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
Why Medicare rather than Medicaid?
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Replying to @RutiRegan @Ange_Amene
Mostly because Medicare is more widely accepted and understood by the public and the healthcare community. I’ve seen some of the expansion of Medicaid plans and I’m not opposed to them. Just think it’s a harder sell, especially in the physician community.
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Replying to @DrChristineMann @Ange_Amene
Medicare for All is a pretty hard sell within the organized disability rights community. Dramatic overall of the healthcare system without an LTSS HCBS fix is not something we’re prepared to accept — especially if existing protections are rolled back.
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Replying to @RutiRegan @Ange_Amene
I’m not a disability rights community expert by any means, but our local ADAPT chapter has been front and center at most of our pro-M4A rallies and have even helped organize direct actions here in Central Texas. Maybe there are regional differences?
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Probably a lot. Maybe all. But I’ll admit to some bias here: in Texas, Medicaid has a terrible reputation. It’s not because it’s bad, it’s because the Republican led lege has decimated it. So while I want to see it expanded now, long term acceptance will be challenging here.
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