The solution to healthcare is…

Most agree that we need a healthcare system that encourages people to take care of themselves and covers catastrophic injuries and disease for all people.

I trust the free-market more than government, and some trust the government more than the free market.

MACRA, ACA, HIPAA, HMO act, Medicare and Medicaid were supposed to reduce costs and expenditures. Obviously government only makes it all worse. Looks like a job for the freemarket!

Either way, whichever philosophical system is selected by the people, individuals must freedom of choice and bear their own responsibility to the extent that is humanly possible.

Craig M. Wax DO

CNBC reports:

Medical emergency: ER costs skyrocket, leaving patients in shock

  • Americans are being overcharged by more than $3 billion a year for ER services, according to data from Johns Hopkins School of Medicine.
  • Bills can be nearly 13 times the rates paid by Medicare for the same services.
  • Americans in the Southeast and Midwest, and poor and minority patients, are the most exploited by emergency-room billing practices, especially at for-profit hospitals.

Read full story:

https://www.cnbc.com/2017/08/10/medical-emergency-er-costs-skyrocket-leaving-patients-in-shock.html

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A Tool for Patients to Bypass MACRA Rationing and Privacy Intrusion?

Could the below HHS regulation be a potential tool to help patients do an end run around MACRA privacy intrusions and rationing guidelinesMedicare patients CAN refuse to authorize the filing of a Medicare claim and pay cash as outlined below.
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In 2013 HHS updated HIPAA regulations giving cash-paying patients greater ability to restrict the disclosure of health information.  Here’s what the final rule states about Medicarepatients’ ability to assert this right:

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EHR vs paper record – debate rages

(Excerpt from LinkedIn)

How much Epic, Cerner, other vendors spent to lobby Congress

http://www.beckershospitalreview.com/healthcare-information-technology/how-much-epic-cerner-other-vendors-spent-to-lobby-congress.html

Paper files are reliable, medical legal standard and ultimately recyclable. How about your computer? They look bad and are toxic to landfills for a thousand years. Your old hard drives when discarded may still be accessible to piracy. By the way, I support your right to keep medical records in any way, shape or form that you and your patients see fit. The government HITECH HIPAA ACA/Obamacare violates my right to record keeping systems that might benefit my patients, yet force me to comply, and make me subject to penalties when the mandates system fails. #EpicFail

Craig M. Wax DO

Cleveland Clinic Foundation violates HIPAA once again

Last week I received a fax from CCF, that had my name on it. The letter was written to me from a CCF doctor on a patient that isn’t mine. I contacted CCF supervisor “Provider Relations” and I informed her that this is another HIPAA violation and that they need to notify the patient of a security breach to their medical records. I informed her of the big liability for me due to my name being listed as the doctor and that I want their legal department to send me a letter indicating that my name would be removed from such medical documents.

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What would happen if doctors say goodbye to the AOA?

Guest post from Gina Reghetti, D.O.

What would happen if doctors would no longer be members of the AOA? Here’s the power that they exert on us. Once we are no longer “Active” members with the AOA, they will immediately make our board certifications which are “Time-Limited,” go “Inactive.” I know that is illegal. It is a violation. Let’s stand united to seek justice.

I also believe that “Time-Dating” Certifications is illegal! Mandatory Membership is not a good idea; it’s control. Whenever one doesn’t have an option, then that puts individuals at risk due to loss of FREEDOMS. Continue reading

Mandates vs. Real Medicine

Bob Maurer, D.O. writes:

Yesterday, in Atlantic City, I moderated a seven hour program on the Business of Medicine. One two-hour presentation consisted of some of the most onerous and burdensome mandates that physicians have to face today: HIPAA, ICD-10, and
Medicare CPT codes.

There is nothing in these mandates that has anything to do with patient care.

This past Friday, I went to an old time osteopathic physician for an ENT visit. He did not use a computer, a code book, or a pen. What he did use were his ten fingers, along with his eyes, his ears and his brain. He had a pleasant smile and a good amount of compassion.

A good doctor should be a doctor who is attentive to his patients, not a doctor who is forced to spend most of his time complying with government mandates and regulations.

To paraphrase a statement once attributed to Patrick Henry:

“NOW IS THE TIME FOR ALL GOOD DOCTORS TO COME TO THE AID OF THEIR PROFESSION”