Dear Senator: The opportunity to fix our broken system rests at your feet. Do It Right.

Marcy Zwelling, MD, Co-Chair of the National Physicians Council for Healthcare Policy, http://npchcp.org/, shares her urgent letter to the United States Senate.

Dear Senator:

The opportunity to fix our broken healthcare system rests at your feet. You and your republican colleagues should look at this legislative opportunity as your moment in history to step up and do it right.

America’s healthcare delivery system was broken long before the ACA. Returning to a pre-ACA state of affairs should not be your goal. Your efforts should be visionary not reactionary. It’s time you show America’s patients that you are the party of better practical ideas.

Healthcare reform is about designing a system of healthcare delivery that works to maximize access, decrease cost and minimize the regulations that obstruct America’s physicians from doing our job. Continue reading

VIDEO: Principles for Health Care Freedom

IP4PI founder Craig M. Wax, D.O. presents on Capitol Hill at the March 2017 meeting of the National Physicians’ Council for Healthcare Policy. Learn more about NPCHP efforts at http://npchcp.org. Read a synopsis of the principles here and view slides here.

 

Yet another failing report card for the “Affordable” Care Act

CMS released a county-level map of 2018 projected ACA Exchanges participation:

“This map shows that insurance options on the Exchanges continue to disappear.  Plan options are down from last year and, in some areas, Americans will have no coverage options on the Exchanges, based on the current data.”

“This is yet another failing report card for the Exchanges. The American people have fewer insurance choices and in some counties no choice at all. CMS is working with state departments of insurance and issuers to find ways to provide relief and help restore access to healthcare plans, but our actions are by no means a long-term solution to the problems we’re seeing with the Insurance Exchanges,” explains CMS Administrator Seema Verma.

ACA: enabling sellout of America to the insurance, health IT and hospital industries

Congressman Meadows:

We all need to be opted out as taxpayers, patients and physicians with a full repeal. The Republican Party and congressmen outside of the Freedom Caucus are enabling the liberal Democrat sellout of America by ACA to the insurance, health IT and hospital industries. Unless there is a repeal of all of the limitations on insurance, insurance company bail outs, propped up phony exchanges, and the largest tax increases in the history of our country, we are sunk as a country.

We have solutions from the few remaining private practice physicians who are also taxpayers, parents, and community leaders. We can help you and President Trump keep your words and benefit all Americans while saving everyone money. Please inquire!

Principles for individual citizen healthcare freedom | IP4PI – Independent Physicians for Patient independence:
https://ip4pi.wordpress.com/2017/01/08/mr-trump-here-are-14-solutions-for-ultimate-citizen-consumer-healthcare-choice/

Best wishes for good health,
Craig M. Wax, DO
Family Physician
National Physicians Council on Healthcare Policy member
Host of Your Health Matters
Rowan Radio 89.7 WGLS FM
http://wgls.rowan.edu/?feed=YOUR_HEALTH_MATTERS
Twitter @drcraigwax

A Conversation: Can Free Markets Save American Medicine?

A recent article from the Mises Institute. “Under Socialized Medicine, The State Owns You,” sparked a conversation between Mr. Bob Wells and IP4PI founder Dr. Craig M. Wax.

Bob

I appreciate your assessment of the solutions presented like VA, Medicare and Medicaid being awkward, too expensive, and failing in large demonstrable ways. We haven’t had true market based medicine since World War II. Prior to that, it was relatively inexpensive cash and Barter based services. I argue this is the most efficient as it cuts out insurance, pharmacy benefits managers, all levels of administration, and last but not least, all aspects of government regulation compliance and taxation.

In the last six years there have been at least 12 plans on the table to repeal Obamacare. And, there have been six in the last 12 months. There was no sparsity of plans, just no palpable consensus.

I assert that inexpensive primary care, labs, low-end studies, cheap generic medications, will allow for most needs to be met by most people. And expanded health savings account HSA would be used for each citizen to use pretax dollars to buy anything health related from gym memberships to over the counter medications to actual care necessities. Further, inexpensive catastrophic insurance for the big ticket items would be also affordable by most. There could be community, charity, and state programs to provide for the neediest, while keeping the federal government taxation hands to itself.

Unless the Congress and President act soon to repeal Obamacare, just rearranging the deck chairs, will not prevent its fate. Already 19 out of 23 taxpayer-funded co-ops have gone bankrupt taking billions of taxpayer dollars with it. And for the phony federal mandates state exchanges, many have only one high price insurer participating, while still others have none. Leave it to the government to mandate you buy something very expensive and then there’s no opportunity to even comply!

Best wishes for good health,
Craig M. Wax, DO

—————

Dr. Wax,

The deficiencies of state-sponsored health care are widely known. What is difficult to figure out is an alternative — market-based — that is universally accessible and affordable (with affordability being as elastic as elastic can be), while still offering high quality. If there is a model in this world, I am unaware of it.

All efforts America has made to provide public support for health care since World War II, from the VA system to Medicare and Medicaid to Obamacare, have been awkward and grossly inefficient (if somewhat effective, overall). Unfortunately, blowing these systems up and starting a new system based solely on market forces would be catastrophic in the short term. And since politicians think in the short term, such a radical transformation is impossible.

Today’s Republicans realize there is reward in trashing Obamacare, but they also know that they do not have a better plan to replace it. If they really had a better plan they would have introduced it by now, and it would be on President Donald Trump’s desk for signature. The fact that they cannot agree among themselves on a replacement is testimony to how difficult a problem this is. (This does not excuse the Democrats, either.  They’d rather let the Republicans look foolish than offer their own “solutions.”)

Regards,

Bob Wells

House GOP’s Affordable Healthcare Act is Not What the Doctor Ordered or Voters Demanded

While IP4PI appreciates the efforts and goals of the Republican Affordable Healthcare act, it is far from the “full repeal” that was promised over the last two election cycles. As independent physicians, we believe that it doesn’t go far enough in repealing the failed ACA, protecting patient choice and permitting the free market to produce excellence, efficiency and economy. We recommend that big money special interests like pharmaceutical industry, hospital industry, health information technology industry and insurance industry not have undue influence in the process as they have for decades but physicians and patients.

1. Full repeal of ACA/Obamacare by reconciliation.

2. True inexpensive high deductible insurance plans competing across state lines for maximum choice, efficiency and economy.

3. Medicaid block granted back to the states where each state can provide flexible solutions for their citizens.

4. Health savings accounts HSA us should be expanded for use for all medical needs so that patients can select any care or items related to health with their own value systems.

5. Primary care and basic specialty care paid directly to physicians by the patients who selected them. Prices to be posted whether per incident or monthly membership model like DPC Direct primary care.

6. Executive, legislative and judicial for branches of government must abide by this law for their own healthcare.

14 Principles for healthcare freedom

Articles critiquing GOP ACA change bill

If anyone asks about preserving “good” portions of Obamacare, you can respond:

“You can’t fix a turd.”
“And like a turd,” explained one physician a few years ago, “we had to pass ObamaCare before we could find out what was in it.” Remember Congresswoman Pelosi’s infamous quote?
Sorry to be so blunt but ACA Obamacare is so filled with theft by taxes, giveaways to hospitals and insurance industries, and theft of patient rights and physician autonomy, that it would be unwise to leave any of it on the books.  If it were re-activated and funded at sometime in the future, because we failed to repeal it on total, we would be at fault. Will our children face the true consequences of paying for it and being bound by it?

Best wishes for good health,

Craig M. Wax, DO
Family Physician
National Physicians Council on Healthcare Policy member