Becoming a medical doctor in the U.S. is very hard. It takes years of study. We know this because doctors are great at reminding the rest of us of the costs they incur and sacrifices they make in pursuit of their medical degrees. Also, let’s not forget, because they won’t let us, that doctors help the sick and save lives. Don’t get me wrong; I’m not trying to undervalue the efforts and commitment of doctors. However, I’m also not willing to exclude doctors from criticism for the role they play in our overpriced American health care system.

American doctors have much higher salaries than their equally qualified international peers. At least one justification for the sometimes significant salary differentials is legitimate—medical school and training costs are greater in the U.S. than in other countries. Other justifications such as the U.S. is a wealthy country that can afford to pay its doctor more or that doctors could have chosen even higher paying jobs in other industries are even weaker. No one forces you to become a doctor. And, even if you think medicine is a noble profession, there is no such thing as “nobility pay” in the world of compensation management.

If Medicine Is Noble, Not Every Doctor Is

Medicine and money go hand in hand, and so does greed and self-importance. Some doctors enter the medical profession for noble reasons—they want to alleviate illness and save lives; for others, it is a pathway to wealth and prestige. And no one exemplifies the greedy, egoism of the medical profession like Health & Human Services (HHS) Secretary Tom Price. Now a politician, Price was once an orthopedic surgeon and director of an orthopedic surgery clinic in a wealthy area of Atlanta, GA. Orthopedic surgeons are the highest paid of all medical specialists, with an average salary of nearly half a million dollars a year.

Tom Price was never shy about wanting to become a wealthy doctor. It was his goal. And even after moving into politics as an elected Congressman and now head of HHS, he continues to invest in the health care industry and lies about his corrupt investments in the medical field. Another thing Price never lies he doesn’t lie about is his views that doctors should be left alone to make as much money as they can make. At HHS, Price is looking out for doctors’ pocketbooks. In Price’s world, Medicare payments to doctors rise, quality standards and medical malpractice awards go down, and electronic health records disappear (because who wants to share data with other physicians and invite competition). And that’s not even the worst of Price’s financial activism on behalf of his fellow doctors that don’t want to change but want more money. Price wants to collaborate with doctors in letting them decide how much Medicare (taxpayers) pay for their services.

It Matters Who Becomes A Doctor Continue Reading...

Tags: Tom Price, Medicare, HHS, Doctor's pay

Last week's Republican House and Senate retreat in Philadelphia revealed what we already knew; they don't have a plan to replace the Affordable Care Act (aka Obamacare). This week there were reports that some Republicans have given up on repeal and replace and want to “fix” Obamacare instead. Also, this week, shady Congressman Tom Price came one step closer to becoming Secretary of Health & Human Services when the Senate Finance Committee approved his nomination without Democratic support.

It's been a frustrating week for Obamacare supporters concerned about the future of health insurance and health care in America. Every statement about health care reform, even if it is a repeat of what's been said before is scrutinized for new meaning. But for now, we are in limbo, and that is not a bad thing. Things could be worse. We should use this time to put forth some ideas on health care reforml.

Obamacare Could Be Better

Everyone agrees that Obamacare plans could be better—more affordable and there should be more of them. Also, there's majority agreement that some provisions of Obamacare are keepers, like no prohibitions on coverage for preexisting conditions, keeping dependent children on employer-provided plans up to age 26, and receiving subsidies to pay for coverage. But these goodies cost money and require trade-offs. So knowing that Republicans would prefer the government get out of the health insurance business, what suggestions would you give them if they were forced to stay in it. Keeping in mind that you can't get everything you want.

Protests are fine, but how can we improve Obamacare when we know universal coverage is out of the cards in this new Republican reality?

First, agree not to turn Medicaid over to the states via block grant or any other program. States may know their constituents better than the federal government, but equality often comes in a distant second to state budget priorities. We can't trust states to cover everyone who needs Medicaid. We also can't trust them to regulate the quality of care Medicaid recipients receive. Medicaid patients wait longer to see a doctor and get a lower quality of care than patients with private insurance.

Instead of Medicaid block grants or any other state-based Medicaid program, the federal government should run the Medicaid program just like it does with Medicare. Everyone gets the same benefits, and medical providers must meet predetermined quality standards in exchange for higher reimbursement levels.

There is no way for the government, federal or state, to get around paying for health care for the poor. States can assist in this effort by addressing the poverty in their communities, but they should stay out of the health care business for the poor. Continue Reading...

Tags: obamacare, obamacare alternative, obamacare subsidies, Medicare, Medicaid