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I think that the problem with the government being so involved in health care is that they try to manage all of the details. The market will fix most problems. So, in general, I support the simplicity of Trump's plan. allow insurance companies to sell across state lines, enhance competition for those dollars and the price will come down. Allow insurance companies to use the market to determine what provider or provider type is the best for a particular problem. Even better, let the consumer decide. I bet on us as a profession. For the most part, we are capable of determining if someone needs to see another practitioner and are willing to refer them. Look at how poorly the VA, medicare, and now Obamacare have performed. those are perfect examples of how "well" the government manages complex systems.
< Message edited by Tom Reeves DPT ATC -- February 7, 2017 10:50:30 AM >
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I had a conversation last week with an internist in Ohio. He said he was so overwhelmed by the various requirements / pay structures of the numerous managed Medicaid insurers that he would prefer a single payor for this population. He himself couldn't believe he was saying that, but the "myCare" Ohio plans that have privatized the Medicaid system are much worse straight Medicaid. Payments are lower, delayed, and audited frequently.
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I can think of nothing besides infrastructure and the military that runs better/more efficiently when the government gets involved. Let the market decide how much 15 minutes of ther ex should be worth. Not some bureaucrat who doesn't know the difference between an itis and an osis. Too much distance between the provider and the consumer of the services IMO. Streamline. Lets have menus like in a restaurant so the patient can decide.
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a quote from the referenced link
They accept that the election of President Donald Trump, with GOP control of Congress, probably means major health system changes. But they fervently hope Republicans move deliberately and thoughtfully, and preserve affordable healthcare for the 20 million people who obtained insurance under the ACA. my emphasis it has never been affordable and is becoming less so as it is. something has to change
< Message edited by Tom Reeves DPT ATC -- March 6, 2017 8:19:59 AM >
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