Quote:
Originally Posted by rshoffer
Prior to moving to The Villages my medical career experienced 3 quite different practice models. The first 9 years was military medicine in the US Army. The next 17 years was as a salaried physician in one of the most reputable and cited health care systems in the nation--The Geisinger Health System in Pa. My last 5 years in Pa were in solo private fee for service practice.
Geisinger rocketed to national recognition in the past 15 years using practice and quality standards cited above: "BEST PRACTICES" is an example-- what this means is that experts review the published medical literature and develop practice and disease management guidelines that have ben shown to produce the best outcomes. ... like making sure all diabetic pts have annual eye exams, foot checks, Hgb A1C measures etc. Geisinger rewarded physicians who adhered to best practice guidelines. Likewise, there was an incentive for "QUALITY, NOT QUANTITY"So much so that, for example, surgical procedures came with a 'guarantee' and if the pt needed a re-admission or there was a complication the hospital covered the extra costs.
So, these are proven improvements in health care delivery.
Here's the problem---> "THE GOVERNMENT" had zero, nada, nothing to do with ANY of this!!! This was FREE MARKET DRIVEN. When many health systems were financially collapsing, Geisinger was becoming more and more succesful.
The Fed gov't has NO role in this. My belief is the Feds intrusion in health CARE policy is not outlined anywhere in our constitution and likely will face serious legal challenges as this unfolds.
The states need to address the health INSURANCE issues.... no question there.
Every citizen needs to be VERY VERY concerned at the thought of the Fed govt dictating health CARE policy.
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No one can dispute what you said. Most Doctors, i believe agree with you.
Where did Obama get the white coated men yesterday.? Do you think they were really Doctors?