Three Fixes for SGR

Steven Horvitz, DO writes ACOFP President Carol Henwood, DO

Dr. Henwood:

I just received your email blast about the SGR.

There are three fixes for SGR that come to mind that would immediately solve this never ending recurring problem for physicians.

1- eliminate the SGR entirely
2- advocate that all physicians opt out of Medicare
3- immediately freeze the physician fee schedule where it is AND allow physicians to balance bill patients for anything they want above it.

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What is regulatory capture of medical practice

Originally posted on IP4PI - Independent Physicians for Patient independence:

We need to educate the world to the phenomenon of regulatory capture, which is completely worse than regulatory control – which already exists by license requirements of the state. It is simply put “extortion by law.”

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Taking the Crony Out of Capitalism – Paul Jacob – Page full

Originally posted on THE SOVEREIGN PATIENT:

TeaPartyOccupyLee implores the “new Republican majority” to “make clear that our support for free enterprise cuts both ways. To prove that point, we must target the crony capitalist policies that rig our economy for large corporations and special interests at the expense of everyone else — especially small and new businesses.”

For starters, Lee suggests dissolving the Export-Import Bank and the Overseas Private Investment Corporation, and eliminating the “taxpayer bailouts for big insurance companies in Obamacare’s ‘risk corridors’ program.” He also notes the need to “break up taxpayer subsidies for the energy industry or large agribusinesses.

”Echoes of Ralph Nader, but with deep free-market rumblings. Not discord, but harmony.

via Taking the Crony Out of Capitalism – Paul Jacob – Page full.

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Privacy is a big problem getting bigger every day

Guest Post from Barbara Duck – @MedicalQuack

Privacy is a big problem getting bigger every day where its technology basically used against the consumer in the form of their data. With my background of both sales and developing, I have two thought processes going all the time if you will, the geek side visualizes and the sales side visualizes how they will market and potentially deceive the public with a lot of it to get folks on board so they can collect more data.

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Post-Obamacare Reform: Will Health Insurers Be Redeemed? | Health Policy Blog |

Originally posted on THE SOVEREIGN PATIENT:

Robert Pear of the New York Times recently described the “symbiotic” relationship between the Obama administration and health insurers. It was not always so:

But since the Affordable Care Act was enacted in 2010, the relationship between the Obama administration and insurers has evolved into a powerful, mutually beneficial partnership that has been a boon to the nation’s largest private health plans and led to a profitable surge in their Medicaid enrollment.

“Insurers and the government have developed a symbiotic relationship, nurtured by tens of billions of dollars that flow from the federal Treasury to insurers each year,” said Michael F. Cannon, director of health policy studies at the libertarian Cato Institute.

The entire article is a depressing read. And it is not just the fact that insurers are profiting from Obamacare. It’s that Obamacare is motivating health insurers to consider other harmful public policies. Most glaringly, health insurers appear…

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Keep Your Eyes on The Pennsylvania Medical Society Debate on MOC

Originally posted on The Practical Psychosomaticist:

cropped-dr-jim-amos-md.jpgI ran across this post from the Pennsylvania Medical Society (PAMED) and I thought I’d share it. Note the opportunity for readers to share opinions below the post. It’s a survey and I shared mine. At the time (which was this morning) there were only 3 responses. Click on the image to expand it to full screen.

PAMED survey responses 2014

Just in case readers may not be able to access it, I’d like you to see my response, which was as follows:

“I agree completely with the PAMED initiative and wish good luck to Pennsylvania physicians.

I have introduced resolutions to the Iowa Medical Society to support the principle of lifelong learning and oppose both MOC and MOL, which were both adopted. For now the Iowa Board of Medicine doesn’t think MOL is needed.

However, the ABMS and FSMB are driving this and I wonder whether they listen to rank-and-file doctors.

James Amos…

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Stupidity, Lies, and Videotape

Originally posted on THE SOVEREIGN PATIENT:


By Marilyn M. Singleton, MD, JD

Gruber crystalized his jaded views during a panel discussion at the Annual Health Economics Conference at the University of Pennsylvania’s Leonard Davis Institute of Health Economics on October 17, 2013 Gruber said,

“This bill was written in a tortured way to make sure CBO did not score the mandate as taxes. If CBO scored the mandate as taxes, the bill dies… In terms of risk rated subsidies, if you had a law which made explicit healthy people pay in and sick people get money, it would not have passed… Lack of transparency is a huge political advantage. And basically, call it the stupidity of the American voter or whatever, but basically that was really really critical for the thing to pass.”

via Stupidity, Lies, and Videotape.

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