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In his Feb 28 address to the Joint Session of Congress, president Trump called the cost effective care Act (ACA, or “ObamaCare”) an “imploding disaster.”
His references to soaring premiums, contracting choices, as well as market collapse are all area on. as well as of program everybody wants “reforms that broaden choice, boost access, lower costs, as well as at the exact same time, offer much better Healthcare. “Trump wants Americans to be able to select “the plan they want, not the plan required on them by the Government.”
But what should we do “first” as well as “second”? From a physician’s perspective, “first” is to make the diagnosis. “Second” is to eliminate the cause of the ailment if possible. as well as that implies to drain the swamp.
Unfortunately, Trump’s “first” is to “ensure that Americans with pre-existing conditions have gain access to to coverage” as well as “second” to “help Americans purchase their own coverage, with the utilize of tax credits….”
These “popular” concepts emanate from the swamp, percolating up with lobbyists, believe tanks, as well as congressional “leadership.” properly translated, these imply to abolish true insurance—and the only reason for purchasing it when healthy—and to force healthy or higher-income people to pay much more than their fair share. A “refundable tax credit” is a disguised subsidy, courtesy of present as well as future taxpayers.
And who are the swamp dwellers? They are the ones who siphon off a big part of $3 trillion “healthcare” dollars—perhaps 50 percent or more—before it goes to anything recognizable as a medical great or service got by an actual patient. They are part of the large growth in the number of administrators compared with physicians. They include the “nonprofit” hospitals that fee as much as ten times as much for a surgical procedure as the surgical treatment center of Oklahoma does. They include brokers who “re-price” medical bills—getting a 30 percent “discount” from a expense that is overpriced by a element of two or much more as well as pocketing a cut of the “savings.” as well as they include the code writers, the policy writers as well as auditors, the software application as well as hardware vendors, as well as the data aggregators who are selling your medical record for profit.
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Denizens of the swamp are self-identifying, as in a Jan 25 letter to president Trump as well as Vice president Pence providing to assist execute “value-based” care. The more-than-120 signatories include the American medical association (whose primary money cow is the CPT procedure codes that physicians should purchase), various other medical trade associations (who assist physicians discover exactly how to adhere to ever-changing rules), insurers, huge medical facility systems, pharmaceutical companies, as well as self-certified “quality” agencies.
The “resources” they plan to save come from care rejected to patients, as well as particularly from the 19 percent of medical costs that goes to physicians’ practices. instead of paying physicians much more if they work much more (“fee for service”) the system will pay for data collection as well as protocol compliance, as well as punish physicians if they purchase much more tests or treatments for patients. as well as of course, all those included in identifying “value” get paid first.
The healthcare planners’ bane is the 10 percent of medical costs that goes directly from the person getting the service to the person offering it. None of this leaks into the swamp, as well as the value is identified by patients, who are presumably as well ignorant to make complex judgments.
Swamp dwellers produce reams of studies about the resources that go to actual medical care—some of which would be subjected as being of restricted value if clients had to pay out of pocket for them voluntarily. however such studies prevent mention of the huge resources that go to “planning,” “certifying,” “evaluating,” “reviewing,” etc.—which vanish without a trace into the bureaucracy. Of course, these companies like to conflate “care” with “coverage”: care is a loss, not a revenue center. even if ACA demands a “medical loss ratio” of 85 percent, that implies at least 15 percent is diverted from actual care, as well as 15 percent of $3 trillion is a big amount of money. If protection is “comprehensive,” third-party managers have gain access to to much much more than they would if insurance coverage covered only unpredictable catastrophes.
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Trump needs to see with the subterfuge, as well as drain the third-party (“insurance”) swamp before it drains the life out of American medicine—into activities that clients would most likely discover to be of zero value.
Link to this post:Trump needs to Drain the “Healthcare” Swamp
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