Background: I’ve been a family physician for 20 years and spent another 10 training. I’m contracted with Medicare right now, and have been for all of my years in practice. So I’ve seen the pros/cons in person. I’ve also contracted with Medicaid, Champus, &...
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Replying to @DrChristineMann @Ange_Amene
And every private insurance plan in my area. They all have pros/cons. I have advocated for SP since 2009, but I *celebrated* the ACA when it passed. Stayed up late on Christmas Eve watching the vote come in. The law *saved lives*. I saw what happened before it...
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Replying to @DrChristineMann @Ange_Amene
To my patients that had no insurance, and am eternally grateful to President Obama and Nancy Pelosi for the heroes work they did getting it through. Anyway, to answer your direct question: Good data show that “just streamlining” paperwork, ie. reducing the overhead...
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Replying to @DrChristineMann @Ange_Amene
Would save enough money to insure almost everyone who doesn’t have insurance now. The cost savings there is huge. But, it is a misunderstanding to suggest that the “government” would handle all that. The “government” doesn’t handle Medicare paperwork now. My staff does...
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Replying to @DrChristineMann @Ange_Amene
As a Medicare provider, I don’t work for the government. Neither does my staff. I am an independent contractor (all doctors and hospitals who contract with Medicare are) *exactly* like I am an independent contractor with Aetna, United, Blue Cross, etc...
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Replying to @DrChristineMann @Ange_Amene
We do have a truly government run medical system in the US: the VA system. There, everyone-doctors, techs, nurses, are employed by the government. The British system is like this. I am not in favor of that type of system.
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Replying to @DrChristineMann @Ange_Amene
So, no, I’m not in favor of a VA type system where the government would be the owner/employer of all healthcare entities. I’m in favor of transitioning everyone to Medicare, remaining a contractor with an independent practice, vastly reducing overhead, saving money and lives...
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Replying to @DrChristineMann @Ange_Amene
I would do it in a step-wise approach which I can tell you about if you’re interested. Let me know if you want to hear more or if you have more questions. Thanks!
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Replying to @DrChristineMann @Ange_Amene
You could get the same kind of efficiency through a global payment/all-payer rate setting model within Obamacare. You'd get the same paperwork effiencies within the existing HC infastructure (which would speed implementation).
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Replying to @BNiederer @Ange_Amene
I’m not opposed to a system like this which is found in many European countries, Germany for example. But you won’t eliminate as much overhead, because, just like here, anytime you change plans, move, get a new job, you may need to change insurance companies. 1/2
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And then you’re back to needing admin staff both in healthcare facilities and in the insurance companies. So I still think there would be more cost savings with a SP. But I can live with a Universal Multipayer system. It’d be less of a shitstorm than what we have now. 2/2
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