Healthcare is Not Broken: It has Simply Lost its Focus

Aug 02, 2022 at 09:15 pm by pj


By Tom Langer, PT, CSCS

For more than 14 years, I have been a proud provider of healthcare services, initially as a patient-facing, sports medicine physical therapist and then in administrative/leadership roles.

During my training in graduate school and throughout my career, I’ve heard the phrase spoken all too many times: “The healthcare system is broken.” There are complaints of high healthcare insurance costs, extended waitlists to receive skilled care that the patient requires and the decline of patient-clinician rapport, once known as “bedside manner.”

Before I entered the healthcare field, the landscape was, in fact, quite different: Insurance deductibles were lower, the cost of healthcare was more affordable to the overall population and patients developed trusting relationships with their providers. Since then, things have changed.

Insurance premiums have skyrocketed, allowing for large insurance companies to boast huge profits to stakeholders. Reimbursement to healthcare providers have become razor-thin, putting financial stress and burden on institutions. The population is living longer, active lifestyles which demands greater volume within healthcare organizations which may not have the licensed clinicians to meet the community’s needs. All of these things have not broken the healthcare system, but it has caused healthcare to lose its focus. The healthcare system is here to provide evidence-based, quality patient care to the communities it has the honor to serve – not simply focusing on financial viability and pleasing shareholders.

Physical rehabilitation should empower people to achieve their highest level of recovery and participation in life through excellence in rehabilitation. The healthcare organizations in Central Florida have the opportunity to bring focus back to outpatient physical therapy (PT), outpatient occupational therapy (OT) and outpatient speech language pathology (SLP) if we work together to increase access, improve care and reduce cost to the patient.

Every patient has the right to be treated by the highest-level clinicians at all times during their care. This includes PTs, OTs and SLPs, especially those who have certifications that extend beyond their degree, making them experts in the fields of orthopedics, neurology, geriatrics, pelvic health, sports and speech.

Only the best, skilled care with a focus on evidence-based treatment should be provided to our community members.

Additionally, low patient-to-clinician volume ratio promotes greater interaction between client and therapist to focus on the patient’s personal goals and to achieve the highest-level outcomes in the shortest amount of time, making rehabilitation services cost effective while providing the highest level of customer service at all times.

The Central Florida community continues to grow daily. Working together, Orlando healthcare organizations should strive to provide access to those in need of outpatient rehabilitation services. Obtaining entrance to an initial rehabilitation examination within 48 hours is a key to success in returning the injured individual to a previous level of function. As professionals, we need to provide the public with access to therapy, and to reduce the burdens on our overwhelmed hospital systems, by providing them an outlet to send their post-surgical patients to be seen by a therapist immediately when medically appropriate, instead of having to wait weeks to receive care.

“There is mounting evidence that suggests a lack of quality rehabilitative care early in the recovery process after injury can lead to prolonged disability, unnecessary medical procedures, and ultimately higher healthcare costs,” according to

William Hanney, PT, DPT, ATC, Ph.D., an Associate Professor of Physical Therapy with the Department of Physical Therapy at the University of Central Florida.

Lastly, our healthcare organizations must invest in the highest-level technology to positively supplement the skill of our highest-level, licensed clinicians. Technology currently available – such as the Cyberdyne robotic exoskeleton to assist those with traumatic spinal cord injuries to walk again and the Smart Glove technology to allow those with catastrophic wrist and hand injuries to grasp and mobilize objects again – should be available to all our community members in need of these advances in rehabilitation to help them regain function following injury.

I challenge our fellow healthcare organizations in Central Florida to come together; work together; and strive to best benefit the communities we have the honor to serve. It’s time to regain focus in healthcare and put the patient first.

Tom Langer, PT, CSCS, is the Outpatient Regional Director, Orlando, for Brooks Rehabilitation, a Jacksonville-based nonprofit organization founded in 1969 that continues to grow its presence and community commitment to the Orlando/Central Florida market. Brooks opened its first Orlando-area outpatient clinic in 2008.


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