Medicare is in charge. They tell insurance what to do as well as MDs. Pharm fits in very well
You go to the doctor and walk out with a prescription
Sales.
Mds are great if you have a trauma or cancer
I go to the md to get a diagnosis. Then I treat. My md gets that, so he’ll guide me. Most dont.
I have an acquaintance that is a pediatrician. Started out in a hospital. Private practice in a small group. Back to the hospital. Why?
No overhead. No paychecks. No dealing with insurance companies. Show up for work. Do your job. Get paid.
Eezy Peezy..
With simplicity comes adherence to the administrators that run the place whether they’re MDs or MBAs.
Biggest problem isn’t so much the doctors, it’s the administrative behemoth that has been created with hospital corporations. Easier to follow the program than buck it or write your own, IMHO.
Where’s the profit? Giving someone a $3, ZIVERDO Pack or $10s of thousands on a machine?
Oklahoma Doctors vs Obamacare … https://m.youtube.com/watch?v=0uPdkhMVdMQ
“I hope that physicians can break away from the bureaucracy. I know that some ethical doctors are relocating to other countries to escape it.”
I don’t blame them and it’s smart to relocate. In this country (and sadly most other countries follow us), EVERYTHING is top-down. So, for example, if you’re a doctor and you know a diabetic patient can get back to normal blood sugar levels without drugs (or without insulin at least), by going Keto, you BETTER NOT tell him so.
The reason is very simple, and that is the bosses in government who define what a diabetic should eat (a carb-loaded diet designed to make you sicker and sicker) effectively force the doctors to follow their instructions, or else, where ‘or else’ means any combination of the following:
1 - Loss of medical license
2 - Loss of job from medical group
3 - Loss of malpractice insurance
4 - Liability for any negative outcomes
5 - Not being invited to parties
#4 is the biggest driver, with the reason being the opposite: If you do as the government says, and you do get sued (and since everyone gets sicker when it comes to diabetes, there is a chance of being sued), you have a defense of ‘just following orders’, or in this case, meeting the ‘standard of care’.
So do it by the book, and you basically deflect all negative outcomes to the government (which can’t be sued), but go ‘off the book’, and you are on your own when it comes to liability. Government wins, and people suffer and die needlessly.