Robert M. McLean, MD; Douglas M. DeLong, MD; Darilyn V. Moyer, MD
Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M19-3712.
Corresponding Author: Robert M. McLean, MD, American College of Physicians, 190 N. Independence Mall West, Philadelphia, PA 19106; e-mail, firstname.lastname@example.org.
Current Author Addresses: Drs. McLean, DeLong, and Moyer: American College of Physicians, 190 N. Independence Mall West, Philadelphia, PA 19106.
Richard M Fleming, PhD, MD, JD (FHHI-OI-Camelot); Tapan K Chaudhuri, MD (Eastern Virginia Medical School)
February 15, 2020
American Health care is best when physicians – not lawyers and politicians – are in charge.
All too often there is a knee reflex response to problems and in this 2020 election year, healthcare costs and proposed solutions are no different. The introduction of Medicare-for-All or a single payer system is one such knee reflex in response to addressing a health care system in financial crisis – a crisis produced by those who now conveniently claim to have the answer. As we consider this proposed Medicare-for-All approach let us ponder the healthcare consequences found in countries using Government controlled medicine including the financial crises these countries and their patients now find themselves in. While the American health care system consists of many of the best doctors and facilities for patient care in the world, the payment of that system has been built upon the policies driven by BigPharma and it’s lobbyists in Washington; CMS - the lawyer driven health care system; and the lawyer run malpractice system resulting in too many physicians practicing CYA medicine, instead of focusing on the patient. All of which have driven healthcare costs up.Concern over medical costs has now become the NUMBER ONE concern for voters in this 2020 election year. CMS – the lawyer driven Federal Government directed healthcare system, decides what doctor you can see, what hospital you can be admitted to, what tests and treatments including drugs, you can receive, and how much will be paid for all of this. The consequence of this Government control of healthcare has resulted in many physicians being unable to afford to see CMS patients. Those doctors and hospitals that continue to take CMS patients can only afford to do so by compensating and increasing medical costs to other insurance companies and people who have no insurance. Absent this compensation, many of these doctors and hospitals would be unable to financially continue to provide patient health care. The dramatic increase in healthcare costs is the direct result of the imbalance produced by the need to compensating for CMS – Medicare and Medicaid.Healthcare costs will not be controlled by surrendering final control of medicine to the politicians, lawyers, courts and bureaucrats, which produced the problem. Improvement in healthcare costs should be restored through a free market healthcare system driven by physician outcomes and evidence-based medicine.
McLean RM, DeLong DM, Moyer DV. The U.S. Health Care System Is Ill and Needs a Bold New Prescription. Ann Intern Med. 2020;172:S1–S2. doi: https://doi.org/10.7326/M19-3712
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Published: Ann Intern Med. 2020;172(2_Supplement):S1-S2.
Cardiology, Coronary Risk Factors, Diabetes, Endocrine and Metabolism, Healthcare Delivery and Policy.
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