On Fri, May 1, 2009 at 4:34 PM, Scott Stroz <[email protected]> wrote:
>
> Dammit...hit send too fast...
>
> I have worked in several government agencies and the waste and
> bueracracy was pathetic. Sorry, but I can't imagine it would get any
> better if the gov't started running all healthcare.

First off, under a single payer healthcare plan, the government
wouldn't run healthcare. They would run an insurance plan, just like
BCBS does now, rather than like Kaiser that runs insurance and
provides care. That's a big difference.

As for reimbursement rates on Medicare, that is a point of contention,
for sure and something that needs to be addressed. Medicare
reimbursement works fine in several places, routine care seems to be
fine. But there are a number of areas where it definitely falls short.
Of course that is true with other insurance plans too, it is by no
means a problem confined to Medicare.

It brings up one issue that does concern me about a single payer plan
though. If you have one payer that is so much larger than everyone
else you run the risk of having it set terms so low that no one could
survive on the medical side. I've seen that happen with providers and
private insurance, where BCBS and the like try to beat providers into
submission by threatening to take them off the preferred provider list
and making visits to them cost 30% more for patients as a result. Then
the providers have to take a lower payout from BCBS than they want and
have to try to make it up in volume instead and quality of care
decreases.

In that regard though I'd prefer to have Medicare (or some government
agency) be the 800 lbs gorilla as there are better mechanisms in place
to lobby the government and the government doesn't have a profit
number they have to hit. Medicare has led the way on higher
reimbursements for meeting quality of care metrics, EMR adoption, etc.

The issue of payment rates for providers in a field where costs are
rising is going to have to be tackled no matter what kind of health
care reform we have. I don't see that a single payer solution is going
to make that issue more difficult to solve, but perhaps you're right.

Thanks for the input,
Judah

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