Sad that the war against Big Medicine seems to be a zero sum effort? Trustbusters or Payment Reform. Both, please! The industry is too complex for outsiders to fully understand how the current system deforms health care. The problem is structural, the financialization and industrialization of a medical services industry is a top down extractive set of values which has no place in the provision of health care for whole populations. Breaking it up just keeps it going in smaller bits that are still parasitic and extractive and not dedicated to the common good. Payment reform is necessary but provider groups economic structures are designed to game any reform in the relentless need to drive captive insured consumers to specialty services. Payment reform will only work with primary care based who are focused on deep partnerships with whole communities (not just slivers of insureds) to provide comprehensive prevention and community based (not provider based) chronic care management while attending to acute care needs. But, there is no interest in radical redesign to meet human needs with an industry which has purchased regulators and crony capitalism is the standard operating practice for both parties.
Sad that the war against Big Medicine seems to be a zero sum effort? Trustbusters or Payment Reform. Both, please! The industry is too complex for outsiders to fully understand how the current system deforms health care. The problem is structural, the financialization and industrialization of a medical services industry is a top down extractive set of values which has no place in the provision of health care for whole populations. Breaking it up just keeps it going in smaller bits that are still parasitic and extractive and not dedicated to the common good. Payment reform is necessary but provider groups economic structures are designed to game any reform in the relentless need to drive captive insured consumers to specialty services. Payment reform will only work with primary care based who are focused on deep partnerships with whole communities (not just slivers of insureds) to provide comprehensive prevention and community based (not provider based) chronic care management while attending to acute care needs. But, there is no interest in radical redesign to meet human needs with an industry which has purchased regulators and crony capitalism is the standard operating practice for both parties.