:
1. Healthcare Workforce:
Michigan’s hospitals, employing approximately 219,000 people, grapple with a dire need to hire thousands more across the state. A survey conducted last year revealed over 27,000 job openings in Michigan hospitals, impacting patient care experiences. The aging population contributes to a talent exodus from the field, exacerbating the demand for healthcare services. Limited ability to pass rising labor costs to consumers due to predetermined payment structures adds financial strain to hospitals, prompting advocacy efforts for ongoing viability.
Efforts to address this issue include the MI Hospital Careers campaign and partnerships between health systems and secondary-education institutions. Governor Whitmer’s proposal for tuition-free community college aligns with initiatives to address the nursing shortage.
2. Behavioral Health:
Michigan faces a crisis in behavioral healthcare, necessitating funding, support, and system reform to meet community needs. In response to advocacy efforts, the Michigan Legislature allocated $50 million in grant funding last year to enhance access to pediatric inpatient behavioral health services. However, more needs to be done, focusing on expanding care locations, clarifying insurance coverage policies, and increasing the number of providers.
3. Prescription Drug Affordability:
Escalating prescription drug costs contribute significantly to rising healthcare expenses, affecting both patients and hospitals. From 2019 to 2021, drug costs surged by 36.9%, constituting the largest portion of healthcare insurance premiums. The 340B drug pricing program, crucial for safety net hospitals, provides discounted outpatient prescription drugs. Legislative support is sought to safeguard this program, vital for supporting access to care for vulnerable patients.
4. Emerging Technology and AI:
Technology remains a catalyst for healthcare growth, acting as a “force-multiplier” to enhance staff efficiency and patient experiences. Telehealth and artificial intelligence (AI) applications are already transforming the healthcare landscape. Technology holds promise in expanding access for rural or disadvantaged residents facing social barriers.
The entrance of global technological innovators into the American healthcare market introduces both challenges and collaboration opportunities. The inter-connectedness of healthcare entities and the rise of sophisticated technology also underscore the potential threat of cybercrime, prompting the establishment of healthcare-focused cybersecurity operations centers.
These complex issues will undoubtedly shape Michigan’s healthcare landscape in the coming year. While challenges persist, a fundamental optimism prevails, fueled by the commitment of resilient healthcare workers and policymakers recognizing the essential role of healthcare in their communities. As the election year unfolds, one can confidently predict that healthcare will remain a cornerstone in shaping Michigan’s future, fostering positive change through ongoing dialogue and collaboration.
