{"id":7465,"date":"2017-01-01T16:32:32","date_gmt":"2017-01-01T22:32:32","guid":{"rendered":"http:\/\/huewhite.com\/umb\/?p=7465"},"modified":"2017-01-01T16:32:32","modified_gmt":"2017-01-01T22:32:32","slug":"if-it-does-get-repealed-ctd","status":"publish","type":"post","link":"https:\/\/huewhite.com\/umb\/2017\/01\/01\/if-it-does-get-repealed-ctd\/","title":{"rendered":"If It Does Get Repealed, Ctd"},"content":{"rendered":"

The thought of repealing<\/a> the ACA<\/strong><\/em> has excited readers:<\/p>\n

So that’s a problem — even people who benefit from the ACA don’t know what’s in it. All doctors and hospitals are mad about the shrinking Medicare\/Medicaid reimbursements, but those are really important price controls for ALL of us. Yes, those controls were built into the ACA legislation, but it’s only for Medicare\/Medicaid, it’s not like private insurance is using those rates. Yet.<\/p>\n

IMO the problem is that the medical industry (doctors and hospitals) wants to deal exclusively with the wealthy and healthy, or the government funded, and maximize their per patient dollar intake. The insurance industry wants maximum rates and minimum expenditure (thus your high deductible plan, for which you pay several hundred dollars a month and have such a high deductible that you won’t go to the dr unless you think you are actually dying). We should not be surprised by this. it is exactly how a for profit system should work.<\/p>\n

But somewhere in there we’ve lost the idea of public health, and the patient’s well being….<\/p><\/blockquote>\n

Right. We pay on a procedure basis, not on an outcome basis. We have lemon laws for cars, and general guarantees that merchandise does what’s advertised and doesn’t endanger the consumer’s health – why not the same for medicine? Answer: Medicine is harder. Still, we need to find ways to encourage medical activity that benefits the patient without regard to how it benefits the provider, because in a for-profit environment the two are, in the natural state, at cross-purposes. Another:<\/p>\n

All that and more[]. I’d like to think there are a lot of doctors and nurses who actually do care about their patients and want to do good. But most of them work for for-profit businesses, clinics and hospitals, and those business folks drive the policies and bottom line.<\/p>\n

Meanwhile, the insurance industry tries to squeeze as much money as possible out of both the patient and the doctor. Most docs have network agreements with insurers, who then provide financial incentives which are based on minimized the per-member per-month cost to the insurer. That is, the doctors get paid more when they see more patients for the same fixed costs. You can imagine where that leads.<\/p><\/blockquote>\n

Which sounds an awful lot like using private sector methods in another sector – with what is becoming an increasingly predictable bad outcome.<\/p>\n","protected":false},"excerpt":{"rendered":"

The thought of repealing the ACA has excited readers: So that’s a problem — even people who benefit from the ACA don’t know what’s in it. All doctors and hospitals are mad about the shrinking Medicare\/Medicaid reimbursements, but those are really important price controls for ALL of us. Yes, those \u2026 Continue reading → <\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[1],"tags":[],"class_list":["post-7465","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/huewhite.com\/umb\/wp-json\/wp\/v2\/posts\/7465","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/huewhite.com\/umb\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/huewhite.com\/umb\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/huewhite.com\/umb\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/huewhite.com\/umb\/wp-json\/wp\/v2\/comments?post=7465"}],"version-history":[{"count":1,"href":"https:\/\/huewhite.com\/umb\/wp-json\/wp\/v2\/posts\/7465\/revisions"}],"predecessor-version":[{"id":7466,"href":"https:\/\/huewhite.com\/umb\/wp-json\/wp\/v2\/posts\/7465\/revisions\/7466"}],"wp:attachment":[{"href":"https:\/\/huewhite.com\/umb\/wp-json\/wp\/v2\/media?parent=7465"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/huewhite.com\/umb\/wp-json\/wp\/v2\/categories?post=7465"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/huewhite.com\/umb\/wp-json\/wp\/v2\/tags?post=7465"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}