Inconvenient truths about our health care system

[okarol]

Inconvenient truths about our health care system


in Health policy and politics
by Richard Reece, MD

1. Most physicians do not set their own fees. Medicare, Medicaid, and private health plans set these fees, which often have little to do with the costs of doing business.

2. Congress each year sets Medicare fees through a formula called SGR (Sustainable Growth Rate), which this year calls for a 20% reduction in overall physician fees.

3. If SGR were to go through as to proposed, surveys indicate at many at 30% of physicians will not accept new Medicare patients because new Medicare fees will not cover expenses.

4. The next political crisis will be limited access to doctors; this is already occurring in Boston, where waiting times to see doctors are 2 to 3 times the national average for comparable cities.

5. Medicare on average pays 80% of what it costs to provide care: hospitals and doctors make up the difference by negotiating higher payments from the much maligned private plans.

6. An estimated 10% of health costs are due to the practice of “defensive medicine,” whereby doctors order extra tests and procedures in anticipation of defending themselves again future malpractice lawsuits.

7. Passing federal laws permitting patients to enroll in plans and “portability” of plans across state lines would make a public option unnecessary and would render private plans “competitive.”

8. Ending “community ratings,” which force the young to pay the same premiums as older individuals, and reducing “standard benefit plans, “ which often include unnecessary benefits, would reduce premiums for the young and decrease the number of uninsured.

9. The primary care shortage is real and growing because medical students are smart and are not choosing to work twice as long as specialists at 1/2 the pay; doubling Medicare pay for primary office visits would be a good start for relieving the crisis.

10. The surest way to reduce costs is having patients spend more of their own money and making them more responsible for their health, which is the premise of lower-premium health savings accounts and high deductible plans.

Richard Reece is the author of Obama, Doctors, and Health Reform and blogs at medinnovationblog.

http://www.kevinmd.com/blog/2009/09/inconvenient-truths-health-care-system.html

[Rerun]

How much do doctors make annually?  OK let's get specific.  How much does a Nephrologist make in a year.  Including everything, hospital visits, clinic visits, office visits.  Then subtract his expenses.

I want to see the bottom line.

How much do these dialysis centers make?  I want to see that.  What are the annual salaries of the big wigs?

I don't feel one bit sorry for them and I hope congress does lower what Medicare pays them.

[okarol]

The CEO of Davita makes 26 million a year. Seems a bit excessive, but what do I know?

[mogee]

This guy preaches to the Fox News audience.  He suggests fewer people would be sick if they had to pay more for medical services.  Thats his argument for everyone to hand him more money.  The health care system in the U.S. could not possibly be more advantageous for the pirates and shakedown artists that dominate the sector.