True Patient Centered Reform: Revisiting Dr. Paul Broun’s Patient OPTION Act

According to our friends at Freedom Works:

“Section 1 of his bold, principled plan repeals ObamaCare in its entirety. That alone would make it worth supporting, but he goes much farther. Inspired by the vision of a truly patient-centered system, his bill addresses the spiraling cost of health care and lack of consumer control in a number of commonsense ways.”

The OPTION Act eliminates the requirement that HSAs be attached to high-deductible health plans, allowing all Americans to save money for a rainy day tax-free. Continue reading

Don’t Ignore the Lessons of History: MACRA will simply not work

The following MACRA comments were written by a Kansas City dermatologist, Viseslav Tonkovic-Capin, MD, who grew up under Communism in Czechoslovakia.

I was born and raised in communist Yugoslavia. My dad was a 9 year-old boy when WWII started and was courier for partisans, i.e. resistance against nazis and fascists during the war. After the war it was easy to dupe people into communism, because as an idea it sounded great, but within a several months or years almost everyone realized that it simply will not work.

My dad became lawyer and judge just to end up in the political prison because of his disagreements with the communist interference into his judicial duties. In short order my entire family turned from communists and communist sympathizers into people severely allergic to anything resembling communism.

My dad summarized the difference between communism and the Free World: Continue reading

Trump calls a congressman physician to lead real patient-centered reform at HHS

IP4PI joins patients and physicians across the United States in cheering the appointment of Congressman and orthopedic surgeon Tom Price, MD to head the Department of Health and Human Services in the incoming Trump administration.

Dr. Price has a long history of standing up for the patient-physician relationship against the myriad forces seeking to intervene to the detriment of quality patient care.  And indeed, proponents of top-down government control are quickly sounding the alarm  realizing they have an enemy in the congressman & good doctor from Georgia.

We look forward to supporting Dr. Price in his efforts to roll back ObamaCare, MACRA, MU and many other failed policies harmful to American medicine. Proven patient-centered solutions can then be unleashed to increase access to high-quality, low-cost medical care.

Congratulation’s Dr. Price on this well-deserved new job!  We are here to help you in this crucial and challenging work over the coming years.  The future of American patients and physicians will depend on it.

MACRA = The Destruction of Medicare and Those Practices That Attempt to Comply

Greetings,

Here are my thoughts on reading my section of the “final” rules. If anything is apparent it is that there is no such thing as final rules, and in fact everything in the section I read was prefaced with disclaimers. I would like to entitle my section as, “The Destruction of Medicare and Those Practices That Attempt to Comply.”

This publication of the finals rules is almost of zero value to any physician or any patient, and in fact is a gobbly-gook of acronyms that hardly make sense and make the reading of the rules almost impossible without constant reference to their senseless definitions. There is nothing remotely suggestive of the actual practice of medicine. For example, CMS regards radiologists and pathologists as “non-patient facing MIPS eligible physicians.” One is struck with every rule and condition with the obvious question-how many bureaucrats at what expense would be required to track, collate, evaluate, and determine payment on over 800,000 physicians with this unwieldy payment system disguised as “quality not quantity” rewards. Continue reading

The only way to truly “save medicine” in America

Jef Fernley, DO shares his letter to his Congressman and physician-colleague, Representative Andy Harris, MD.

Hey Andy!

I’m not a huge fan of the frequently Left leaning Medical Economics, (though I am a huge proponent of the Austrian school of economics, as I’ve undoubtedly made clear in the past.)

Their article merely reminded me that I’d been meaning to reach out to you. With a new administration and Republican domination in DC, there is undoubtedly an enormous line already formed for requests of the new hierarchy.

I will add only this, for now. The State/Government does ONE thing when it interferes/regulates/manages/governs free markets, it distorts the signals to both entrepreneurs and customers. We don’t need to “replace” Obamacare with anything. We don’t need to sift through the ACA for the “best parts” to save. The only way to truly “save medicine” in America is to REMOVE the hand of Government COMPLETELY. Continue reading

Key concepts as we work to restore patient freedom and Make American Medicine Great Again

Now that there’s a fighting chance to save patients from the disaster of ObamaCare, let’s keep focus on some of the pivotal ideas that will restore low-cost, high-quality care for the maximum number of Americans, i.e. Make American Medicine Great Again:

Health insurance was originally intended to be optional inexpensive stop-gap damage control against large financial losses for catastrophic disease or injury. It has become government #ACA mandated income redistribution through #ACO cronyism disguised as an entitlement program.

The “unaffordable careless act,” aka ACA, not only had high deductibles but the highest premiums in history as it was first dollar coverage driven by government fantasy. 

True low cost competitive rate high deductible plans (HDP) should only cover large expenditures as small ones should be paid out of pocket with consumers’ Health Savings Accounts (HSA).  

Patients will decide on the value mix of the services they desire with prices mutually agreed on between patient and doctor. Consumers can have choice of paying fee for service at their discretion or paying for direct primary care ongoing relationship services. When other entities like employers, special interests and government get involved, the relationship and value is put asunder. 

Insurance was never intended to cover every dollar out of pocket. Imagine how expensive your car insurance would be if it covered every scratch, ding, dent, oil change, and every other service and told you where to buy gas every day….

The Real Reasons for the Trump Train

I challenge all to examine the real reasons that Donald J. Trump won the Presidency of the United States: 

1. Eight years of failed President Obama administration policies both domestic (Obamacare) and foreign (Iran, Middle East and Benghazi)

2. Democratic party embracing violent racist groups like Black Lives Matter while bashing Trump supporters and Republicans with false accusations of racism. 

3. Mainstream media liberal slant

4. Both Republican and Democrat parties leadership ignoring the will of the people for decades

5. The character, record and selfish profiteering of Hillary Clinton.

Now we must begin the task of the old and new leadership listening to the citizenry, unifying our people behind our founding principles of freedom and liberty, and getting our country back on task to champion individual rights and minimize government intrusion in our daily affairs. 

Craig M. Wax DO

Family physician

Media host

Member of congressional subcommittee National Physicians Committee on Healthcare Policy NPCHCP.org