Opting-out of Medicare seems like a better idea every day – for doctors and patients

Twila Brase, President of Citizen’s For Health Freedom writes in:

I’m doing a little “light reading.” See page 193 – 198 of the 2016 Medicare Trustee’s Report:


Two quotes:

By the end of the long-range projection period, payment rates for affected providers would be about 57 percent lower than their level in the absence of these reductions. Currently, the Medicare payment rates for inpatient hospital services have declined to about 61 percent of those paid by private health insurance.97 …

It is conceivable that health care providers could improve their productivity, reduce wasteful expenditures, and take other steps to keep their cost growth within the bounds imposed by the Medicare price limitations. For such efforts to be successful in the long range, however, providers would have to generate and sustain unprecedented levels of productivity gains—a very challenging and uncertain prospect.

Opting-out of Medicare seems like a better idea every day – for doctors and patients. 

If you’re a cash-based third-party-free practice, I invite you to join CCHF’s new “Wedge of Health Freedom,” an identified free-trade zone in the U.S. and an online site for patients and doctors to join together to break free.
See videos of Dr. Brenda Arnett and Dr. Alieta Eck talking at our launch in D.C. www.JointheWedge.com

Twila Brase RN, PHN
President and Co-founder
Citizens’ Council for Health Freedom (CCHF)
161 St. Anthony Ave, Ste. 923, Saint Paul, MN 55103

Patients can recognize quality. That’s what really counts.

Dr. Alieta Eck writes in:

Why do we need a big study on what makes a good physician? The answer is clear to most of us out in the day to day physician world.

A good physician is one who connects with his patients and really cares about them. He makes the patients feel at ease and willing to divulge their most intimate details, since they realize that any detail might be relevant.

A good primary care physician has taken the time to learn the family dynamics that impact the psychological make-up of the patient. He attends the funerals of select patients as he knows this will help the grieving process of the family, and they are also his patients.

A good physician has had good training and keeps up with the latest diagnostic and therapeutic regimens. He has developed a good referral network, so he knows his patients will get the same concentrated attention that he gives. He would never refer to someone he would not entrust with his own family member. A good physician can recognize the qualities in other good physicians.

We do not need tests to measure good physicians. We need continuing education so physicians and keep up and learn what to measure in our patients to detect and monitor illnesses.

If anything has decreased the quality of our care, it has been the theft of our time by government and hospital corporations like the Joint Commission that has added the extra burdens of paperwork and form-filling to our duties as physicians. Or the participation in HMOs that so underpay, we need to have 5 instead of 30 minute visits.

Patients know who the good physicians are and need to be free to choose them. Insurance companies herd patients into provider networks, but many patients see the difference. Recently we have had patients return to us after 10 years, lamenting their experiences with doctors they did not feel we’re paying attention. They are willing to pay cash to see us as they understand value.

I guess that might indicate that my practice has good physicians in it. I am a grandfathered internist, so I have never re-certified and do not intend to participate in MOC. My husband did 3 years of general surgery and 3 years of family medicine residency. He is an excellent physician with a wealth of experience. He refused to participate in the re-certification testing scheme, as it never made sense to him, especially since I was exempt. But after 25 years the credentialing secretary caught up with him and he was dismissed from the hospital staff.

This broke the hearts of many of his long-term patients, but the bureaucrats didn’t care about how his patients felt. Their goal was to proudly state that all their physicians are “board certified,” as if the public really cared.

The “public” simply wants to know that their physician knows how to fix what ails them and will be by their side when they need him. Studies have shown that patients never ask if their doctor participates in MOC. They really do not care one iota.

Patients can recognize quality. That’s what really counts.

Alieta Eck, MD

Who will benefit from Massachusetts EHR invasion?

Dear Ms. Prebensen,

I would like to comment on the proposed law forcing physicians to “demonstrate proficiency in the use of computerized physician order entry, e-prescribing, electronic health records and other forms of health information technology, as determined by the board.”

These are all skills that would benefit the insurance companies and the government, but will burden the physicians unnecessarily and have no impact on improving patient care. One must ask the questions: “Who is behind this? Who will benefit? and one must always follow the money. Would there be courses to take and who will write the tests? What will they cost?

As physicians are laboring under maintenance of certification, the spector of maintenance of licensure, and other onerous tasks that have nothing to do with proficiency in diagnosing and treating disease, the last thing we need is another meaningless mandate proposed by a State Medical Board.

Vote this proposal down.

Alieta Eck, MD
Somerset, NJ
2012 President, Association of American Physicians and Surgeons.
Candidate for US Congress in NJ CD12

“Taking Back Medicine for Patients” National Doctor’s Day

Sunday, March 30, 2014

11 am ~ 4 pm 

Sponsored and Supported By:
John V. Kelly Jr., M.D., President Medical Staff
Clara Maass Medical Center, Belleville, New Jersey
Nanina’s In The Park – 540 Mill Street, Belleville, NJ  07109
(973) 751-1230

To All My Physician Colleagues:
The time is now — with no time left.
The practice of medicine is no more.
The welfare of the American people has been forgotten.


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