This is a very informative and disheartening post. It seems that every which way we look corruption finds its way into our healthcare system so that it functions as an industry for the benefit of investors.
I wonder if you might write about another area of uncertainty that creates its own problems for both providers and patients. Enacting government services that promote the common good soon is challenged by those who seek to strangle that program.
Many providers and their organizations opt out of taking traditional Medicare because its reimbursement formulas are below market rates. Providers and their organizations are being relegated to commodities, again, to the advantage of investors and c-suite executives.
We use the almighty dollar to calculate value, and then the sausage making begins.
I am a follower of your substack, and a semi-retired internal medicine doctor. I just posted on my substack a discussion of whether medical licensure should be tied to accepting Medicaid and Medicare. Your feedback on my presentation, the general issue of providers not accepting Medicaid and Medicaid, and the approach to overall lack of access healthcare in our country will be appreciated.
I would like to use part of your paper in newsletters.
As to the idea: I think it would be difficult to implement but government intervention in the market place, via Medicare, desegregated much of medicine, so it is worthwhile having the discussion because it may move health reform forward.
Thank you so much for sharing it with me. I look forward to more discussions with you and learning from you...Alan
Alan,
This is a very informative and disheartening post. It seems that every which way we look corruption finds its way into our healthcare system so that it functions as an industry for the benefit of investors.
I wonder if you might write about another area of uncertainty that creates its own problems for both providers and patients. Enacting government services that promote the common good soon is challenged by those who seek to strangle that program.
Many providers and their organizations opt out of taking traditional Medicare because its reimbursement formulas are below market rates. Providers and their organizations are being relegated to commodities, again, to the advantage of investors and c-suite executives.
We use the almighty dollar to calculate value, and then the sausage making begins.
You are so correct, Gary.
https://open.substack.com/pub/donaldhmarks/p/should-all-medical-doctors-be-required?utm_source=share&utm_medium=android&r=e4oim
I am a follower of your substack, and a semi-retired internal medicine doctor. I just posted on my substack a discussion of whether medical licensure should be tied to accepting Medicaid and Medicare. Your feedback on my presentation, the general issue of providers not accepting Medicaid and Medicaid, and the approach to overall lack of access healthcare in our country will be appreciated.
Hi Dr. Marks. I read your article. First let me tell you that you write very well. I subscribed.
Regarding the article: I think it would be worthwhile to have your article given wide review. JAMA has an open site that could publish it here (https://jamanetwork.com/journals/jamanetworkopen/pages/for-authors)
I think the American College of Physicians would also be interested. Perhaps in the Annals of Internal Medicine - https://www.acpjournals.org/journal/aim
I would like to use part of your paper in newsletters.
As to the idea: I think it would be difficult to implement but government intervention in the market place, via Medicare, desegregated much of medicine, so it is worthwhile having the discussion because it may move health reform forward.
Thank you so much for sharing it with me. I look forward to more discussions with you and learning from you...Alan
Thanks Dr. Marks. I will read your article. It is an interesting idea that I've not considered.