nurseryrhythme

Can a chef own a Restaurant? Can a mechanic own an auto shop? Can a landscaper own a contracting company? History If you go way back, you'll find the AMA has always been dead against physicians owning the facilities. They perceive this as a threat. If a lot of doctors and nurses owned everything, what power would they have? The doctors and nurses would have the power. That's why there has been a push to get rid of doctor owned facilities. Official Reason The official reason for the law is that fee for service is too expensive. Suppose a chef tries to oversell you more dessert? Would a mechanic tell you to get repairs that are unnecessary? This conflict of interest is the reason given. Results It turns out that physicians are better at running a hospital than administrators. Physician owned hospitals are rated much better and are often ranked at the top of the "food chain". It's sad to see this law in place. Think about the degradation of food if chefs couldn't own restaurants. It also makes it much more difficult for cash pay establishments to get going. The threat of paying your doctor cash is feared by insurance. There was actually a push for it in Wisconsin. A lot of insurance contracts forbid posting cash prices in the facility. Providers are forbidden to offer a lower price also. Still, you can always pay the Chargemaster (sigh!).

We all know there are bad doctors. If this was another field, the bad ones would be fired. One of the keys to this is working for a good administrative team that knows how to deal with personalities. You will find some hospital staff work together really well and give excellent care. Other hospitals have some bad doctors that continue to cause harm. A lot of it is the management. If this doctor does that to you, he is doing it to other people. Management knows and does nothing about it. Why?

Yeah, actually nobody has a plan for health care reform. Most of the legislators in my state say it's too difficult to work on and impossible to fix. None of them have a plan of any kind. You could support the free market side by providing transparent pricing and quality data; all of which is readily available just not for the public. The AMA makes releasing their codes illegal. I find this to be one of the main barriers. Colorado is trying to take over their own system and start over in amendment 69. It's one of the only states you can go around the politicians. I like what Christopher Hitchens said, "Right now our healthcare system gives us the worst part of capitalism and the worst part of socialism." In other words we have high cost and poor choices as outcomes. I think the states have the only chance to fix it, but they are all waiting for the Feds to do it for them. All the consultants say the health care prices are coming down drastically because it's unsustainable. If you ask how, they simply shrug their shoulders. To fix the system, we simply need transparency and more doctors and nurses. Since they will never give us that, single payer will at least kick the greedy insurance people out of the way for something better than what we have.

Mental health is seen as expensive by the insurance company because it can take many visits to get well. So, this nearly always requires a referral and isn't always easy to get due to insurance guidelines. If we let anyone go get help that needed it, there would be a lot of cost with that.

It's basically the same thing as Medicare. If local states ran their own system, it would be beneficial. This is what Dr. Hsiao at Harvard has been advocating for years. He is widely regarded as the best person to understand the overall health system. Lower costs for getting rid of the middle man.

Healthcare reform was more about giving everyone coverage than anything else. It has helped the industry; not hurt it. You can expect higher wages over the long run. Interestingly, Colorado is attempting to pass universal health care right now. This won't affect pay much as people believe doctors and nurses should get paid well. It's the insurance people that might run into issues. I found this funny website about it Amendment 69 Saves the Day After 2