Hell, while we're at it, let's just evict ALL the Democrats.
Excellent, excellent point. 90% of the public is blissfully unaware of the truth in this.
IMO the only reason we have any support at all in this country for letting government bureaucrats control health care is that in the current environment the private sector corporate bureaucrats can be even worse.
Go back to cash-for-service and the control returns to the patient.
In This life
you need to learn to take care of your own health
do not go to a doctor and less you have to
People familiar with the Keto diet and its politics also know full well that government is (indirectly) forcing doctors/nutritionists what to say to obese/diabetic patients.
And that wouldn’t be so bad, if it weren’t the absolute worst advice possible (eat often, with lots of carbs).
While making a very valid point, even this writer misses the point. It's not even the Doctor's responsibility to "make your medical decisions". That's why they're called "YOUR" medical decisions. The doctor is your knowledgeable consultant and adviser for medical issues, like your plumber is your consultant and adviser on toilet issues (if you can't do plumbing yourself), but YOU are supposed to be making the decisions.
This is BS. Hospital executives have been rolling the government and insurance companies for years. $28,000 emergency department bills for the treatment of a sore throat aren’t caused by government bureaucrats:
Lifestyle is the biggest determinant of the use medical care. Period. Bulk insurance means that people who don’t abuse themselves pay for the care of people who do. Self-abuse is rising explosively. Handing the bill to someone else incentrivises self-abuse.
I want insurance which groups me with people who don’t abuse themselves. If that could happen it would lower my insurance bills by about 75%.
“I can’t possibly afford to pay for my care.”
With the exception of a catastrophic illness or disease, the vast Majority of Health Care can easily be paid out of pocket, and it actually pretty cheap.
With Insurance:
$1100 monthly premium
$8000 Deductible
if you need a Knee Replacement you spent over $20,000 plus anther 30-40% COPAY in the Thousands of Dollars, All in about $30k for the year
Without Insurance:
Oklahoma Surgery Center,Total Knee Replacement $15k ALL IN at a surgery facility with the Lowest Infection and Mistake record in the Country.
Bookmarking this one.
My dad was a WW2 and Korean war Navy doc. Practised general medicine for 50 years after.
Near the end of his practice, he was called on the carpet by a medical review board because he did not use the “proper” number of stitches on a facial wound (he used “too many” because it was on the face and wanting to minimize the scar). There were “policies” to be followed. His billing was delayed.
That’s when he decided to hang up his stethoscope.
I’ve seen a lot of doctors over the last few years and I’ve learned you have to manage them and not let them manage you. In order to that you have to know what’s going on. I try to get every doctor’s report of my visit to them. A few automatically give them to you, but some you have to ask for.
I do my best to understand what the hell is going on with me and why they are doing what they’re doing. The best way to do that is take the initiative to research everything you can about what you’re being treating for in order to determine whether you’re being cared for properly. And, if not, discuss it with your doctor to get it sorted out and to make sure you’re comfortable with the direction in which you’re going.
It ain’t easy. It takes a lot of work. But you need to understand the you hired the doctor and you are responsible for managing your contractors, and that’s really what they are: people you hired to work for you.
I’m fortunate in that I’ve had 35+ years of experience managing contractors, and I got damned good at it. It’s very satisfying to know that you are the one calling the shots, and you usually have alternative options if they fail you.
I’ll have to re-read the article to see if the author pointed out that YOU are largely responsible for what happens, but sure ain’t easy to do.
Um, where has this guy been for the last decades, ICD has been around for a long long time because this thingy called Medicare requires that there be a standard by which billing is conducted. Now it twerent so bad until madam pelosis and bathhouse barry gave everyday Americans a unlubed proctological exam and started squeezing the bejeesus out of doctors forcing them to participate in the electronic records farce and so driving many small efficient practices (and doctors) out of business.
Unfortunately no matter if we completely destroy barrycare you can't put the genie back in the bottle, you just can't stop and turn the Titanic that is the federal government bureaucracy.
I know, my wife has been Certified Professional Coder and owned her own medical billing service for decades and I have to hear about this BS everyday.
And this is the real truth about why you cannot get Vicodin any more but, are told to take over the counter meds such as Aspirin, Acetaminophen, Ibuprofen, Naproxin Sodium, etc.
They aren’t looking at efficacy. They are looking to control costs and they went and demonized a particular drug that was working for many people.
But, that is only true for working Americans.
There are plenty of people on givernment income who easily get these drugs you and I cannot get, because we are the producer class and they need us to go to work every day and pay taxes so the givernment dependent class won’t uprise...
Even Lyrica has been reclassified, like Vicodin, as a Class II narcotic, which is hilarious.
Case in point, this past year I was infected with a bladder bacteria. In the past a 14 day regimen of antibiotic pills cleared the problem up. This last time however the Dr only prescribe a 7 day treatment. He said the gunmen would not approve more. After three relapses and a near death experience in a hospital from sepsis the infection cleared up. So much for cost cutting.
Heh. I have no health insurance and pay everything out of pocket, just like with car repairs, plumbing and electric on my house, etc.
The government rarely gets involved because I do it all myself - or the Lord does it as an answer to prayer.
Our culture has become addicted to health insurance. In a Godless society, this life is all you have, so you value its preservation and “physical” quality more, and will pay any price to keep it as long as possible.
I’ve left that culture. And saved at least $50,000 in after tax dollars because of it. That’s a lot in a part of the country where you are making good money at $16 an hour. :)
Hi.
With President Trump signing the Community Care Act, I receive care quickly (a couple months) and the quality of care is better now than 40+ years ago.
Got a hole in my retina and cataracts. Sheesh.
5.56mm
My health insurance reform proposal of 2016 allowed for all-the-doctors prescribe drug plans.
It is silly for patients to have to take second-rate drugs when the company making first-rate drugs would be happy to accept say $1.7 million(all-the-doctors prescribe) instead of $1.5 million(current total) from say Empire Blue Cross for wonder drug D.
There would be no drug coverage appeals under my Plan Offer/Drug Maker Acceptance plans. A drug would either be in the plan 100% or not eligible for the plan’s reimbusement.
My proposal also had a Federal Drug Marketplace where people could buy drugs from participating drug makers at income-based pricing.
“free market for health-care goods and services”
Not even one of the 50 states has such a free market.
Our country is very corrupt.
We are headed towards “evidence-based” medicine, slowly.
The long-term result is intended to be cookbook medicine.
Of course, evidence isn’t always as much as some Democrats and health care managers would wish it to represent.
Nonsense.
The PBM is contracted by the insurance company or government agency providing the insurance and administers the insurers' decisions regarding formulary.
This fallacious line of argument sounds like the one being made by the pharmaceutical lobby which has been advertising on Mark Levin's show among others.
If we eliminate third-party payers we eliminate the organizations with any leverage to negotiate or control drug prices.
Coincidence?